Proteinuria
Conditions
Brief summary
Losartan, an angiotensin II receptor blocker, has already been established as a treatment for diabetic nephropathy due to its ability to reduce blood pressure and mitigate the progression of kidney damage. However, the addition of a diuretic like hydrochlorothiazide may offer synergistic benefits in reducing proteinuria by addressing both the underlying renal pathology and potential volume overload in these patients. The current study aims at determining and comparing the role of losartan alone vs hydrochlorothiazide plus losartan in reducing proteinuria in diabetic nephropathy patients.
Interventions
DRUGLosartan
Patients will receives Losartan (LS) 50 mg per day.
Patients will be given Losartan LS (50 mg per day) and Hydrochlorothiazide (HCTZ) 12.5 mg per day as a combination therapy.
Sponsors
RESnTEC, Institute of Research
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Patients of both genders with ≥18 years of age. * Presence of proteinuria/albuminuria at time of screening. * Creatinine clearance of 30 mL/min or higher.
Exclusion criteria
* A systolic blood pressure of 180 mm Hg or higher, a diastolic blood pressure of 110 mm Hg or higher. * Presence of a second primary renal disease in addition to diabetic nephropathy. * Patients with type 1 diabetes. * A history of a cardiovascular or cerebrovascular event within 3 months before inclusion. * Serum potassium of 6.0 mmol/L or higher. * Transplantation or immunosuppressive treatment. * Contraindication for the use of losartan or hydrochlorothiazide. * Pregnancy or lactation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reduction of proteinuria | 4 months | Efficacy will be labeled yes if reduction of proteinuria/albuminuria from the value before commencing treatment will be observed. |
Countries
Pakistan
Contacts
Primary ContactMuhammad Wasim Zahid
Outcome results
None listed