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Treatment of hypertension at nigth in type 1 diabetes patients with no 24 hour variation of thier bloodpressure.

Phase 1
Conditions
Patients with type 1 diabetes with autonomic neuropathy or no 24h variation in bloodpressure.
Therapeutic area: Diseases [C] - Cardiovascular Diseases [C14]
Registration Number
EUCTR2012-002136-90-DK
Lead Sponsor
Rigshospitalet
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
24
Inclusion Criteria

Type 1 diabetes
Age 18-65 years
HbA1C < 1%
Reduced heart rate variability
Reduced 24h bloodpressure variability
Normoalbinuria and no sigs of heartdisease
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 24
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range 0

Exclusion Criteria

Albinuria
Se-createnine>120 mikromol/l
Sleep apnea
Workload at nigth
A history of renal arthery stenosis or renal disease/nephrectimy
Primor angiooedema or serius sideeffects during treatment with ACE-inhibitors or ANG11 - antagonist
Everyday use of NSAID up to 4 weeks before inclusion
Bad compliance
Cancer or any other significant disease that could effect the trial
Women planning a pregnancy, are pregnant or nursing
Women who do not use contraception (contraceptive pill or IUD(Intra uterine device)

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Primary end point(s): Noctuenal bloodpresure reduction by antihypertensive treatment at nigth comperred with drug administration in the morning;Timepoint(s) of evaluation of this end point: 24 weeks;Main Objective: Treatment of hypertension at nigth in patients with type 1 diabetes - with no 24h variation in bloodpressure implies a more suitable bloodpressure management, compared with conventional treatment (administration of drugs in the morning);Secondary Objective: Nocturnal bloodpressure treatment has a measurable effect on cardiovasculare risk factors, including left ventricular mass.
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): Left ventricular mass<br>Cardiac risk factors <br>Vibrationperception threshold;Timepoint(s) of evaluation of this end point: 24 weeks
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