Microalbuminuria, Proteinuria
Conditions
Keywords
Microalbuminuria/proteinuria, hypertensive patients with type 2 diabetes, Valsartan, microalbuminuria/proteinuria in hypertensive patients with type 2 diabetes
Brief summary
This study is designed to assess the efficacy of the different dosage forms of Valsartan\[80, 160, and 320 mg\] in reducing microalbuminuria/proteinuria in hypertensive patients with type 2 diabetes.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Males or females aged 35 to 75. * Type 2 diabetes mellitus (DM) patients coupled with hypertension \[sitting systolic blood pressure (SSBP) 140-179 mm Hg and/or SDBP 90-109 mm Hg\]. * Urinary albumin creatinine Ratio (UACR)) indicating microalbuminuria/proteinuria \[30-1000 mg/g or 2.5-25 mg/mmol\] * Body mass index (BMI) \<40 kg/m2 * Patients who will sign an informed consent.
Exclusion criteria
* Type 1 DM * All causes of secondary diabetes mellitus * Women of childbearing potential who refuse to use contraception. * Pregnant or lactating females. * Severe hypertension \[SSBP\> 180 mmHg, sitting diastolic blood pressure (SDBP) \> 110 mmHg \] * Patients who are on combo therapy to control BP * Patients who are already on Valsartan. * Hypersensitivity to Valsartan. * Renal artery stenosis \[ unilateral or bilateral\] * Patients taking β blockers, (Angiotensin Converting Enzyme Inhibitor (ACEI) or spironolactone * Heart Failure * History of myocardial infarction, Percutaneous Transluminal Coronary Angioplasty(PTCA) or cerebrovascular accident within the preceding 3 months. * Creatinine levels \> 1.4 mg/dl \[ 0.07mmol/l\]. Liver enzymes \> 2 times Upper Limit of the Normal Range(ULN). Diabetic keto-acidosis (DKA) within the last 6 months. Presence of diabetic neuropathy or retinopathy. Diabetic foot complications. Presence of infection at time of screening. Hyperkalemia (serum K+ \> 5.5 mmol/L)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Albumin Creatinine Ratio (ACR) from baseline over a period of 24 weeks. | Week 24 |
Secondary
| Measure | Time frame |
|---|---|
| Percent reduction of (BP) at 24 weeks compared to baseline level. Percent of patients whose BP is controlled at 24 weeks (< 130/80) | Week 24 |
Countries
Egypt