Status:

UNKNOWN

Safety of Add on Aliskiren to Angiotensin Converting Enzyme Inhibitor (ACEI) and Angiotensin I Receptor Blocker (ARB) Treatment in Type 2 Diabetes With Nephropathy

Lead Sponsor:

Lerdsin General Hospital

Conditions:

Type 2 Diabetes With Nephropathy

Eligibility:

All Genders

30-70 years

Phase:

PHASE4

Brief Summary

Activation of renin-angiotensin plays a crucial role diabetic nephropathy. Angiotensin converting enzyme inhibitor (ACEI) and Angiotensin I receptor blocker (ARB) has been shown renoprotection whether...

Eligibility Criteria

Inclusion

  • Type2 diabetes patients
  • Age \<30yrs-70yrs\>
  • Overt proteinuria (Urinary protein creatinine ratio \> 200mg/g 2 times or more during past 6 Mo)
  • Scr \< 2.5 mg/dL
  • HbA1C \< 7.5
  • Systolic blood pressure \> 160 mmHg without antihypertensive drugs or \> 140 with antihypertensive drug
  • No history of previous cardiovascular event (Stroke, Myocardial infarction, unstable angina, hospitalization, surgical correction PVD or PVD with claudication)
  • No hospitalization within 1 yr except for elective surgery

Exclusion

  • Physical examination found or suspected serious co-morbid (AF, carotid bruit, structural heart disease, cirrhosis and decompensate liver disease)
  • Non adherence to protocol
  • Intolerable to ACEI or ARB during run-in
  • Abnormal liver function test at the run-in period
  • Rapid declining renal function (SCr increase \> 40%) during run-in
  • Hyperkalemia (serum K \> 5.5 mEq/L at randomization)
  • Malignancy detected o
  • SBP lower than 110 mmHg (at randomization)

Key Trial Info

Start Date :

September 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2010

Estimated Enrollment :

80 Patients enrolled

Trial Details

Trial ID

NCT00949351

Start Date

September 1 2009

End Date

September 1 2010

Last Update

July 30 2009

Active Locations (1)

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1

Lerdsin General Hospital

Bangkok, Thailand, 10500