Trial Outcomes & Findings for CR Aim #2 - AT1 Receptor Blockade & ACE Inhibition Effect on Humoral Function (NCT NCT01678794)

NCT ID: NCT01678794

Last Updated: 2021-11-18

Results Overview

Glomerular Filtration Rate estimates how much blood passes through the glomeruli each minute. Glomeruli are the tiny filters in the kidneys that filter waste from the blood. Measured as ml/min/1.73 m2

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

33 participants

Primary outcome timeframe

baseline to 3 months

Results posted on

2021-11-18

Participant Flow

Participant milestones

Participant milestones
Measure
Candesartan
Subjects received 4 mg once a day up to 13 day. Dose was doubled every 14-18 days as tolerated to a goal of 16 mg a day or highest dose tolerated.
Placebo
Subjects received 4 mg once a day up to 13 day. Dose was doubled every 14-18 days as tolerated to a goal of 16 mg a day or highest dose tolerated
Overall Study
STARTED
16
17
Overall Study
COMPLETED
16
17
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

CR Aim #2 - AT1 Receptor Blockade & ACE Inhibition Effect on Humoral Function

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Candesartan
n=16 Participants
Subjects received 4 mg once a day up to 13 day. Dose was doubled every 14-18 days as tolerated to a goal of 16 mg a day or highest dose tolerated.
Placebo
n=17 Participants
Subjects received 4 mg once a day up to 13 day. Dose was doubled every 14-18 days as tolerated to a goal of 16 mg a day or highest dose tolerated
Total
n=33 Participants
Total of all reporting groups
Age, Continuous
68.5 years
STANDARD_DEVIATION 10.4 • n=5 Participants
69.3 years
STANDARD_DEVIATION 14.2 • n=7 Participants
68.9 years
STANDARD_DEVIATION 12.3 • n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
13 Participants
n=7 Participants
27 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
16 Participants
n=5 Participants
17 Participants
n=7 Participants
33 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
16 participants
n=5 Participants
17 participants
n=7 Participants
33 participants
n=5 Participants

PRIMARY outcome

Timeframe: baseline to 3 months

Glomerular Filtration Rate estimates how much blood passes through the glomeruli each minute. Glomeruli are the tiny filters in the kidneys that filter waste from the blood. Measured as ml/min/1.73 m2

Outcome measures

Outcome measures
Measure
Candesartan
n=16 Participants
Subjects received 4 mg once a day up to 13 day. Dose was doubled every 14-18 days as tolerated to a goal of 16 mg a day or highest dose tolerated.
Placebo
n=17 Participants
Subjects received 4 mg once a day up to 13 day. Dose was doubled every 14-18 days as tolerated to a goal of 16 mg a day or highest dose tolerated
Change in Glomerular Filtration Rate
-5 ml/min/1.73 m2
Interval -14.5 to 3.5
1.00 ml/min/1.73 m2
Interval -8.0 to 6.0

PRIMARY outcome

Timeframe: baseline to 3 months

Urinary sodium excretion correlates with elevated blood pressure in subjects at low cardiovascular risk. The body continually monitors blood volume and sodium concentration. When either becomes too high, sensors in the heart, blood vessels, and kidneys detect the increases and stimulate the kidneys to increase sodium excretion, thus returning blood volume to normal. Measured as mEq/min

Outcome measures

Outcome measures
Measure
Candesartan
n=16 Participants
Subjects received 4 mg once a day up to 13 day. Dose was doubled every 14-18 days as tolerated to a goal of 16 mg a day or highest dose tolerated.
Placebo
n=17 Participants
Subjects received 4 mg once a day up to 13 day. Dose was doubled every 14-18 days as tolerated to a goal of 16 mg a day or highest dose tolerated
Change in Urinary Sodium Excretion
-8.50 mEq/min
Interval -30.5 to 48.5
10.00 mEq/min
Interval -53.0 to 66.0

Adverse Events

Candesartan

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Candesartan
n=16 participants at risk
Subjects received 4 mg once a day up to 13 day. Dose was doubled every 14-18 days as tolerated to a goal of 16 mg a day or highest dose tolerated.
Placebo
n=17 participants at risk
Subjects received 4 mg once a day up to 13 day. Dose was doubled every 14-18 days as tolerated to a goal of 16 mg a day or highest dose tolerated
Renal and urinary disorders
Urinary Tract Infection
0.00%
0/16 • Adverse Events were collected from baseline to end of study, approximately 3 months.
5.9%
1/17 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 3 months.
Respiratory, thoracic and mediastinal disorders
Chest tightness
0.00%
0/16 • Adverse Events were collected from baseline to end of study, approximately 3 months.
5.9%
1/17 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 3 months.
Investigations
Increased plasma creatinine
6.2%
1/16 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 3 months.
5.9%
1/17 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 3 months.
Metabolism and nutrition disorders
Hyperkalemia
18.8%
3/16 • Number of events 3 • Adverse Events were collected from baseline to end of study, approximately 3 months.
0.00%
0/17 • Adverse Events were collected from baseline to end of study, approximately 3 months.
Musculoskeletal and connective tissue disorders
Joint pain
0.00%
0/16 • Adverse Events were collected from baseline to end of study, approximately 3 months.
5.9%
1/17 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 3 months.
Nervous system disorders
Lightheadness
6.2%
1/16 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 3 months.
5.9%
1/17 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 3 months.

Additional Information

Horng H. Chen, M.D.

Mayo Clinic

Phone: 507-284-8896

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place