Effect of Valsartan vs Perindopril on HOMA-IR Index in Patients With Chronic Kidney Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
eligiable volunteers are administrated single-dose over the period I and II (crossover) of Valsartan (80mg) as of Perindopril (4mg).
Every time before and after each medication, HOMA-IR index and other parameters and safety of Valsartan (80mg) and Perindopril (4mg) is performed using a blood sample and conducting some tests (vital signs, physical exam, ECG, laboratory test, etc.) respectively.
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: RiBao Wei, Master
- Phone Number: +861055499133
- Email: wrbbj2006@126.com
Study Contact Backup
- Name: Rui Wang, Master
- Phone Number: +861055499133
- Email: wrbbj2014@126.com
Study Locations
-
-
Beijing
-
Beijing, Beijing, China, 100853
- Chinese PLA General Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Clinical diagnosis of chronic kidney disease
- Serum creatinine:1~3mg/dl
Exclusion Criteria:
- Diabetes
- Patients treated with corticosteroids or immunosuppressants
- BMI>30kg/m2
- SP>180mmHg, DP>110mmHg
- Patients with serious medical problems requiring specific medical treatment
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Valsartan
Valsartan 80mg/tablet, 1 tablet once daily (crossover)
|
Valsartan 80mg/tablet, 1 tablet once daily (crossover)
Other Names:
|
|
Active Comparator: Perindopril
Perindopril 4mg/tablet, 1 tablet once daily (crossover)
|
Perindopril 4mg/tablet, 1 tablet once daily (crossover)
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Homeostasis model of assessment for insulin resistence index (HOMA-IR index)
Time Frame: 4 weeks
|
HOMA-IR=FINS*FGLU/22.5
|
4 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Glomerular filtration rate(eGFR) and Creatinine clearance rate(CCR)
Time Frame: 4 weeks
|
eGFR and CCR are calculated with MDRD formula
|
4 weeks
|
|
Body mass index(BMI)
Time Frame: 4 weeks
|
BMI=weight/(height)^2
|
4 weeks
|
|
24-h urine protein, urinary albumin-creatinin ration, retinol binding protein
Time Frame: 4 weeks
|
4 weeks
|
|
|
Cholesterol, triglycerides, high density lipoprotein, low density lipoprotein
Time Frame: 4 weeks
|
4 weeks
|
|
|
Glycosylated hemoglobin
Time Frame: 4 weeks
|
4 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: RiBao Wei, Master, Department of Nephrology, Chinese PLA General Hospital
Publications and helpful links
General Publications
- Satirapoj B, Leelasiri K, Supasyndh O, Choovichian P. Short-term administration of an angiotensin II receptor blocker in patients with long-term hemodialysis patients improves insulin resistance. J Med Assoc Thai. 2014 Jun;97(6):574-81.
- Ushijima K, Takuma M, Ando H, Ishikawa-Kobayashi E, Nozawa M, Maekawa T, Shiga T, Fujimura A. Effects of telmisartan and valsartan on insulin sensitivity in obese diabetic mice. Eur J Pharmacol. 2013 Jan 5;698(1-3):505-10. doi: 10.1016/j.ejphar.2012.11.022. Epub 2012 Nov 27.
- Iwashita M, Sakoda H, Kushiyama A, Fujishiro M, Ohno H, Nakatsu Y, Fukushima T, Kumamoto S, Tsuchiya Y, Kikuchi T, Kurihara H, Akazawa H, Komuro I, Kamata H, Nishimura F, Asano T. Valsartan, independently of AT1 receptor or PPARgamma, suppresses LPS-induced macrophage activation and improves insulin resistance in cocultured adipocytes. Am J Physiol Endocrinol Metab. 2012 Feb 1;302(3):E286-96. doi: 10.1152/ajpendo.00324.2011. Epub 2011 Nov 1.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urologic Diseases
- Renal Insufficiency
- Kidney Diseases
- Renal Insufficiency, Chronic
- Molecular Mechanisms of Pharmacological Action
- Antihypertensive Agents
- Enzyme Inhibitors
- Protease Inhibitors
- Angiotensin II Type 1 Receptor Blockers
- Angiotensin Receptor Antagonists
- Angiotensin-Converting Enzyme Inhibitors
- Valsartan
- Perindopril
Other Study ID Numbers
Other Study ID Numbers
- S2014-088
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