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CompletedNCT03539627AcADEMEUpdated Oct 26, 2022

Azilsartan Medoxomil in Hypertensive pAtients With Stable Ischemic Heart Disease and DiabEtes MEllitus.

An observational study in Arterial Hypertension, Diabetes Mellitus and Stable Chronic Angina, sponsored by Research Institute for Complex Problems of Cardiovascular Diseases, Russia. Completed at 1 site in Russian Federation. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-10-26.

Sponsored by Research Institute for Complex Problems of Cardiovascular Diseases, Russia · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
184
Ages
18 Years and older
Sex
All
01

Study summary

One-center, observational, non-interventional, prospective study of the efficacy of azilsartan medoxomil in patients with arterial hypertension associated with stable ischemic heart disease and type 2 diabetes mellitus.

Read the detailed description

One-center, observational, non-interventional, prospective study of the efficacy of azilsartan medoxomil in patients with arterial hypertension associated with stable ischemic heart disease and type 2 diabetes mellitus.

During the study 5 visits to the research center are planned. At each visit, a physical examination, sampling of bio-samples for evaluation in the local laboratory, and collection of information on adverse events will be performed. 24-hours monitoring of blood pressure will be performed at screening, after 1 months of therapy and at the final visit (6 months of therapy).

Data will be collected during 5 consecutive visits to the research center. The observation period will be about 6 months, the active treatment period will be at least 6 months (24 weeks). Patients included in the study will be observed in an outpatient clinic according to the local practice of the research center.

It is planned that potentially eligible patients will be invited to the screening visit. Based on the results of daily monitoring of blood pressure, a final decision will be made about the suitability of the patient to participate in the study. Patients who have not reached the target values of blood pressure will start taking the study drug (Edarbi). By not achieving the target values of blood pressure, the mean daily systolic blood pressure is more than 130 mm Hg and the diastolic blood pressure is more than 90 mm Hg. The length of time between Visit 1 and Visit 2 is suspected to be no longer than 2 weeks.

All examinations (examination and evaluation of vital functions, laboratory tests, instrumental examinations) will be performed in accordance with the general standards of medical practice and in accordance with the routine practice of the institution.

Based on the number of patients hospitalized in the Research Institute For Complex Issues Of Cardiovascular Diseases (1500 patients), as well as the data on the prevalence of type 2 diabetes in this group (23.5%, 353 patients), the required sample size will be 184 patients (Confidence interval ± 5 %, the confidence probability is 95%).

SS = Z2 * (p) * (1-p) C2 where: Z = Z factor (1,96 for 95% confidence interval) p = percentage of respondents required, in decimal form (0,5 by default) c = confidence interval, in decimal form (for example, 0,04 = ±4%).

02

Conditions studied

  • Arterial Hypertension
  • Diabetes Mellitus
  • Stable Chronic Angina

Keywords

  • diabetes mellitus
  • Edarbi
  • hypertension
03

In context

Hypertension

6,689 studies on the registry are indexed under Hypertension; 965 are open to participants now.

This study's enrollment of 184 is below the median of 210 across 1,359 observational studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

Research Institute for Complex Problems of Cardiovascular Diseases, Russia is the lead sponsor of 10 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with arterial hypertension associated with stable ischemic heart disease and type 2 diabetes mellitus

Inclusion criteria

  1. Informed consent signed by the patient.
  2. Men and women aged 18 years and older with a previously diagnosed hypertension and type 2 diabetes mellitus and stable ischemic heart disease.
  3. Stable therapy of hypertension, T2DM and ischemic heart disease for at least 12 weeks before screening.
  4. Not achievement of target values * of blood pressure against the background of previously prescribed and steadily accepted antihypertensive therapy.

    * not reaching the target figures of arterial pressure means mean systolic blood pressure more than 130 mm Hg and / or an average diastolic blood pressure more than 90 mmHg.

  5. Investigator's decision on the advisability of correction of previously prescribed therapy with the replacement of ACE inhibitors or other ARBs with azilsartan medoxomil.

Exclusion criteria

Exclusion Criteria:

  1. Contraindications to the azilsartan medoxomil in accordance with instruction for use, including information on the individual intolerance of the drug.
  2. Any circumstances in the opinion of the investigator that interfere with the participation of the patient in the study.
  3. The patient included in the study is an employee of the center or a relative of the investigator.
  4. Participation in other clinical trials. Participation in register studies is allowed.
  5. Any disease or condition that leads to a decrease in the patient's life expectancy.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
184 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • patients with hypertension, CAD and diabetes

    Patients with hypertension associated with stable CAD and diabetes on azilsartan medoxomil (Edarbi) therapy

    Drug: Azilsartan Medoxomil 40 MG Oral Tablet [Edarbi]

Interventions

  • DrugAzilsartan Medoxomil 40 MG Oral Tablet [Edarbi]

    patients are to receive azilsartan medoxomil

06

What researchers measure

Primary outcomes

  1. Systolic blood pressure

    Dynamics of clinical SBP from the baseline against the background of therapy with Edarbi®

    Time frame: interval: up to 24 weeks

Secondary outcomes

  1. Diastolic blood pressure

    Dynamics of clinical DBP from the baseline against the background of therapy with Edarbi® (interval: Visit of inclusion - Visit 5);

    Time frame: interval: up to 24 weeks

  2. Dynamics of renal function (filtration)

    Dynamics of eGFR

    Time frame: interval: up to 24 weeks

  3. Edarbi® efficacy

    proportion of patients who respond to Edarbi® therapy (defined as decrease of SBP≥ 20 mm Hg or decrease of DBP≥10 mm Hg)

    Time frame: interval: up to 24 weeks

  4. Dynamics of renal function (evidence of kidney injury)

    N-GAL-dynamics

    Time frame: interval: up to 24 weeks

  5. Dynamics of renal function (proteinuria detecton)

    UACR dynamics

    Time frame: interval: up to 24 weeks

07

Study locations

1 site
  • Anastasia Kochergina
    Kemerovo, 650002, Russian Federation
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 26, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03539627
Lead sponsor
Research Institute for Complex Problems of Cardiovascular Diseases, Russia
Responsible party
Olga Barbarash (Professor, Research Institute for Complex Problems of Cardiovascular Diseases, Russia) — Principal investigator
First posted
May 29, 2018
Start date
Nov 7, 2018
Primary completion
Apr 29, 2022
Completion
Apr 29, 2022
Last update
Oct 26, 2022

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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