Cardiovascular Disease, Diabetes Mellitus, Type 2, Kidney Disease
Conditions
Keywords
Microalbuminuria
Brief summary
This is a study in diabetic patients with at least one additional cardiovascular risk factor and normoalbuminuria prior to randomization.
Interventions
tablets
Tablets
Sponsors
Study design
Eligibility
Inclusion criteria
* Diabetes mellitus type 2, defined as fasting blood glucose of greater than or equal to 126 mg/dL; * Presence of at least one of the following cardiovascular risk factors: 1. total cholesterol greater than 200 mg/dL or statin treatment, 2. High density lipoprotein (HDL) less than 40 mg/dL, 3. triglycerides greater than 150 mg/dL and less than 400 mg/dL, 4. blood pressure greater than or equal to 130/80 mmHg, 5. Body mass index (BMI) greater than 28 kg/m2, 6. waist circumference greater than 102 cm for men and greater than 88 cm for women, 7. smoking of more than 5 cigarettes a day; * Normoalbuminuria at screening
Exclusion criteria
* Severe uncontrolled hyperlipidemia; * Documented renal and/or renal-vascular disease; * Myocardial infarction, stroke or myocardial revascularization within the last 6 months; * History of alcohol and/or drug abuse; * Allergic reaction, lack of response or contraindication to angiotensin receptor blockers (ARBs); * Current treatment with an ARB or angiotensin converting enzyme (ACE) inhibitor
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to the first occurrence of microalbuminuria defined as excretion of greater than 35 mg albumin/g urine creatinine for women and greater than 25 mg albumin/g urine creatinine for men in morning spot urine | Time to the first occurrence |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of cardiovascular mortality and morbidity | Time to occurence |
| Incidence of renal disease, such as worsening of renal function as well as end-stage (dialysis) | Time to occurrence |
| Occurrence and progression of retinopathy | Time to occurence |
| Treatment effects on a combined endpoint of cardiovascular mortality and morbidity and renal disease | Time to occurrence |
| Safety and tolerability | Throughout entire study |
Countries
Germany