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Effects of combination therapy with efonidipine or cilnidipine added on ARB on renal outcomes in hypertensive patients with CKD and proteinuria

Not Applicable
Conditions
Hypertension with chronic kidney disease
Registration Number
JPRN-UMIN000005359
Lead Sponsor
Shinshu University Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
All
Target Recruitment
250
Inclusion Criteria

Not provided

Exclusion Criteria

(1) Patients who are younger than 20 or older than 80 years. (2) Patients who have renovascular hypertension, primary aldosteronism, Cushing's disease, or pheochromocytoma (3) Patients who had transient ischemic attack or apoplexy within six months prior to enrollment (4) Patients who had unstable angina, acute myocardial infarction, or underwent coronary artery bypass graft or percutaneous coronary intervention within six months prior to enrollment. (5) Patients who have congestive heart failure of NYHA class II or higher (6) Patients who have dissection of aorta or occlusive arterial disease (7) Patients who have HbA1c > 9.0% or uncontrolled diabetes mellitus (8) Patients who are pregnant or have possibility of pregnancy (9) Patients whose levels of AST or ALT are more than 2 times higher than upper normal limits (10) Patients who had nephrotic syndrome within one year prior to enrollment or have nephrotic syndrome (11) Patients who have malignant diseases or collagen diseases (12) Patients in whom irbesartan is contraindicated (13) Patients in whom efonidipine is contraindicated (14) Patients in whom cilnidipine is contraindicated (15) Patients who have previous history of allergy to an ARB or CCB (16) Patients who are taking another hypertensive drug together with an ARB at maximum dosing (17) Patients who were deemed not appropriate to participate in this study by doctor

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
(1) Change in aldosterone (2) Change in proteinuria (3) Change in eGFR
Secondary Outcome Measures
NameTimeMethod
Change before and after treatment of the following items: (1) BNP and hs-CRP (2) Urinary 8-OHdG
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