Unique ID issued by UMIN | UMIN000007463 |
---|---|
Receipt number | R000008780 |
Scientific Title | Combination effects of an angiotensin receptor blocker and an L/T type calcium channel blocker in hypertensive patients with type 2 diabetes mellitus |
Date of disclosure of the study information | 2012/03/07 |
Last modified on | 2014/09/07 21:23:32 |
Combination effects of an angiotensin receptor blocker and an L/T type calcium channel blocker in hypertensive patients with type 2 diabetes mellitus
COmbination Effects of an angiotensin receptor blocker and an L/T type calcium chaNnel blocker in hypertensive patients with type 2 diabetes mellitus (COEN)
Combination effects of an angiotensin receptor blocker and an L/T type calcium channel blocker in hypertensive patients with type 2 diabetes mellitus
COmbination Effects of an angiotensin receptor blocker and an L/T type calcium chaNnel blocker in hypertensive patients with type 2 diabetes mellitus (COEN)
Japan |
Essential hypertension with type 2 diabetes mellitus and albuminuria
Cardiology | Endocrinology and Metabolism | Nephrology |
Others
NO
Inhibition of the renin angiotensin system is essential in the management of hypertensive patients with albuminuria. However, the next step of medication for further reduction in blood pressure and urinary albumin has not been established. The present study was designed to compare effects of additional treatment with benidipine versus amlodipine on urinary excretion of albumin in hypertensive patients with type 2 diabetes and albuminuria under treatment with angiotensin receptor blockers.
Efficacy
Changes in urinary excretion of albumin from baseline to 12 months after randomization
1. Changes in blood pressure and pulse rate
2. Changes in serum creatinine and glomerular filtration rate
3. Changes in NT-pro BNP and CRP
4. Correlation of changes in urinary excretion of albumin with other secondary outcomes
5. Adverse Effects
Interventional
Parallel
Randomized
Open -but assessor(s) are blinded
Active
NO
NO
Institution is not considered as adjustment factor.
NO
2
Treatment
Medicine |
COEN is a 12-month, prospective, randomized, open, blinded-endpoint (PROBE) study. Type 2 diabetic patients with hypertension and albuminuria under a monotherapy with an angiotensin receptor blocker are screened for the eligibility for the present study. Patients with urinary excretion of albumin =>10mg/g creatinine and blood pressure =>130/80mmHg are enrolled. Then, patients are randomly assigned to receive either benidipine (4mg/day) or amlodipine (5mg/day) in addition to an angiotensin receptor blocker for 12 months.
Patients are randomly assigned to receive either benidipine (4mg/day) or amlodipine (5mg/day) in addition to an angiotensin receptor blocker for 12 months.
20 | years-old | <= |
80 | years-old | >= |
Male and Female
Type 2 diabetes mellitus
Essential hypertension
Urinary excretion of albumin =>10mg/g creatinine and office systolic blood pressure =>130mmHg and/or diastolic blood pressure =>80mmHg under a monotherapy with a standard dose of angiotensin recptor blockers
Previous acute coronary syndrome, myocardial infarction, or stroke within 6 months; malignant neoplasm; heart failure (=>NYHA 2); peripheral artery disease (=>Fontaine 2); chronic inflammatory disease; hepatic disorder; estimated glomerular filtration rate <30 ml/min/1.73m2; contraindication to calcium channel blockers
80
1st name | |
Middle name | |
Last name | Masayoshi Kojima |
Komono Kosei Hospital
Department of Internal Medicine
75 Fukumura, Komono-cho, Mie
059-393-1212
m-kojima@kkh.miekosei.or.jp
1st name | |
Middle name | |
Last name | Yasuaki Dohi |
Nagoya City University Graduate School of Medical Sciences
Cardio-Renal Medicine and Hypertension
1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Japan
052-853-8221
ydohi@med.nagoya-cu.ac.jp
Nagoya City University Graduate School of Medical Sciences
none
Self funding
NO
菰野厚生病院(三重県)
遠州総合病院(静岡県)
Komono Kosei Hospital (Mie)
Enshu Hospital (Shizuoka)
2012 | Year | 03 | Month | 07 | Day |
Unpublished
No longer recruiting
2011 | Year | 05 | Month | 01 | Day |
2011 | Year | 12 | Month | 01 | Day |
2012 | Year | 03 | Month | 07 | Day |
2014 | Year | 09 | Month | 07 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008780