Direct Renin Inhibition Effects on Atherosclerotic Biomarkers
Effects of Direct Renin Inhibition on Atherosclerotic Biomarkers in Patients With Stable Coronary Heart Disease and Type 2 Diabetes Mellitus
1 other identifier
interventional
38
1 country
1
Brief Summary
The investigators aim to assess if a new blood pressure medication, aliskiren, reduces various biomarkers of heart disease found in the blood in patients with a history of both heart disease and type 2 diabetes. The primary hypothesis is that aliskiren will reduce these biomarkers compared to a calcium channel blocker.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4 coronary-artery-disease
Started Jan 2008
Typical duration for phase_4 coronary-artery-disease
1 active site
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
January 1, 2008
CompletedFirst Submitted
Initial submission to the registry
January 6, 2009
CompletedFirst Posted
Study publicly available on registry
January 8, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2011
CompletedResults Posted
Study results publicly available
November 19, 2012
CompletedDecember 5, 2017
October 1, 2017
3.6 years
January 6, 2009
June 18, 2012
October 31, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Plasminogen Activator Inhibitor 1
Plasminogen Activator Inhibitor 1 is a biomarker found in serum that indirectly assesses blood clotting activity. Lower PAI-1 levels are thought to be better than higher levels. The primary outcome is mean change from baseline and can include negative numbers as a result.
6 weeks (change from baseline)
Secondary Outcomes (4)
Serum Level of Vascular Cell Adhesion Molecule
6 week (change from baseline)
Serum Level of Intracellular Cell Adhesion Molecule
6 week (change from baseline)
Serum Level of C-reactive Protein
6 week (change from baseline)
Serum Level of Nitric Oxide
6 week (change from baseline)
Study Arms (2)
Aliskiren
EXPERIMENTALAliskiren 150-300 mg once daily
Amlodipine
ACTIVE COMPARATOR5-10 mg amlodipine once daily
Interventions
Eligibility Criteria
You may qualify if:
- Diagnosis of type 2 diabetes
- Diagnosis of coronary artery disease
- Currently receiving therapy with an ACE-Inhibitor or Angiotensin Receptor Blocker
- Currently receiving antiplatelet therapy and statin therapy
- Baseline blood pressure \> 100/75 mm Hg
- BMI 25-35 kg/m2
You may not qualify if:
- Concurrent calcium channel blocker therapy
- Documented peripheral edema
- Hyperkalemia
- Serum creatinine \> 2.0
- Diagnosed with proteinuria
- Diagnosed with liver dysfunction or serious rheumatological disorder
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Texas Tech University Health Sciences Center
Lubbock, Texas, 79430, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Limitations and Caveats
Small sample size led to large standard deviation in biomarkers assessed and limited power to detect a diffference
Results Point of Contact
- Title
- Gary Meyerrose
- Organization
- Texas Tech University Health Sciences Center School of Medicine
Study Officials
- PRINCIPAL INVESTIGATOR
Gary E Meyerrrose, MD
Texas Tech Health Sciences Center Department of Internal Medicine
- STUDY DIRECTOR
Brian K Irons, PharmD
Texas Tech University Health Sciences Center School of Pharmacy
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 6, 2009
First Posted
January 8, 2009
Study Start
January 1, 2008
Primary Completion
August 1, 2011
Study Completion
August 1, 2011
Last Updated
December 5, 2017
Results First Posted
November 19, 2012
Record last verified: 2017-10