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A Study on the Effects of Chronotherapy of Hypertension with Olmesartan on Blood-pressure Variability, Sympathetic Function, and Renal Function in Patients with Type 2 Diabetes Mellitus and Hypertensio

Phase 4
Conditions
Patients with type 2 DM and hypertension.
Registration Number
JPRN-UMIN000010419
Lead Sponsor
Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete: follow-up complete
Sex
All
Target Recruitment
200
Inclusion Criteria

Not provided

Exclusion Criteria

Patients who meet any of the following criteria will not be included in the study: 1)Patients with secondary or malignant hypertension 2)Patients with severe heart failure (NYHA Class III or higher) 3)Patients with nephrotic syndrome (or serum creatinine [Cr] >= 3.0 mg/dL) 4)Patients with serious liver or biliary diseases 5)Patients with a history of cardiovascular (myocardial infarction) or cerebral events (cerebral infarction) 6)Patients with endocrine disease 7)Patients with any malignancy 8)Patients determined by the investigator to be not suitable for other reasons

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
(i) Changes in home blood pressure from before to after administration in the morning or before bedtime (early-morning, nighttime, and before bedtime blood pressure and heart rate) and the effect of the time of administration of olmesartan on Na excretion (ii) Effect of morning and pre-bedtime administration on blood-pressure variability (ME difference, mean ME, and day-by-day blood pressure variability)
Secondary Outcome Measures
NameTimeMethod
(i)Changes in outpatient blood pressure and heart rate from before to after administration (ii)Effect on the sympathetic nervous system: Changes in cortisol levels (iii)Effect on renal function: Changes in urinary albumin and RAAS-related enzyme levels (iv)Effect on cardiac function: Changes in BNP, NT-ProBNP, and hs-cTnT levels (v)Effect on glucose metabolism: Changes in HbA1c and adiponectin levels (vi)Effect on the anti-inflammatory process: Changes in hs-CRP level (vii)Evaluation of safety such as adverse events other than the primary endpoints
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