Page last updated: 2024-12-11

ramipril

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Description

Ramipril: A long-acting angiotensin-converting enzyme inhibitor. It is a prodrug that is transformed in the liver to its active metabolite ramiprilat. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

ramipril : A dipeptide that is the prodrug for ramiprilat, the active metabolite obtained by hydrolysis of the ethyl ester group. An angiotensin-converting enzyme (ACE) inhibitor, used to treat high blood pressure and congestive heart failure. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

quark : Quarks comprise one of two classes of the fundamental particles. Quarks possess fractional electric charges and are not observed in free state. The word "quark" first appears in James Joyce's Finnegans Wake and has been chosen by Murray Gell-Mann as a name for fundamental building blocks of particles. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID5362129
CHEMBL ID1168
CHEBI ID8774
SCHEMBL ID16059
MeSH IDM0026184

Synonyms (149)

Synonym
AC-1347
BIDD:GT0803
AB00698339-07
AB00698339-08
CHEBI:8774 ,
(2s-(1(r*(r*)),2alpha,3abeta,6abeta))-1-(2-((1-(ethoxycarbonyl)-3-phenylpropyl)amino)-1-oxopropyl)octahydrocyclopenta(b)pyrrole-2-carboxylic acid
(2s,3as,6as)-1-[(2s)-2-{[(1s)-1-ethoxycarbonyl-3-phenylpropyl]amino}propanoyl]octahydrocyclopenta[b]pyrrole-2-carboxylic acid
ramiprilum
SPECTRUM5_001721
n-(1s-carboethoxy-3-phenylpropyl)-s-alanyl-cis,endo-2-azabicyclo[3.3.0]octane-3s-carboxylic acid
ramipril, >=98% (hplc)
triatec
hytren
pramace
lostapres
quark
(2s,3as,6as)-1-((s)-n-((s)-1-ethoxycarbonyl-3-phenylpropyl)alanyl)octahydrocyclopenta(b)pyrrol-2-carbonsaeure
vesdil
ramiprilum [latin]
delix
acovil
unipril
ramace
cardace
tritace
hoe-498
SPECTRUM_001958
hoe 498
cyclopenta(b)pyrrole-2-carboxylic acid, 1-(2-((1-(ethoxycarbonyl)-3-phenylpropyl)amino)-1-oxopropyl)octahydro-, (2s-(1(r*(r*)),2alpha,3abeta,6abeta))-
altace
carasel
(2s,3as,6as)-1-((s)-n-((s)-1-carboxy-3-phenylpropyl)alanyl)octahydrocyclopenta(b)pyrrole-2-carboxylic acid, 1-ethyl ester
NCGC00016955-01
cas-87333-19-5
hoe498
BSPBIO_003347
MLS001423965
ramipril
smr000466386
MLS000759523
DB00178
ramipril (usp/inn)
87333-19-5
altace (tn)
D00421
KBIOSS_002512
KBIO2_007640
KBIO2_002504
KBIO2_005072
KBIO3_002849
KBIOGR_001858
SPECTRUM3_001794
SPECTRUM4_001269
SPECTRUM1505214
NCGC00178127-01
MLS001216547
HMS2093M10
HMS2090L11
HMS2051E04
1-[2-(1-ethoxycarbonyl-3-phenyl-propylamino)-propionyl]-octahydro-cyclopenta[b]pyrrole-2-carboxylic acid(ramipril)
bdbm50084681
corpril
CHEMBL1168 ,
hopace
c09aa05
ramipres
nsc-758933
ecator
(2s,3as,6as)-1-[(2s)-2-[[(2s)-1-ethoxy-1-oxo-4-phenylbutan-2-yl]amino]propanoyl]-3,3a,4,5,6,6a-hexahydro-2h-cyclopenta[b]pyrrole-2-carboxylic acid
STK801937
(2s,3as,6as)-1-[(2s)-2-{[(2s)-1-ethoxy-1-oxo-4-phenylbutan-2-yl]amino}propanoyl]octahydrocyclopenta[b]pyrrole-2-carboxylic acid (non-preferred name)
(2s,3as,6as)-1-[(2s)-2-{[(2s)-1-ethoxy-1-oxo-4-phenylbutan-2-yl]amino}propanoyl]-octahydrocyclopenta[b]pyrrole-2-carboxylic acid
