Unique ID issued by UMIN | UMIN000021594 |
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Receipt number | R000023574 |
Scientific Title | An increase dose of CCB or ARB as an add-on intensive DEpressor therapy in type 2 diabetes MellItus patients with uncontrolled Essential hypertension. |
Date of disclosure of the study information | 2016/03/24 |
Last modified on | 2019/02/07 22:27:46 |
An increase dose of CCB or ARB as an add-on intensive DEpressor therapy in type 2 diabetes MellItus patients with uncontrolled Essential hypertension.
Intensive depressor therapy in diabetes mellItus patients with hypertension (ACADEMIE Study)
An increase dose of CCB or ARB as an add-on intensive DEpressor therapy in type 2 diabetes MellItus patients with uncontrolled Essential hypertension.
Intensive depressor therapy in diabetes mellItus patients with hypertension (ACADEMIE Study)
Japan |
Hypertension
Cardiology |
Others
NO
The patients with type 2 diabetes mellitus who do not reach target blood pressure (BP), although they have received combination therapy with middle doses of calcium channel blocker (CCB) and angiotensin type 1 receptor blocker (ARB), are enrolled. They receive an increase dose of CCB or ARB as an add-on intensive depressor therapy, and the differential depressor effect between the two kinds of therapies are analyzed. In addition, the differential effects of renal protection and anti-inflammation between the two groups are also examined.
Safety,Efficacy
Confirmatory
Explanatory
Not applicable
Changes in home systolic BP early in the morning between at baseline and after 12 weeks
Changes in various parameters between at baseline and after 12 weeks as follows (No. 1-14):
1.Home diastolic BP early in the morning
2.Office BP
3.Home BP before going to the bed
4.Home BP in sleeping
5.Percentage of the patients who reach the target BP (Office BP and BP early in the morning)
6.Variability and coefficient of BP
7.Brachial-ankle pulse wave veocity
8.High-sensitivity C reactive protein
9.Pentraxin-3
10.Adiponectin
11.Brain natriuretic peptide
12.Urinary albumin
13.Cystatin C
14.L-FABP
15.Side effects
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
YES
Institution is not considered as adjustment factor.
NO
Central registration
2
Treatment
Medicine |
The patients with hypertension under treatment with middle dose of ARB + amlodipine 5 mg/day are enrolled. The patients receive a middle dose of ARB + amlodipine 10 mg/day and treated for 12 weeks.
The patients with hypertension under treatment with middle dose of ARB + amlodipine 5 mg/day are enrolled. The patients receive a high dose of ARB + amlodipine 5 mg/day and treated for 12 weeks.
20 | years-old | <= |
Not applicable |
Male and Female
1.Patients with diabetes mellitus according to the Japan Diabetes Society guideline
2.Patients with essential hypertension who had SBP = or > 130 mmHg and/or DBP = or > 80 mmHg and received a middle dose of ARB + amlodipine 5 mg/day at least for 4 weeks.
3.Age is 20 years old or more.
4.Patients who gave their informed consent to participate for the present study.
1.The patients with secondary hypertension
2.The patients who had SBP < 130 mmHg and DBP < 80 mmHg before starting the study
3.Severe liver dysfunction.
4.Severe renal dysfunction.
5.Pregnancy or lactation in women.
6.Patients with a history of allergy to any component of the study medications.
7.Patients corresponding to the contraindication of study medications.
8.Participating in other clinical trials or within 3 months after retirement of prior clinical trial,
9.Ineligible based on the judgment of the physician
120
1st name | |
Middle name | |
Last name | Shin-ichiro Miura |
Fukuoka University Hospital
Department of Cardiology
7-45-1 Nanakuma, Jonan-Ku, Fukuoka.
81-92-801-1011
miuras@cis.fukuoka-u.ac.jp
1st name | |
Middle name | |
Last name | Shin-ichiro Miura |
Fukuoka University Hospital
Department of Cardiology
7-45-1 Nanakuma, Jonan-Ku, Fukuoka.
81-92-801-1011
miuras@cis.fukuoka-u.ac.jp
Department of Cardiology, Fukuoka University Hospital
Sumitomo Dainippon Pharma Co., Ltd.
Profit organization
Japan
NO
福岡大学病院(福岡県)
2016 | Year | 03 | Month | 24 | Day |
Published
Completed
2016 | Year | 02 | Month | 29 | Day |
2016 | Year | 03 | Month | 24 | Day |
2016 | Year | 03 | Month | 24 | Day |
2019 | Year | 02 | Month | 07 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000023574
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