Unique ID issued by UMIN | UMIN000004300 |
---|---|
Receipt number | R000005140 |
Scientific Title | Anti-Hypertensive treatment of Nephrosclerosis in Elderly |
Date of disclosure of the study information | 2010/10/01 |
Last modified on | 2016/10/04 17:23:15 |
Anti-Hypertensive treatment of Nephrosclerosis in Elderly
Anti-Hypertensive treatment of Nephrosclerosis in Elderly
Anti-Hypertensive treatment of Nephrosclerosis in Elderly
Anti-Hypertensive treatment of Nephrosclerosis in Elderly
Japan |
Nephrosclerosis
Medicine in general | Nephrology |
Others
NO
To compare reno-protective effects of olmesaltan with or without azelnidipine in nephroscrelosis patients.
Safety,Efficacy
Exploratory
Explanatory
Phase IV
Change of estimated GFR before and after the treatment
Change of following paparemters before and after the treatment
(1) 1/serum creatinine concetration
(2) Office blood pressure
(3) heart rate
(4) urinary albumin excretion
(5) serum concentrations of BUN, cystatin C, and hs-CRP.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
NO
YES
Institution is considered as adjustment factor in dynamic allocation.
YES
Central registration
2
Treatment
Medicine |
After observation period for 4 weeks with 20mg of olmesartan, participants were randomly assigned to a group treated with 40mg of olmesartan for 52 weeks.
After observation period for 4 weeks with 20mg of olmesartan, participants were randomly assigned to a group treated with 20mg of olmesartan plus 16mg of azelnidipine for 52 weeks.
65 | years-old | <= |
80 | years-old | > |
Male and Female
(1) Participants who gave written informed consent.
(2) Outpatients
(3)Systolic blood pressure at clinic is more than 140 mmHg or diastolic pressure is more than 90 mmHg
(4)Serum HbA1c concentration is less than 6.0
(5)urinary albumin excretion is less than 1g/g.Cr.
(6)Patients treated with RAS-inhibitor but not with Ca channel blocker for 2 months just before initiation of the study.
1. Hypertensive crisis
2. Hyperkalemia (serum potassium conc.>5.5mM)
3. renal failure (eGFR<30ml/min/1.73m2)
4. bilateral renal artery stenosis
5. newly onset of stroke (within 6 months just before entry)
6. severe congestive heart failure (more than NYHA class III)
7. liver dysfunction (AST/ALT concentration is 5 fold higher than normal range)
8. newly onset of acute myocardial infarction.
9. Malignancy
10. Patients who had severe adverse reactions by Ca channel blockers of RAS inhibitors.
11. Patients who are prescribed immunosuppressant or glucocorticoids.
12. Patients who are prescribed NSAIDs for long time (more than 2 weeks).
13. Patients whose doctors determined as inadequate for the study.
100
1st name | |
Middle name | |
Last name | Kunihiro Yamagata |
University of Tsukuba
Nephrology
1-1-1 Tennodai, Tsukuba, Ibaraki, Japan
029-853-3202
k-yamaga@md.tsukuba.ac.jp
1st name | |
Middle name | |
Last name | Chie Saito |
University of Tsukuba
Nephrology
1-1-1 Tennodai, Tsukuba, Ibaraki, Japan
029-853-3202
chie.saito@md.tsukuba.ac.jp
Department of Nephrology, University of Tsukuba.
Department of Nephrology, University of Tsukuba.
Self funding
japan
NO
1. いなしきクリニック(茨城県)
2. 医療法人 桜雄会 塚田整形外科(茨城県)
3. 医療法人社団 光栄会 田谷医院(茨城県)
4. 医療法人 慈厚会 野上病院(茨城県)
5. 医療法人 道淑会 高野医院(茨城県)
6. 医療法人社団 厚真会 ごとう内科(茨城県)
7. 医療法人社団 桜井内科医院(茨城県)
8. 医療法人社団 三輪会 山手医院(茨城県)
9. かしむら内科消化器科クリニック(茨城県)
10. 医療法人新岳会 研究学園クリニック(茨城県)
11. なかの循環器クリニック(茨城県)
12. なるしま内科医院(茨城県)
13. 南大通りクリニック (茨城県)
14. 宮﨑クリニック(茨城県)
15. やまぐち医院(茨城県)
16. いとう内科胃腸科医院(茨城県)
17. 中島医科歯科クリニック(茨城県)
18. 医療法人社団 しば医院(茨城県)
19. 海老原医院(茨城県)
20. 桜橋クリニック(茨城県)
21. 筑波大学附属病院(茨城県)
2010 | Year | 10 | Month | 01 | Day |
Unpublished
Open public recruiting
2010 | Year | 07 | Month | 28 | Day |
2010 | Year | 09 | Month | 01 | Day |
2013 | Year | 12 | Month | 31 | Day |
2014 | Year | 01 | Month | 31 | Day |
2014 | Year | 01 | Month | 31 | Day |
2014 | Year | 03 | Month | 31 | Day |
2010 | Year | 09 | Month | 30 | Day |
2016 | Year | 10 | Month | 04 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005140