AKOS005622534
HMS3259J07
unii-l35jn3i7sj
ramipril [usan:usp:inn:ban]
l35jn3i7sj ,
hsdb 8393
nsc 758933
ramipro
naprix
pharmakon1600-01505214
nsc758933
dtxsid8023551 ,
tox21_110708
dtxcid203551
(2s,3as,6as)-1-((s)-2-(((s)-1-ethoxy-1-oxo-4-phenylbutan-2-yl)amino)propanoyl)octahydrocyclopenta[b]pyrrole-2-carboxylic acid
(2s,3as,6as)-1-((s)-2-((s)-1-ethoxy-1-oxo-4-phenylbutan-2-ylamino)propanoyl) octahydrocyclopenta[b]pyrrole-2-carboxylic acid
HMS2231M05
CCG-100833
ramipril [usp-rs]
ramipril [orange book]
cyclopenta(b)pyrrole-2-carboxylic acid, 1-(2-((1-(ethoxycarbonyl)-3-phenylpropyl)amino)-1-oxopropyl)octahydro-, (2s-(1(r*(r*)),2.alpha.,3a.beta.,6a.beta.))-
ramipril [who-dd]
ramipril [mart.]
ramipril [ep monograph]
ramipril [jan]
(2s,3as,6as)-1-[(s)-n-[(s)-1-carboxy-3-phenylpropyl]alanyl]octahydrocyclopenta[b]pyrrole-2-carboxylic acid, 1-ethyl ester
ramipril [vandf]
cyclopenta(b)pyrrole-2-carboxylic acid, 1-((2s)-2-(((1s)-1-(ethoxycarbonyl)-3-phenylpropyl)amino)-1-oxopropyl)octahydro-, (2s,3as,6as)-
ramipril [inn]
ramipril [usp monograph]
ramipril [usan]
ramipril [mi]
ramipril, (+)-
S1793
gtpl6339
(2s,3as,6as)-1-[(2s)-2-[[(2s)-1-ethoxy-1-oxo-4-phenylbutan-2-yl]amino]propanoyl]-3,3a,4,5,6,6a-hexahydro-2h-cyclopenta[d]pyrrole-2-carboxylic acid
HDACQVRGBOVJII-JBDAPHQKSA-N
BBL033964
HY-B0279
NC00627
NC00083
SCHEMBL16059
NCGC00178127-02
tox21_110708_1
KS-1103
(2s,3as,6as)-1-[(2s)-2-[[(1s)-1-(ethoxycarbonyl)-3-phenylpropyl]amino]-1-oxopropyl]octahydrocyclopenta[b]pyrrole-2-carboxylic acid
ramipril, british pharmacopoeia (bp) reference standard
(2s,3as,6as)-1-(((s)-1-ethoxy-1-oxo-4-phenylbutan-2-yl)-l-alanyl)octahydrocyclopenta[b]pyrrole-2-carboxylic acid
AB00698339_10
AB00698339_09
cyclopenta[b]pyrrole-2-carboxylic acid, 1-[(2s)-2-[[(1s)-1-(ethoxycarbonyl)-3-phenylpropyl]amino]-1-oxopropyl]octahydro-, (2s,3as,6as)-
mfcd00865775
SR-05000001908-2
sr-05000001908
ramipril, united states pharmacopeia (usp) reference standard
SR-05000001908-1
ramipril, pharmaceutical secondary standard; certified reference material
ramipril, european pharmacopoeia (ep) reference standard
npd2431
SBI-0206728.P001
HMS3715M16
Q412666
(2s,3as,6as)-1-[(2s)-2-[[(2s)-1-ethoxy-1-oxo-4-phenylbutan-2-yl]azaniumyl]propanoyl]-3,3a,4,5,6,6a-hexahydro-2h-cyclopenta[b]pyrrole-2-carboxylate
(2s,3as,6as)-1-[(2s)-2-[[(1s)-1-(ethoxycarbonyl)-3-phenylpropyl]amino]-1-oxopropyl]octahydro-cyclopenta[b]pyrrole-2-carboxylic acid
ramipril (altace)
1028843-43-7
1-[2-(1-ethoxycarbonyl-3-phenylpropylamino)propionyl]octahydrocyclopenta[b]- pyrrole-2-carboxylic acid
BR164319
R0219
EN300-118695
Z1515381509
ramipril (ep monograph)
ramipril (usp-rs)
ramipril (mart.)
ramiprilum (latin)
ramipril (usan:usp:inn:ban)
ramipril (usp monograph)

Research Excerpts

Overview

Ramipril is an angiotensin-converting enzyme (ACE) inhibitor. It has been shown to reduce cardiovascular events in high risk patients. Ramipril improves biventricular function in patients with rTOF.

