Effect of Fimasartan on Extended RAS and Vascular Functions in Patients With Type 2 Diabetes and Hypertension

NCT ID: NCT05173025

Last Updated: 2023-08-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-01

Study Completion Date

2023-12-31

Brief Summary

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In this study, we will assess the change of extended renin-angiotensin system including serum ACE-2 and angiotensin(1-7) levels and subclinical atherosclerosis after using fimasartan (an ARB), compared to amlodipine in hypertensive patients with T2DM.

Detailed Description

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Several clinical trials aimed at studying the benefits of RAS blockade in the diabetic complications. HOPE, RENAAL, IRMA2, IDNT, ONTARGET studies proved that ACE inhibitors or ARBs reduced the risk of diabetic complications.

Recent studies proved that fimasartan, one of the ARBs, stabilizes the activity of renin-angiotensin system. However, understanding the change in concentration of serum ACE, ACE-2, angiotensin(1-7), and angiotensin-II should help clinicians select more appropriate drug between ACE inhibitors and ARBs with clear evidence. Moreover, since RAS antagonists are the first-line drugs for antihypertensive therapy in patients with T2DM, it is meaningful to understand the change of RAS-related factors in serum after using the drugs.

Conditions

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Hypertension Atherosclerosis Diabetes Mellitus, Type 2 Renin Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Fimasartan

\- Fimasartan group: Fimasartan, 60 mg once a day, oral administration

Group Type EXPERIMENTAL

Fimasartan

Intervention Type DRUG

\- Fimasartan group: fimasartan, 60 mg once a day, oral administration

Amlodipine

\- Comparator group: Amlodipine, 5 mg once a day, oral administration

Group Type ACTIVE_COMPARATOR

Fimasartan

Intervention Type DRUG

\- Fimasartan group: fimasartan, 60 mg once a day, oral administration

Interventions

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Fimasartan

\- Fimasartan group: fimasartan, 60 mg once a day, oral administration

Intervention Type DRUG

Other Intervention Names

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Kanarb

Eligibility Criteria

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Inclusion Criteria

* ≥ 30 years old
* Type 2 diabetes by American Diabetes Association criteria
* HbA1c: 6.5% ≤ - \< 10.0%
* Systolic blood pressure: 140 ≤ - \< 180 mmHg or Diastolic blood pressure: 85 ≤ - \< 110 mmHg
* Statin (-) or no change in low to moderate intensity statin \[14\] dose in recent 3 months

Exclusion Criteria

* Contraindication of fimasartan or amlodipine
* History of RAS inhibitors (ACE inhibitors or ARBs) or calcium channel blockers in the previous 3 months
* Pregnant women, women with potential of pregnancy not using adequate contraception method as evaluated by the investigator, lactating women
* Type 1 diabetes or diabetes secondary to chronic pancreatitis or to pancreatectomy
* Confirmed cardiovascular disease (acute coronary syndrome, stroke, or transient ischemic attack) within 3 months of screening
* Chronic hepatitis B or C (except healthy carrier of HBV), liver disease (AST/ALT \> 3-fold the upper limit of normal)
* Chronic kidney disease (serum creatinine \> 2.0 mg/dL)
* Hyperkalemia serum potassium \>5.0 mEq/L
* Any previous cancer within 5 years (except squamous cell cancer, cervical cancer, thyroid cancer with appropriate treatment) except thyroid cancer or carcinoma in situ
Minimum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Bundang Hospital

OTHER

Sponsor Role lead

Responsible Party

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Soo Lim

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Seoul National University Bundang Hospital

Seongnam-si, Gyeonggi-do, South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Soo Lim, MD, PhD

Role: CONTACT

01097662706

Facility Contacts

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Soo Lim, MD, PHD

Role: primary

82-31-787-7035

Other Identifiers

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B-1606-351-003

Identifier Type: -

Identifier Source: org_study_id

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