essential hypertension with type 2 diabetes mellitus and albuminuria
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Hypertensive patients with type 2 diabetes mellitus and albuminuria (30-600mg/g creatinine) with clinic blood pressure >130/80mmHg under a monotherapy with a standard dosage of an inhibitor of the renin-angiotensin system.
Exclusion criteria
Exclusion criteria: Exclusion criteria are: secondary hypertension; history of acute coronary syndrome, heart failure, coronary revascularization, or stroke within the previous 6 months; uncontrolled diabetes mellitus (HbA1c >9.0%); a disorder that requires treatment with calcium channel blockers or diuretics; confirmed or suspected renal artery stenosis; serum creatinine of 2.0mg/dl or more for men and 1.5mg/dl or more for women; pregnant women; or clinic systolic blood pressure >180mmHg and/or diastolic blood pressure >110mmHg.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| (1) The change in the urine Alb/Cr ratio from baseline to week 12. (2) The change in estimated glomerular filtration ratio from baseline to week 12 and 24. (3) Proportion of patients who progress to overt diabetic nephropathy (4) The magnitude of albuminuria (5) The changes in serum creatinine, potassium, sodium, LDL-cholesterol, HDL-cholesterol, and HbA1c levels (6) The changes in urine excretion of sodium (7) The changes in clinic blood pressure and heart rate (8) The changes in self-measured blood pressure at home | — |
Primary
| Measure | Time frame |
|---|---|
| Primary endpoint is the change in the ratio of urine albumin to creatinine (Alb/Cr) from baseline to week 24. | — |
Countries
Japan