ExcerptReferenceRelevance
"Ramipril is a widely used ACE compound because of its effectiveness in the treatment of hypertension and heart failure, as well as its low risk of adverse effects."( A logistic regression model based on inpatient health records to predict drug-induced liver injury caused by ramipril-An angiotensin-converting enzyme inhibitor.
Minh, KP; Quynh, MNT; Thanh, HN; Thi Thu, PN; Van, HN, 2022
)
1.66
"Ramipril is an antihypertensive drug used in the treatment of elevated blood pressure."( Formulation and In Vitro Evaluation of a Ramipril Entrapped in a Microsponge-based Drug-delivery System.
Abdulbaqi, MR; Rahmani, MHP; Samein, LH; Taghi, HS,
)
1.12
"Ramipril is a drug of the angiotensin converting enzyme inhibitor class."( Spectrometric method for the assay of ramipril using molybdophosphoric acid.
Apostu, M; Bibire, N; Dorneanu, V; Panainte, AD; Tântaru, G; Vieriu, M,
)
1.85
"Ramipril is a recently developed angiotensin converting enzyme (ACE) inhibitor."( Ramipril attenuates left ventricular remodeling by regulating the expression of activin A-follistatin in a rat model of heart failure.
Liu, H; Liu, M; Liu, Z; Wei, Q; Yang, C; Yang, J; Yang, P, 2016
)
2.6
"Ramipril is an ACE inhibitor (ACEi), that has been shown to reduce cardiovascular events in high risk patients and post-hoc analyses of the HOPE trial have provided evidence for its beneficial action in the prevention of diabetes."( First-line antihypertensive treatment in patients with pre-diabetes: rationale, design and baseline results of the ADaPT investigation.
Bramlage, P; Hasslacher, C; Hoyer, J; Lüders, S; Matthaei, S; Paar, WD; Schrader, J; Sturm, CD; Zidek, W, 2008
)
1.07
"Ramipril is a well tolerated therapy, improves biventricular function in patients with rTOF and may have a particular role in patients with restrictive RV physiology. "( Randomised trial of ramipril in repaired tetralogy of Fallot and pulmonary regurgitation: the APPROPRIATE study (Ace inhibitors for Potential PRevention Of the deleterious effects of Pulmonary Regurgitation In Adults with repaired TEtralogy of Fallot).
Babu-Narayan, SV; Bayne, S; Davidson, S; Davlouros, PA; Dimopoulos, K; Flather, M; Gatzoulis, MA; Gibson, DG; Kemp, M; Kilner, PJ; Li, W; Pennell, DJ; Uebing, A, 2012
)
2.15
"Ramipril is an angiotensin-converting enzyme (ACE) inhibitor that exerts its effects through inhibition of the renin-angiotensin-aldosterone system. "( Ramipril for the prevention and treatment of cardiovascular disease.
Annis, LG; Vuong, AD, 2003
)
3.2
"Ramipril is an effective and safe drug in children with chronic kidney diseases associated with hypertension, proteinuria, or both."( Ramipril in the treatment of hypertension and proteinuria in children with chronic kidney diseases.
Dusek, J; Flögelová, H; Geier, P; Janda, J; Seeman, T; Vondrák, K, 2004
)
3.21
"Ramipril appears to be an effective and safe antihypertensive and antiproteinuric agent in children with CRF-associated hypertension. "( Antihypertensive and antiproteinuric efficacy of ramipril in children with chronic renal failure.
Mehls, O; Schaefer, F; Wühl, E, 2004
)
2.02
"Ramipril is an angiotensin-converting enzyme inhibitor that has been extensively studied in randomised, controlled clinical trials in patients with cardiovascular diseases. "( Ramipril in the treatment of vascular diseases.
Rokoss, MJ; Teo, KK, 2005
)
3.21
"Ramipril is an oral, non-sulfhydryl ACE inhibitor thought to act in the renin-angiotensin-aldosterone system to decrease vasopressor activity, aldosterone secretion, and bradykinin degradation. "( Ramipril: a review of its use in preventing cardiovascular outcomes in high-risk patients.
