Hypertension, Renal Injury
Conditions
Keywords
hypertension, chronic kidney disease, traditional chinese medicine, early renal injury, albumin to creatinine ratio(UACR)
Brief summary
This study evaluates whether the traditional chinese medicine (Qianyangyuyin formula) could prevent and treat early renal injury in patients with hypertension and microalbuminuria (defined as a urinary albumin to creatinine ratio between 30 and 300 mg/g) based on standard antihypertensive treatment.
Detailed description
Hypertension is the main cardiovascular disease and the most important risk factor for severe lethal and disabling diseases such as stroke, myocardial infarction, heart failure, and chronic renal insufficiency. The higher the blood pressure level, the higher the risk of these diseases. Antihypertensive drugs can control blood pressure, and effectively reduce the risk of these serious complications. A multi-center, randomized, parallel, placebo-controlled clinical study was designed to explore the effectiveness and safety of early intervention of Chinese medicine (Qianyanguuyin formula) in improving urinary albumin to creatinine ratio (ACR), based on standard antihypertensive treatment (losartan 100mg qd, if necessary combined with calcium channel blockers). Patients were recruited if they were (1) age between 35 and 55 years old, (2) primary hypertension (grades 2-3 ), (3) microalbuminuria (ACR of 30-300 mg/g) and eGFR of at least 60 ml / (min∙1.73m2), (4) ascendant hyperactivity of liver Yang or Yin deficiency in TCM syndrome. It's intented to form a standardized plan for the prevention and treatment of early renal injury in hypertensive patients.
Interventions
DRUGLosartan 100Mg Tab
100Mg Tab, qd, po, 6 months
DRUGQianyangyuyin 20g Granule
20g, Granule, bid, po, 6 months
DRUGplacebo
Similar granule manufactured to mimic qianyangyuyin granule, 20g, Granule, bid, po, 6 months
Sponsors
Ministry of Science and Technology of the People´s Republic of China
Affiliated Hospital of Liaoning University of Traditional Chinese Medicine
The First Affiliated Hospital of Henan University of Traditional Chinese Medicine
Jiangsu Province Hospital of Traditional Chinese Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
35 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* Subject has primary hypertension(grades 2-3) * Subject has microalbuminuria \[defined as a urinary albumin/creatinine ratio (UACR) between 30 and 300mg/g, and a eGFR at least 60ml/(min∙1.73m2)\] * Subject has ascendant hyperactivity of liver Yang or Yin deficiency in TCM syndrome * Subject voluntarily participates in the trial and signs informed consent
Exclusion criteria
* Subject has secondary hypertension * Subject with pregnancy or lactating * Subject has serious life-threatening diseases, such as acute myocardial infarction, stroke, heart failure (NYHA IV), and malignant arrhythmia * Subject's liver function (AST or ALT) is 2 times greater than normal value * Subject has history of mental illness * Subject currently participates in other drug clinical trials
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| albumin-to-creatinine ratio(UACR) | 6 months | UACR tested at baseline and each month. Microalbuminuria was defined as urinary ACR of at least 30mg/g. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ambulatory blood pressure level | 6 months | ABPM was measured at baseline, 3 and 6 months. Both systolic and diastolic pressure was assessed. Hypertension was defined as mean ambulatory blood pressure of at least 130/80 mmHg. |
| Office blood pressure level 6/5000 Office blood pressure level | 6 months | Office blood pressure was measured at baseline and each month. Both systolic and diastolic pressure was assessed. Hypertension was defined as office blood pressure of at least 140/90 mmHg. |
| Traditional Chinese Medicine syndrome scores | 6 months | Self reported TCM syndrome scores at baseline and each month. Each main symptom is scored 0、2、4、6 (0 = no sympton; 6 = as heavy as can be), and each secondary symptom is scored 0、1、2、3(0=no symptom; 3= as heavy as can be). |
Contacts
Primary ContactMing Liu
Outcome results
None listed