NCT00095290

Brief Summary

Albumin in the urine is usually a signal that you might be at risk of cardiovascular complications. The purpose of this study is to determine if the albumin in your urine can be decreased by the treatment regimen that consists of irbesartan taken at the same time with ramipril.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
400

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Sep 2004

Geographic Reach
14 countries

92 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2004

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

November 2, 2004

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 3, 2004

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2005

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2005

Completed
Last Updated

April 15, 2011

Status Verified

September 1, 2008

Enrollment Period

1.2 years

First QC Date

November 2, 2004

Last Update Submit

April 7, 2011

Conditions

Keywords

AlbuminuriaHypertensionElevated Cardiovascular RiskAlbuminuria in Hypertensive Subjects at Elevated Cardiovascular Risk

Outcome Measures

Primary Outcomes (1)

  • Change in AER from baseline to Week 20

Secondary Outcomes (1)

  • Change from baseline in seated systolic and diastolic blood pressures at Week 20; Comparison of change from baseline in seated systolic and diastolic blood pressures at Week 20 between treatment groups

Study Arms (2)

A1

EXPERIMENTAL
Drug: Ramipril + Irbesartan

A2

PLACEBO COMPARATOR
Drug: Ramipril + Placebo

Interventions

Tablets + Capsules, Oral, 10mg Ramipril + 300mg Irbesartan target dose, Once daily, 20 weeks.

Also known as: Avapro
A1

Tablets + Capsules, Oral, 10mg Ramipril + 300mg Placebo target dose, Once daily, 20 weeks.

A2

Eligibility Criteria

Age55 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subjects must be willing and able to provide written informed consent.
  • Males and Females 55 years of age and over
  • Subjects must have a history of high blood pressure and elevated cardiovascular risk defined as one of the following:
  • Diabetes
  • Advanced coronary disease defined as previous myocardial infarction. Active angina, or significant changes in tests indicating ischemia
  • Artery disease in the legs, limiting walking capacity and/or blood flow in the legs
  • Stroke occurring more than 3 months prior to the screening visit
  • All subjects must also have albuminuria (protein in the urine) that is confirmed by a urine test at the first study visit.
  • All subjects must currently be treated with a class of drugs called ACE inhibitors (e.g., benazepril, captopril, enalapril, lisinopril, moexipril, ramipril, quinapril, perindopril) for at least 2 months prior to the study.
  • Women of childbearing potential (WOCBP) must be using adequate methods of contraception to avoid pregnancy throughout the study and four weeks after the study ends.

You may not qualify if:

  • Women who are pregnant or breastfeeding.
  • Acute systemic febrile/infectious disease or infectious or inflammatory disease of the kidneys
  • Narrowing of the kidney arteries
  • Hypotension (low blood pressure) or very high blood pressure
  • Moderate or Severe Heart Failure
  • Chronic autoimmune disease
  • Cancer unless cured or no further treatment needed
  • Severe kidney failure
  • Allergy to drugs used in the study: ARBs (candesartan, irbesartan, losartan, telmisartan, valsartan, and/or any other ARB currently or previously in development) and ACE-inhibitors (benazepril, captopril, enalapril, lisinopril, moexipril, ramipril, quinapril, perindopril)
  • Administration of any other investigational drug within 30 days of planned enrollment into the study.
  • Any circumstances that would prevent coming for study visits or taking study drugs

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (92)

Local Institution

Tustin, California, United States

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Miami, Florida, United States

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West Palm Beach, Florida, United States

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Chicago, Illinois, United States

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Flushing, New York, United States

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New York, New York, United States

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Cleveland, Ohio, United States

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Philadelphia, Pennsylvania, United States

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Providence, Rhode Island, United States

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San Antonio, Texas, United States

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Milwaukee, Wisconsin, United States

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Burwood, New South Wales, Australia

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Camperdown, New South Wales, Australia

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Gosford, New South Wales, Australia

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St Leonards, New South Wales, Australia

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Woolloongabba, Queensland, Australia

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Box Hill, Victoria, Australia

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Fitzroy, Victoria, Australia

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Parkville, Victoria, Australia

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Fremantle, Western Australia, Australia

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Edmonton, Alberta, Canada

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Vancouver, British Columbia, Canada

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Winnipeg, Manitoba, Canada

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Halifax, Nova Scotia, Canada

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Scarborough Village, Ontario, Canada

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Toronto, Ontario, Canada

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Laval, Quebec, Canada

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Longueuil, Quebec, Canada

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Boulogne-sur-Mer, France

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Colmar, France

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Grenoble, France

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Pessac, France

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Strasbourg, France

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Aschaffenburg, Germany

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Bad Mergentheim, Germany

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Göttingen, Germany

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Halle, Germany

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Künzing, Germany

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München, Germany

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Ornbau, Germany

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Vellmar, Germany

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Villingen-Schwenningen, Germany

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Ashkelon, Israel

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Beersheba, Israel

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Hadera, Israel

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Holon, Israel

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Jerusalem, Israel

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Kfar Saba, Israel

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Kiryat Biyalik, Israel

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Nazareth, Israel

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Ramat Gan, Israel

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Rehovot, Israel

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Tel Aviv, Israel

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Ẕerifin, Israel

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Chieri, Italy

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Genova, Italy

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Lecco, Italy

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Napoli, Italy

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Rimini, Italy

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Rome, Italy

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San Benedetto del Tronto, Italy

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Daugavpils, Latvia

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Riga, Latvia

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Kaunas, Lithuania

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Klaipėda, Lithuania

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Panevezys, Lithuania

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Šiauliai, Lithuania

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Vilnius, Lithuania

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Aguascalientes, Aguascalientes, Mexico

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Guadalajara, Jalisco, Mexico

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Mexico City, Mexico City, Mexico

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Morelia, Michioacan, Mexico

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Monterrey, Nuevo León, Mexico

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México, San Lis Potosi, Mexico

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Amsterdam, Netherlands

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Blaricum, Netherlands

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Eindhoven, Netherlands

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Groningen, Netherlands

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Stadskanaal, Netherlands

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Zeist, Netherlands

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Zwolle, Netherlands

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Moscow, Russia

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Saint Petersburg, Russia

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Barcelona, Spain

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Jerez de la Frontera, Spain

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Las Palmas de G. C., Spain

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Madrid, Spain

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Marbella, Spain

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Middlesbrough, Cleveland, United Kingdom

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Belfast, County Durham, United Kingdom

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Birmingham, West Midlands, United Kingdom

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Derby, West Midlands, United Kingdom

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Related Publications (1)

  • Bakris GL, Ruilope L, Locatelli F, Ptaszynska A, Pieske B, de Champlain J, Weber MA, Raz I. Treatment of microalbuminuria in hypertensive subjects with elevated cardiovascular risk: results of the IMPROVE trial. Kidney Int. 2007 Oct;72(7):879-85. doi: 10.1038/sj.ki.5002455. Epub 2007 Aug 1.

MeSH Terms

Conditions

AlbuminuriaHypertension

Interventions

RamiprilIrbesartan

Condition Hierarchy (Ancestors)

ProteinuriaUrination DisordersUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesUrological ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsVascular DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

Heterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsBiphenyl CompoundsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsSpiro CompoundsTetrazolesAzolesHeterocyclic Compounds, 1-RingPolycyclic Compounds

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY

Study Record Dates

First Submitted

November 2, 2004

First Posted

November 3, 2004

Study Start

September 1, 2004

Primary Completion

November 1, 2005

Study Completion

November 1, 2005

Last Updated

April 15, 2011

Record last verified: 2008-09

Locations