Anderson, VR; Perry, CM; Robinson, DM, 2006
)
3.22
"Ramipril is an effective drug in children with hypertension, for its ability to reduce not only BP but also left-ventricular mass and induce regression of LVH."( Regression of left-ventricular hypertrophy in children and adolescents with hypertension during ramipril monotherapy.
Flögelová, H; Gilík, J; Hladíková, M; Janda, J; Seeman, T; Simková, E; Vondrák, K, 2007
)
2
"Ramipril is a second generation angiotensin converting enzyme (ACE) inhibitor. "( Ramipril. An updated review of its therapeutic use in essential hypertension and heart failure.
Frampton, JE; Peters, DH, 1995
)
3.18
"Ramipril is a long-acting nonsulfhydryl angiotensin converting enzyme (ACE) inhibitor introduced for clinical use about a decade ago. "( Clinical pharmacokinetics of ramipril.
Meisel, S; Rosenthal, T; Shamiss, A, 1994
)
2.02
"Ramipril is a long-acting, lipophylic angiotensin converting enzyme inhibitor, its principle action is to inhibit the conversion of angiotensin I to the active angiotensin II. "( Ramipril.
Ball, SG; Smith, WH, 2000
)
3.19
"Ramipril is a long acting angiotensin converting enzyme (ACE) inhibitor, which exhibits similar pharmacodynamic properties to Captopril and Enalapril. "( Ramipril: a review of the new ACE inhibitor.
Mills, TP, 1992
)
3.17
"Ramipril proved to be a well-tolerated agent with a sustained 24-h antihypertensive effect in this study."( The effect of ramipril on ambulatory blood pressure: a multicenter trial.
Burris, JF, 1991
)
1.36
"Ramipril is a new, potent nonsulfhydryl inhibitor of angiotensin converting enzyme. "( 24-hour blood pressure profiles in hypertensive patients administered ramipril or placebo once daily: magnitude and duration of antihypertensive effects. Ramipril Multicenter Study Group.
McCarron, D, 1991
)
1.96
"Ramipril is a long acting angiotensin converting enzyme (ACE) inhibitor, which exhibits similar pharmacodynamic properties to captopril and enalapril. "( Ramipril. A review of its pharmacological properties and therapeutic efficacy in cardiovascular disorders.
Benfield, P; Todd, PA, 1990
)
3.16
"Ramiprilat is an angiotensin I-converting enzyme (ACE) inhibitor whose particular lipophilicity may modify its inhibitory activity on the cellular form of this enzyme in comparison to ACE inhibitors that are more hydrophilic. "( In vitro interactions between ramiprilat and angiotensin I-converting enzyme in endothelial cells.
Baudin, B; Drouet, L, 1989
)
2.01
"Ramipril is a newly synthesized angiotensin converting enzyme inhibitor without a sulfhydryl group in the molecule but with a prolonged duration of action. "( Combined treatment of severe essential hypertension with the new angiotensin converting enzyme inhibitor ramipril.
Bäcker, A; Düsing, R; Kipnowski, J; Kramer, HJ; Predel, HG, 1987
)
1.93
"Ramipril is a long-acting non-sulphydryl converting enzyme inhibitor that requires cleavage of its ester group to form the active diacid metabolite, ramiprilat. "( Clinical pharmacology of ramipril.
Ball, SG; Robertson, JI, 1987
)
2.02
"Ramipril is a potent orally active converting enzyme inhibitor. "( Ramipril: review of pharmacology.
Becker, RA; Schölkens, B, 1987
)
3.16
"Ramipril (HOE 498) is a pro-drug of which the main metabolite (HOE 498 diacid or ramiprilat) is a potent angiotensin converting enzyme inhibitor. "( Pharmacokinetics of ramipril in the elderly.
Badian, M; Eckert, HG; Hajdú, P; Irmisch, R; Meyer, BH; Müller, FO; Schmidt, D, 1987
)
2.04

