Status:

UNKNOWN

Rationale and Design for Shiga Microalbuminuria Reduction Trial

Lead Sponsor:

Shiga University

Conditions:

Hypertension

Diabetes Mellitus

Eligibility:

All Genders

35-75 years

Phase:

PHASE4

Brief Summary

The purpose of this trial are to evaluate the reduction of urinary albumin excretion by an angiotensin receptor blocker (ARB), valsartan, in comparison with a calcium channel blocker (CCB), amlodipine...

Detailed Description

Microalbuminuria in diabetic patients is an established risk marker for the progression of diabetic nephropathy and for cardiovascular mortality. Intervention trials have demonstrated that drugs that ...

Eligibility Criteria

Inclusion

  • Hypertensive patient with type 2 diabetes
  • Microalbuminuria defined as a urinary albumin excretion of 30 to 300 mg/gCr

Exclusion

  • Type 1 diabetes mellitus
  • Pregnant women and women of childbearing potential
  • Severe hypertension (\> 180/110 mmHg), malignant hypertension, secondary hypertension
  • History of cardiovascular diseases in the preceding 6 months (including symptomatic heart failure, unstable angina, myocardial infarction, the performance of percutaneous transluminal coronary angioplasty \[PTCA\], or coronary artery bypass graft \[CABG\], severe arrhythmia, or second or third degree atrioventricular \[AV\] block)
  • History of clinically significant valvular disease (e.g., aortic stenosis, mitral insufficiency)
  • History of cerebral infarction, cerebral hemorrhage, or transient ischemic attack
  • Serum creatinine level \>1.5 mg/dl
  • Persistent hematuria
  • Serum potassium \> 5.6 mEq/L (hyperkalemia)
  • Severe hepatic disorder (e.g., hepatic failure, hepatic cirrhosis)
  • Complication of an allergy of potential clinical concern
  • Hypersensitivity to ARBs or CCBs
  • Gastrointestinal surgery or gastrointestinal disorders which could interfere with drug absorption
  • Autoimmune disease
  • Participation in any intervention trial within 3 months prior to the observation period
  • Patients who are unwilling or unable to comply with the trial protocol
  • Concomitant use of other ARBs, CCBs, or potassium-retaining diuretics

Key Trial Info

Start Date :

December 1 2003

Trial Type :

INTERVENTIONAL

End Date :

June 1 2006

Estimated Enrollment :

160 Patients enrolled

Trial Details

Trial ID

NCT00202618

Start Date

December 1 2003

End Date

June 1 2006

Last Update

April 27 2006

Active Locations (1)

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1

Shiga University of Medical Science

Ōtsu, Shiga, Japan, 520-2192