Status:

COMPLETED

Effect of Olmesartan on Angiotensin(1-7) Levels and Vascular Functions in Diabetes and Hypertension

Lead Sponsor:

Seoul National University Bundang Hospital

Conditions:

Angiotensin/Renin/Aldosterone Hypertension

Hypertension

Eligibility:

All Genders

30+ years

Phase:

PHASE4

Brief Summary

In this study, we will assess the change of serum ACE-2, angiotensin(1-7), and vascular function after using olmesartan (an ARB), compared to conventional anti-hypertensive drug, amlodipine in hyperte...

Detailed Description

Both ACE inhibitor and ARB produce inhibition of the renin-angiotensin system, so clinicians have regarded ACE inhibitor and ARB as effectively equivalent, including blood pressure lowering, improveme...

Eligibility Criteria

Inclusion

  • ≥ 30 years old
  • Type 2 diabetes by American Diabetes Association criteria
  • HbA1c: 6.5% ≤ - \< 10.0%
  • Systolic blood pressure: 140 ≤ - \< 180 mmHg or Diastolic blood pressure: 85 ≤ - \< 110 mmHg
  • Statin (-) or no change in low to moderate intensity statin \[14\] dose in recent 3 months

Exclusion

  • Contraindication of olmesartan or amlodipine
  • History of RAS inhibitors (ACE inhibitors or ARBs) or calcium channel blockers in the previous 3 months
  • Pregnant women, women with potential of pregnancy not using adequate contraception method as evaluated by the investigator, lactating women
  • Type 1 diabetes or diabetes secondary to chronic pancreatitis or to pancreatectomy
  • Confirmed cardiovascular disease (acute coronary syndrome, stroke, or transient ischemic attack) within 3 months of screening
  • Chronic hepatitis B or C (except healthy carrier of HBV), liver disease (AST/ALT \> 3-fold the upper limit of normal)
  • Chronic kidney disease (serum creatinine \> 2.0 mg/dL)
  • Hyperkalemia serum potassium \>5.0 mEq/L
  • Any previous cancer within 5 years (except squamous cell cancer, cervical cancer, thyroid cancer with appropriate treatment) except thyroid cancer or carcinoma in situ

Key Trial Info

Start Date :

January 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 30 2023

Estimated Enrollment :

80 Patients enrolled

Trial Details

Trial ID

NCT05189015

Start Date

January 1 2021

End Date

June 30 2023

Last Update

August 14 2023

Active Locations (1)

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Seoul National University Bundang Hospital

Seongnam-si, Gyeonggi-do, South Korea, 463-707