Effects

Ramipril has been shown to: lower BP significantly, decrease proteinuria slowly, and significantly decelerate GFR after 18 months of treatment. Ramipril positively affected oxidative phosphorylation in mitochondria of the liver in coincidence with IDDM.

ExcerptReferenceRelevance
"Ramipril has an impressive track record of improving cardiovascular outcomes, too, and should be considered a preferred agent among the ACE inhibitor class."( Not all angiotensin-converting enzyme inhibitors are equal: focus on ramipril and perindopril.
Dinicolantonio, JJ; Lavie, CJ; O'Keefe, JH, 2013
)
1.35
"Ramipril has an impressive track record of improving cardiovascular outcomes, too, and should be considered a preferred agent among the ACE inhibitor class."( Not all angiotensin-converting enzyme inhibitors are equal: focus on ramipril and perindopril.
Dinicolantonio, JJ; Lavie, CJ; O'Keefe, JH, 2013
)
1.35
"Ramipril has recently been shown to have anti-atherogenic properties. "( Ramipril inhibits high glucose-stimulated up-regulation of adhesion molecules via the ERK1/2 MAPK signaling pathway in human umbilical vein endothelial cells.
Han, S; Kang, HM; Kim, CE; Kim, MH; Kim, SW, 2015
)
3.3
"Ramipril has beneficial effects on LV structure and function in vascular patients with controlled BP and with preserved LVEF."( Effects of ramipril on left ventricular mass and function in cardiovascular patients with controlled blood pressure and with preserved left ventricular ejection fraction: a substudy of the Heart Outcomes Prevention Evaluation (HOPE) Trial.
Bosch, J; Lonn, E; Magi, A; Shaikholeslami, R; Sullivan, B; Tanser, P; Yi, Q; Yusuf, S, 2004
)
2.16
"Ramipril has been shown to: lower BP significantly, decrease proteinuria slowly, and significantly decelerate GFR after 18 months of treatment."( [Renoprotective effect of ramipril in children with chronic renal failure--the experience of one centre].
Babić, D; Paripović, D; Peco-Antić, A; Virijević, V, 2004
)
1.34
"Ramipril has been used in twice daily dose of 5 mg in most heart failure trials, whereas the dose used in Heart Outcomes Prevention Evaluation (HOPE) study was 10 mg once at bedtime. "( Assessment of single versus twice daily dosing of ramipril by ambulatory blood pressure monitoring in patients similar to those included in the HOPE study.
Chong, AY; Goyal, D; Prasad, N; Watson, RD; Watson, RL, 2007
)
2.04
"Ramipril has positively affected oxidative phosphorylation in mitochondria of the liver in coincidence with IDDM."( [Bioenergetics of liver mitochondria after administration of ramipril in experimental diabetes mellitus].
Cársky, J; Cibulová, L; Cízová, M; Kolesár, P; Ondrejka, P; Ulicná, O; Volkovová, K, 1997
)
1.26
"Ramipril has been well tolerated and exhibits an adverse effect profile typical of ACE inhibitors as a class."( Ramipril. A review of its pharmacological properties and therapeutic efficacy in cardiovascular disorders.
Benfield, P; Todd, PA, 1990
)
2.44

Actions

Ramipril prevented the increase in albuminuria over the whole study period. Ramipril did not inhibit [H3]thymidine incorporation into DNA of serum-stimulated smooth muscle cells. Both ramipril and captopril enhance renal 11 beta-hydrox.

ExcerptReferenceRelevance
"Ramipril did not increase ADMA levels in a study of patients without ESRD, suggesting that factors related to ESRD or hemodialysis contribute to the ACE inhibitor-induced increase in ADMA."( Angiotensin converting enzyme inhibition increases ADMA concentration in patients on maintenance hemodialysis--a randomized cross-over study.
Brown, NJ; Gamboa, JL; Ikizler, TA; Pretorius, M; Sprinkel, KC, 2015
)
1.14
"Ramipril plays an important role in elderly patients with ACS."( Effects of ramipril on serum monocyte chemoattractant protein 1, interleukin-18, and interleukin-10 in elderly patients with acute coronary syndrome.
Chen, HQ; Liu, XQ; Qiu, L; Tan, HY; Yang, YW, 2010
)
1.47
"Ramipril did not cause adverse events and was well tolerated."( Randomised trial of ramipril in repaired tetralogy of Fallot and pulmonary regurgitation: the APPROPRIATE study (Ace inhibitors for Potential PRevention Of the deleterious effects of Pulmonary Regurgitation In Adults with repaired TEtralogy of Fallot).
Babu-Narayan, SV; Bayne, S; Davidson, S; Davlouros, PA; Dimopoulos, K; Flather, M; Gatzoulis, MA; Gibson, DG; Kemp, M; Kilner, PJ; Li, W; Pennell, DJ; Uebing, A, 2012
)
1.42
"Ramipril may inhibit neointimal formation and downregulate the expression of Cx43 protein and mRNA, but the drug had no significant effect on the Cx40 protein and mRNA levels, suggesting that it was not Cx40 but Cx43 in GJs that contributes to the process of angiotensin II (Ang II)-converting enzyme inhibitors inhibiting the prolife-ration of VSMCs in balloon injury."( Effect of ramipril on the regulation of the expression of connexins 40 and 43 in a rabbit model of arterial balloon injury.
Chen, WX; Han, Y; Li, DQ; Zhou, YP, 2012
)
1.5
"Ramipril did not inhibit [H3]thymidine incorporation into DNA of serum-stimulated smooth muscle cells.(ABSTRACT TRUNCATED AT 250 WORDS)"( Ramipril and experimental vein graft intimal hyperplasia.
Barber, L; Davies, MG; Hagen, PO; Klyachkin, ML; Svendsen, E, 1995
)
2.46
"Both ramipril and captopril enhance renal 11 beta-hydroxysteroid dehydrogenase activity, and this effect is only partly explained by limitation of endogenous angiotensin II production."( Renal 11 beta-hydroxysteroid dehydrogenase activity is enhanced by ramipril and captopril.
McDaniel, PA; Riddle, MC, 1994
)
0.98
"Ramipril prevented the increase in albuminuria over the whole study period."( Diabetic vascular hypertrophy and albuminuria: effect of angiotensin converting enzyme inhibition.
Allen, TJ; Cooper, ME; Hulthen, UL; Jasik, M; Rumble, JR,
)
0.85
"Ramipril abolished the increase in systolic blood pressure."( Role of kinins in the renoprotective effect of angiotensin-converting enzyme inhibitors in experimental chronic renal failure.
Amorena, C; MacLaughlin, M; Matoso, M; Monserrat, AJ; Muller, A, 1998
)
1.02
"Ramipril, known to lower blood pressure, was used to study the effect of converting-enzyme inhibition on impairment of endothelium-derived relaxation and changes in basal cGMP content in rabbits fed an atherogenic diet (0.25% cholesterol)."( Preservation of endothelial function by ramipril in rabbits on a long-term atherogenic diet.
Becker, RH; Linz, W; Wiemer, G, 1991
)
1.27
"Ramipril in the lower dose decreased LV enddiastolic pressure by 8 mmHg, mean pulmonary artery pressure by 4 mmHg, systemic blood pressure by 40 mmHg and total peripheral resistance by 1280 dyn x sec x cm-5."( Cardiovascular effects of the converting enzyme inhibitor ramipril (HOE 498) in anesthetized dogs with acute ischemic left ventricular failure.
Gehring, D; Göbel, H; Martorana, PA; Schölkens, BA, 1986
)
1.24

