Atherosclerosis
Conditions
Brief summary
The objective is to investigate the safety of ramipril 10 mg/day used in prevention of cardiovascular events in high-risk patients, including the criteria of the HOPE study.
Interventions
tablet of Ramipril once daily
Sponsors
Study design
Eligibility
Inclusion criteria
* History of coronary artery disease, * Stroke * Stable heart failure * Peripheral vascular disease, or diabetes with at least one other cardiovascular risk factor (hypertension, elevated total cholesterol levels, low high-density lipoprotein cholesterol levels, cigarette smoking, or documented microalbuminuria).
Exclusion criteria
* Non stabilized or NYHA grade IV heart failure patients * Hemodynamically significant primary valvular or outflow tract obstruction (eg. mitral valve stenosis, asymmetric septal hypertrophy, malfunctioning prosthetic valve) * Constrictive pericarditis. * Complex congenital heart disease. * Syncopal episodes presumed to be due to uncontrolled life-threatening arrhythmias (asymptomatic cardiac arrhythmias including ventricular tachycardia are not an exclusion criterion). * Planned cardiac surgery or angioplasty within 3 months (patient may be reconsidered for the trial after the procedure). * Cor pulmonale. * Heart transplant recipient. * Significant renal disease defined as: * Renal artery stenosis; * Creatine clearance \<0.6 ml/second or serum creatinine≥ 200 mEq/L (≥2.26 mg/dl) * Overt nephropathy: ≥1 plus proteinuria on dipstick or urinary albumin excretion \> 200 micrograms/minute (300 mg/24 hrs) * Hyperkalemia; K\>5.5 mEq/L. * Patient is simultaneously taking another experimental drug. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of patient reaching the 10mg/day dose level | 30 days after the treatment start |
| Overall number of adverse events | at day 7 (visit 2), day 15 (visit 3), day 30 (visit 4), day 45 (visit 5) and day 60 (final visit) |
Countries
Bangladesh