Unique ID issued by UMIN | UMIN000003741 |
---|---|
Receipt number | R000004524 |
Scientific Title | Efficacy and Safety of Valsartan and Aliskiren Combination Therapy in Patients with Diabetic Nephropathy and Hypertension |
Date of disclosure of the study information | 2010/06/13 |
Last modified on | 2013/06/17 14:50:59 |
Efficacy and Safety of Valsartan and Aliskiren Combination Therapy in Patients with Diabetic Nephropathy and Hypertension
Valsartan and Aliskiren Combination Therapy
Efficacy and Safety of Valsartan and Aliskiren Combination Therapy in Patients with Diabetic Nephropathy and Hypertension
Valsartan and Aliskiren Combination Therapy
Japan |
Type 2 diabetes with nephropathy and hypertension
Nephrology |
Others
NO
To test the efficacy and safety of Valsartan and Aliskiren combination therapy in patients with diabetic nephropathy and hypertension.
Safety,Efficacy
Pragmatic
Not applicable
1)estimated GFR
2)Urinary protein excretion(g/gCr)
3)Urinaru Albumin Creatinine Ratio
1)Change in office and home blood pressure
2)Brain natriuretic peptide
3)Oxidative stress:urinary 8-isoprostane
4)Marker for inflammation: hs-CRP
5)Endthelial function:Flow-mediated vasodilatation(FMD)
6)Arterial stiffness:brachial-ankle pulse wave velocity(baPWV)
7)Arterial thickness:Intima-media thickness of carotid artery(IMT)
8)Renal damage:L-FABP
9)HbA1C, Blood glucose
10)Safety
1.Laboratory data (ALT, AST, BUN, Cr, UA, K)
2.Symptom
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
NO
NO
Institution is not considered as adjustment factor.
Numbered container method
2
Treatment
Medicine |
Administration of 80 mg of valsartan
8 weeks after:
administration of 150 mg of aliskiren
4 weeks after administration of aliskiren:
Increase of dose; 300 mg of aliskiren
8 weeks after
Add 1 mg of trichlormethiazide
12 weeks after:
Add 2mg of doxazocin
Administration of 80 mg of valsartan
8 weeks after:
administration of 5 mg of amlodipine
4 weeks after administration of amlodipine:
Increase of dose;10mg of amlodipine
8 weeks after
Add 1 mg of trichlormethiazide
12 weeks after:
Add 2mg of doxazocin
30 | years-old | <= |
80 | years-old | >= |
Male and Female
1) Urinary protein<1g/day: systolic BP>=130 mmHg or diastolic BP>=80 mmHg (office BP), or systolic BP>=125 mmHg or diastolic BP>=75 mmHg (home BP) under valsartan treatment
Urinary protein>=1g/day: systolic BP>=125 mmHg or diastolic BP>=75 mmHg (office BP) under valsartan treatment
2) Type 2 diabetes
3) HbA1C<8.0%
4) Urinary albumin/creatinine ratio(UACR)>=100mg/gCr
5) Cr<=3.0 mg/dL
6) Written informed consent is obtained
1)Taking corticosteroid
2)Secondary hypertension or maliganant hypertension
3)Acute myocardial infarction within 24 weeks
4)Stroke within 12 weeks
5)Severe ventricular tachyarrhythmia or advanced AV block
6)Cardiogenic shock
7)Bilateral renal artery stenosis
8)Sever liver dysfunction
9)Severe hematopoietic disorder or carcinoma
10)Type 1 diabetes
11)Taking cyclosporine A
12)Pregnancy
13)Drug allergy
14) not qualified
80
1st name | |
Middle name | |
Last name | Nobuyuki Takahashi |
Kansai Medical University
The Second Department of Internal Medicine
2-3-1 Shinmachi, Hirakata City, Osaka
072-804-0101
1st name | |
Middle name | |
Last name | Nobuyuki Takahashi |
Kansai Medical University
The Second Department of Internal Medicine
2-3-1 Shinmachi, Hirakata City, Osaka
072-804-0101
Kansai Medical University
Novartis Pharma Corp
Profit organization
Japan
NO
関西医科大学
2010 | Year | 06 | Month | 13 | Day |
Unpublished
Terminated
2009 | Year | 12 | Month | 27 | Day |
2010 | Year | 06 | Month | 01 | Day |
2012 | Year | 06 | Month | 01 | Day |
2012 | Year | 09 | Month | 01 | Day |
2012 | Year | 09 | Month | 01 | Day |
2012 | Year | 09 | Month | 01 | Day |
2010 | Year | 06 | Month | 12 | Day |
2013 | Year | 06 | Month | 17 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000004524