Treatment

Ramipril pretreatment reduced ACE activity to 11 +/- 1%, lowered the blood pressure, and increased renal blood flow. Ramipril treatment at a daily dose of 3 mg kg-1 normalized blood pressure and prevented the development of cardiac hypertrophy of rats on control diet.

ExcerptReferenceRelevance
"Ramipril treatment was started 5 d before surgery and continued for 12 wk after surgery."( Angiotensin-Converting Enzyme Inhibitor Reduces Radiation-Induced Periprosthetic Capsular Fibrosis.
Catli Dinc, S; Demircan, V; Elmas, C; Erpolat, OP; Gulbahar, O; Pasinlioglu, B; Polat, O; Saribas, S; Senturk, E; Tuncer, S, 2021
)
1.34
"In ramipril-treated groups, the decrease in capsular thickness, fibrosis, TGF-β1 positivity, and an increase in MMP-2/TIMP-2 ratio were found significant."( Angiotensin-Converting Enzyme Inhibitor Reduces Radiation-Induced Periprosthetic Capsular Fibrosis.
Catli Dinc, S; Demircan, V; Elmas, C; Erpolat, OP; Gulbahar, O; Pasinlioglu, B; Polat, O; Saribas, S; Senturk, E; Tuncer, S, 2021
)
1.14
"Ramipril treatment resulted in a significant plausible modification in high-density lipoprotein (HDL) (P = .0390), glucose (P = .0213), and hsCRP (P = .0053) concentrations, as well as decreased SI (P = .0009) value, while nebivolol treatment showed no such benefits."( The effect of nebivolol and ramipril on selected biochemical parameters, arterial stiffness, and circadian profile of blood pressure in young men with primary hypertension: A 12-week prospective randomized, open-label study trial.
Bogdański, P; Miller-Kasprzak, E; Pupek-Musialik, D; Szulińska, M; Walczak-Gałęzewska, M, 2018
)
1.5
"Ramipril treatment also significantly reduced hepatic fibrosis in CCl4-administered rats."( Angiotensin-converting enzyme inhibitor prevents oxidative stress, inflammation, and fibrosis in carbon tetrachloride-treated rat liver.
Alam, MA; Chowdhury, MR; Jain, P; Rahman, M; Reza, HM; Sagor, MA; Tabassum, N, 2016
)
1.16
"Ramipril treatment caused an increase in catalase, glutathione peroxidase, and SOD activity in the LV tissue."( A proteomic study of the effects of ramipril on post-infarction left ventricular remodelling in the rabbit.
Chao, CL; Chen, CY; Chen, MF; Ho, YL; Hsu, HC; Lee, BC; Lin, HJ; Lin, YH, 2008
)
1.34
"Ramipril treatment resulted in a significant decrease in plasma visfatin, proteinuria, hsCRP, HOMA-IR and increase in FMD (P < 0.001) in patients (P < 0.001 for all)."( Effect of renin-angiotensin-aldosterone system (RAAS) blockade on visfatin levels in diabetic nephropathy.
Caglar, K; Cakir, E; Eyileten, T; Oguz, Y; Saglam, M; Sonmez, A; Vural, A; Yenicesu, M; Yilmaz, MI, 2010
)
1.08
"Ramipril treatment is preferable over diuretic based treatment regimens for the treatment of hypertension in pre-diabetic patients, because new-onset diabetes is delayed."( Ramipril-based versus diuretic-based antihypertensive primary treatment in patients with pre-diabetes (ADaPT) study.
Bramlage, P; Hasslacher, C; Hoyer, J; Lüders, S; Matthaei, S; Paar, WD; Schrader, J; Sturm, CD; Zemmrich, C; Zidek, W, 2012
)
3.26
"Ramipril treatment caused a significant decrease in albuminuria and renal fibrosis and restored glomerular nephrin expression."( Renal antifibrotic effect of N-acetyl-seryl-aspartyl-lysyl-proline in diabetic rats.
Bombardi, C; Castoldi, G; Corradi, B; di Gioia, CR; Leopizzi, M; Maestroni, S; Preziuso, C; Stella, A; Zerbini, G, 2013
)
1.11
"Ramipril treatment decreased systolic pressure in WKY and SHR, decreased heart weight and heart weight-to-body weight ratio in SHR, and decreased body weight in WKY."( Ramipril treatment alters Ca(2+) and K(+) channels in small mesenteric arteries from Wistar-Kyoto and spontaneously hypertensive rats.
