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Comparison of efficacy in renoprotection between Azilsartan medoxomil and Enalapril : A randomized, open-labeled controlled trial

Phase 4
Completed
Conditions
hypertension, antihypertensive therapy, Azilsartan medoxomil, Enalapril microalbuminuria, macroalbuminuria, renoprotective effect
Hypertension, albuminuria
Registration Number
TCTR20220426002
Lead Sponsor
Phramongkutklao Medicine Foundation
Brief Summary

A total of 50 patients with hypertension and albuminuria were recruited. At the end of treatment, systolic blood pressure level was significantly reduction in the azilsartan group compared with the enalapril group. In addition, at 24-week, significant reduction in median UACR of azilsartan group compared to the enalapril group was observed. There was no statistically significant difference between the two groups in hyperkalemia, estimated GFR, acute kidney injury and serious adverse events.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
50
Inclusion Criteria

hypertensive subjects age > 18 years old with albuminuria >30 mg/g Creatinine

Exclusion Criteria

1.pregnancy or planned pregnancy
2. hyperkalemia (K > 5 meq/L) after medication treatment
3.serum creatinine increase > 50% after ACEi/ARB use
4.hypotension
5.intolerable side effects of ACEi
6.anaphylaxis , angioedema

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
urine albumin creatinine ratio 24 weeks mg/L, immunoturbid method
Secondary Outcome Measures
NameTimeMethod
change in eGFR, safety outcomes 24 weeks ml/min/1.73 m2 (CKD-EPI),
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