Hypertension
Conditions
Brief summary
The antihypertensive effect, safety and usefulness of treatment with BIBR 277 capsules were evaluated in hypertensive patients with nephropathy
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Condition: Either of the following criteria is satisfied in laboratory tests: * Presence of a renal parenchymal disorder such as chronic glomerulonephritis is confirmed (serum creatinine \< 3.0 mg/dL) * Presence of a renal function disorder (serum creatinine ≥ 1.5 mg/dL to \< 3.0 mg/dL) * Age: ≥ 20 years * Sex: Either male or female * Patient status: Either outpatients or inpatients. However, the patient status should remain unchanged throughout the study period * Blood pressure (BP): * \[Outpatients\] The last 2 measurements of sitting BP out of at least 3 taken during the observation period (2 - 4 weeks) should be stable and a mean of the two measurements should be ≥160 mmHg for systolic BP (SBP) and ≥95 mmHg for diastolic BP (DBP) * \[Inpatients\] The last 2 measurements of supine BP taken during the observation period (1 week) should be stable and a mean of the 2 measurements should be ≥ 150 mmHg for SBP and ≥ 90 mmHg for DBP
Exclusion criteria
* Renovascular hypertension * Undergoing haemodialysis * Severe hypertension (Diastolic BP ≥ 120 mmHg) * Severe heart failure, angina pectoris, or history of myocardial infarction * Atrioventricular conduction disturbance (degree II to III), atrial fibrillation, or serious arrhythmia * Symptoms of cerebrovascular disorder * Serious hepatic dysfunction * Uncontrolled diabetes * Peptic ulcer * History of hypersensitivity to drugs * Hyperkalaemia * Undergoing treatment with a digitalis preparation * Pregnant, breast feeding, possibly pregnant or planning to become pregnant during this study * Otherwise judged ineligible by the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes from baseline in hypertensive effect by investigator, using a 5-grade classification | 8 weeks after start of treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of blood pressure normalisation | 8 weeks after start of treatment | percentage of patients with \< 150/90 mmHg |
| Changes from baseline in blood pressure / pulse rate | 8 weeks after start of treatment | — |
| Usefulness assessment by investigator, using a 5- grade classification | 8 weeks after start of treatment | — |
| Changes from baseline in blood pressure reduction | 8 weeks after start of treatment | — |
| Number of patients with adverse events | Up to 12 weeks | — |
| Number of patients with abnormal changes in laboratory values | Up to 8 weeks after start of treatment | — |
| Overall safety assessment by investigator, using a 5- grade classification | 8 weeks after start of treatment | — |