Cox, RH; Dietz, NJ; Lozinskaya, I; Matsuda, K, 2002
)
2.48
"Ramipril treatment reduced total albumin excretion in the WKY-d + RAM group (P < 0.001)."( The effect of ramipril on albumin excretion in diabetes and hypertension: the role of increased lysosomal activity and decreased transforming growth factor-beta expression.
Brammar, GC; Comper, WD; Jerums, G; Osicka, TM; Russo, LM, 2003
)
1.4
"Ramipril treatment significantly reduced systolic (12 mmHg) and diastolic (12 mmHg) pressure levels, basal insulin serum levels (23.62 pmol/dL vs 10.42 pmol/dL), and left ventricle mass index values (143.8 g/m2 vs 118.2 g/m2)."( [Effect of ramipril on the glucose/insulin coefficient and the ventricular mass index in patients with light to moderate arterial hypertension].
Ayub-Ayala, M; Delgado Hurtado, JM; Gamez-Nava, I; Germán Cardona-Muñoz, E; González-Ortiz, M; Hernández-Chávez, A; López-Alvarado, A; Martínez-Abundis, E; Noriega-Arellano, J; Ramos-Remus, C,
)
1.24
"Ramipril treatment remarkably reduced weight gain and the area under the curve of glucose."( Ramipril treatment suppresses islet fibrosis in Otsuka Long-Evans Tokushima fatty rats.
Ahn, YB; Cha, BY; Kang, SK; Kim, SR; Ko, SH; Kwon, HS; Lee, IK; Lee, KW; Moon, SD; Park, CG; Son, HS; Son, HY; Song, KH; Yoon, KH, 2004
)
2.49
"In ramipril-treated MI rats, heart weight, heart weight to body weight ratio and interstitial collagen content were reduced (P<0.05, P<0.01), LVEDP was slightly decreased (P>0.05), and dp/dt(max) was improved (P<0.01) compared with placebo-treated MI rats."( Comparison of cardioprotective effects of mibefradil and ramipril in stroke-prone spontaneously hypertensive rats.
Bitterling, H; Cleutjens, J; Daemen, MJ; Dorenkamp, M; Penz, S; Reinecke, A; Simon, R; Storz, C; Unger, T; Xia, QG, 2004
)
1.08
"Ramipril treatment of patients with stable CAD was associated with an approximately 1.5-fold increase in the number of circulating EPCs by 1 week after initiation of treatment; this was followed by sustained increased levels to approximately 2.5-fold throughout the 4-week study period."( Improvement in endothelial progenitor cells from peripheral blood by ramipril therapy in patients with stable coronary artery disease.
Hui, ZJ; Min, TQ; Peng, SY; Xiang, WX; Zhu, CJ, 2004
)
1.28
"Ramipril treatment completely prevented these hypertensive vascular changes. "( Ramipril prevents extracellular matrix accumulation in cerebral microvessels.
Burggraf, D; Büscher, C; Hamann, GF; Liebetrau, M; Linz, W, 2005
)
3.21
"Ramipril treatment was associated with a significantly lower risk of DM in African Americans with hypertensive kidney disease than amlodipine or metoprolol treatment."( Differing effects of antihypertensive drugs on the incidence of diabetes mellitus among patients with hypertensive kidney disease.
Agodoa, LY; Appel, LJ; Cheek, D; Contreras, G; Gassman, J; Lash, JP; Miller, ER; Randall, OS; Thornley-Brown, D; Wang, X; Wright, JT, 2006
)
1.78
"By ramipril treatment with the dose of 1.5 mg starting at 2 weeks after radiation, VEP was significantly shortened to 105.7+/-88.5 ms at 6 months."( Mitigation of radiation-induced optic neuropathy in rats by ACE inhibitor ramipril: importance of ramipril dose and treatment time.
Brown, SL; Jenrow, KA; Kim, JH; Kolozsvary, A; Ryu, S, 2007
)
1.08
