Hypertension with proteinuria
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) hypertensive patients, 2) urinary albumin-creatinine ratio 30mg/g*Cr or more within 6 months, 3) estimated glomerular filtration rate 70mL/min/1.73m2, 4) ambulatory systolic and/or diastolic blood pressure 130/80 mmHg or more, 5) written informed consent
Exclusion criteria
Exclusion criteria: 1) history of anaphylaxis of irbesartan or amlodipine, 2) patients who did not receive an antihypertensive treatment with angiotensin II receptor blockers (ARB), angiotensin converting enzyme (ACE) inhibitors or rennin inhibitor before the enrollment, 3) secondary hypertension, 4) history of stroke, myocardial infarction or cardiovascular disease, 5) nephrosis, 6) genetic renal disease, 7) patients with nephritis treated by corticosteroids, 8) hepatic dysfunction, 9) moderate heart failure (New York heart Association classes II or more), 10) patients with cancer or severe disease, 11) uncontrolled diabetic mellitus (HbA1c 8.0% or more), 12) bronchial asthma, 13) pregnancy, 14) patients who are inadequate to enter this study due to the other reasons by physician's judgments
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in coronary vascular resistance measured by a PET (positron-emission tomography) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) inulin clearance, 2) ambulatory blood pressure and heart rate, 3) blood test, urinary test and biomarker, 4) change in Flow mediated dilatation (FMD), 5) safety parameter | — |
Countries
Japan
Contacts
Hokkaido University Hospital Department of Medicine II