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临床试验/JPRN-jRCT1080222411
JPRN-jRCT1080222411未知Unknown

A study to explore the effects of Azilsartan compared to Telmisartan on insulin resistance of patients with essential hypertension on type 2 diabetes mellitus by HOMA-R (AT-HOMA)

TAKEDA PHARMACEUTICAL COMPANY LTD.0 个研究点目标入组 40 人开始时间: 2014年3月3日最近更新:
适应症
相关药物

试验速览

阶段
Unknown
发起方
入组人数
40

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
>= 20age old 至 ot applicable(—)
性别
All

入选标准

  • 1. The participant was given the diagnosis of grade I or II essential hypertension and was judged by the principal investigator or investigator that they can be appropriately treated with azilsartan 20 mg and telmisartan 40 mg.
  • 2. Sitting systolic blood pressure of >= 130 mmHg and < 180 mmHg or sitting diastolic blood pressure* of >= 80 mmHg and < 110 mmHg at the start of the treatment period (Week 0)
  • * Sitting blood pressure will be measured until 2 consecutive stable measurements are obtained (i.e., the difference between 2 measurements: diastolic blood pressure of < 5 mmHg and systolic blood pressure of < 10 mmHg) after resting in a sitting position for at least 5 minutes. The average value of the last 2 measurements will be recorded (the first the decimal place is rounded off).
  • 3. Type 2 diabetes mellitus
  • 4. HbA1c (NGSP value) of < 8.4% during 3 months before informed consent, with a <= 0.3% change in HbA1c (peak minus nadir) during 3 months before informed consent
  • 5. No change in diet/exercise therapy during the 3 months before the informed consent in a participant who has been on diet/exercise therapy and instructed to improve life style (e.g., diet and exercise)
  • 6. Age >= 20 years at the time of consent
  • 7. Outpatients
  • 8. Capable of providing written consent before participation in this study.

排除标准

  • 1. Grade III essential hypertension (i.e., sitting systolic blood pressure 180 mmHg or sitting diastolic blood pressure >= 110 mmHg), secondary hypertension, or malignant hypertension.
  • 2. Grade II essential hypertension (i.e., sitting systolic blood pressure >= 160 mmHg or sitting diastolic blood pressure >= 100 mmHg) for which antihypertensive drug(s) are used
  • 3. Use of oral antihypertensive medication within 2 weeks before the start of the treatment period
  • Participants who are on any antihypertensive agent at the time of informed consent can be enrolled in the study only after 2-week washout following informed consent.
  • 4. Use of RAS inhibitors or thiazolidines within 3 months before the start of the treatment period
  • 5. Type 1 diabetes mellitus
  • 6. Fasting blood glucose of < 180 mg/dL and HOMA-R of <= 1.6 at the start of the treatment period (Week 0)
  • 7. Receiving or requiring any of the following at the time of informed consent:
  • - Insulin, glucagon-like peptide-1 (GLP-1) receptor agonists, or other parenteral hypoglycemic agents
  • - Combination therapy with 3 or more oral hypoglycemic agents
  • 8. Change of antidiabetic medication (including dosage change) within 3 months before the start of the treatment period
  • 9. Having diagnosed/treated any of the following cardiovascular diseases within 3 months before the start of the treatment period:
  • - Cardiac disease/condition: myocardial infarction, coronary revascularization procedure
  • - Cerebrovascular disease: cerebral infarction, cerebral haemorrhage, transient ischaemic attack
  • - Advanced hypertensive retinopathy (retinal bleeding or oozing, papilloedema)
  • 10. Having diagnosed/treated any of the following cardiovascular diseases more than 3 months before the start of the treatment period, and is now still in unstable condition.
  • - Cardiac disease/condition: myocardial infarction, coronary revascularization procedure
  • - Cerebrovascular disease: cerebral infarction, cerebral haemorrhage, transient ischaemic attack
  • 11. Past or current history of any of the following cardiovascular diseases.
  • - Cardiac valve stenosis
  • - Angina pectoris requiring medication
  • - Congestive cardiac failure requiring medication
  • - Arrhythmia requiring medication (e.g., paroxysmal atrial fibrillation, severe bradycardia, torsade de pointes, and ventricular fibrillation)
  • - Arteriosclerosis obliterans with intermittent claudication or other symptoms
  • 12. Have severe ketosis, diabetic coma or precoma, severe infection, or serious trauma
  • 13. Clinically evident renal disorder (e.g., eGFR <30 mL/min/1.73 m2)
  • 14. Markedly low bile secretion or severe hepatic disorder
  • 15. History of hypersensitivity or allergy to azilsartan or telmisartan or to both.
  • 16. Presence of hyperkalemia (potassium level >= 5.5 mEq/L on laboratory testing)
  • 17. Currently participating in any other clinical study.
  • 18. Pregnant women, women with possible pregnancy, or breast-feeding women.
  • 19. Other patients who are inappropriate for participation in this study in the opinion of the principal investigator or investigator.

研究者

发起方
TAKEDA PHARMACEUTICAL COMPANY LTD.

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