"Ramipril treatment decreased ACE activity compared with placebo (-22.0 +/- 1.7 vs 0.2 +/- 1.1 U/l, respectively, p < 0.001), resulting in a significantly reduced blood pressure (SBP, -10.8 +/- 2.1 vs -2.7 +/- 2.0 mmHg, respectively, p = 0.01; DBP, -10.1 +/- 1.3 vs -4.2 +/- 2.1 mmHg, respectively, p = 0.03). "( Effect of short-term ACE inhibitor treatment on peripheral insulin sensitivity in obese insulin-resistant subjects.
Blaak, EE; Goossens, GH; Saris, WH; Schiffers, PM; van Baak, MA, 2006
)
1.78
"The ramipril treatment group showed significant protection from development of white matter lesions in the optic tract, the anterior commissure, the corpus callosum, the internal capsule and the caudoputamen."( Ramipril protects from free radical induced white matter damage in chronic hypoperfusion in the rat.
Choi, YB; Kim, JS; Kim, YI; Lee, KS; Yun, I, 2008
)
2.27
"Ramipril pretreatment reduced ACE activity to 11 +/- 1%, lowered the blood pressure, and increased renal blood flow."( Angiotensin converting enzyme inhibition does not prevent the natriuretic effect of felodipine.
Huysmans, FT; Kloke, HJ; Koene, RA; van Hamersvelt, HW; Wetzels, JF, 1993
)
1.01
"Ramipril treatment reduced mean vein graft intimal area by 34% (P > 0.05), but this was accompanied by an increase of 73% in the mean medial area of the vein grafts as compared with controls."( Ramipril and experimental vein graft intimal hyperplasia.
Barber, L; Davies, MG; Hagen, PO; Klyachkin, ML; Svendsen, E, 1995
)
2.46
"Ramipril treatment (Ram) partially normalized phenylephrine responsiveness in intact (STZ + Ram = 6.55 +/- 0.11) and denuded (STZ-Endo + Ram = 7.75 +/- 0.10) vessels."( Ramipril prevents hypersensitivity to phenylephrine in aorta from streptozotocin-induced diabetic rats.
Murray, P; Pitt, B; Webb, RC, 1994
)
2.45
"3. Ramipril treatment at a daily dose of 3 mg kg-1 normalized blood pressure and prevented the development of cardiac hypertrophy of rats on control diet."( Replacement of salt by a novel potassium- and magnesium-enriched salt alternative improves the cardiovascular effects of ramipril.
Fyhrquist, F; Karppanen, H; Laakso, J; Mervaala, EM; Nevala, R; Paakkari, I; Teräväinen, TM; Vapaatalo, H, 1994
)
1.01
"Ramipril treatment starting one week before MI normalized these parameters and in addition increased prostacyclin output."( ACE inhibition decreases postoperative mortality in rats with left ventricular hypertrophy and myocardial infarction.
Linz, W; Ruppert, D; Schmidts, HL; Schölkens, BA; Ulmer, W; Wiemer, G, 1996
)
1.02
"With ramipril treatment urinary albumin creatinine ratio (14.4 vs 13.8 mg/mmol) and creatinine clearance (82 vs 84 ml/min) were constant, but with atenolol an increase of albumin creatinine ratio (13.9 vs 19 mg/mmol, p < 0.001) and a slight decrease of creatinine clearance (80 vs 66 ml/min, p < 0.05, not significant after Bonferroni correction) was observed."( Renal and metabolic effects of 1-year treatment with ramipril or atenolol in NIDDM patients with microalbuminuria.
Hoffmann, W; Hopmeier, P; Schernthaner, G; Schnack, C, 1996
)
1
"Ramipril or felodipine treatments did not significantly affect the heart rate, either alone or in combination."( Cardiovascular effects of a low-dose combination of ramipril and felodipine in spontaneously hypertensive rats.
Karppanen, H; Laakso, J; Malmberg, L; Mervaala, EM; Teräväinen, TL; Vapaatalo, H, 1997
)
1.27
"Ramipril treatment induced a reduction in BP (p < 0.05) and RHW (p < 0.005) while CKK remained elevated."( Possible protective effects of kinins and converting enzyme inhibitors in cardiovascular tissues.
Abate, CD; Damiani, MT; Miatello, R; Nolly, H, 1997
)
1.02
"Ramipril treatment produced marked correcting influence on conjugated dienes, malonic dialdehyde and degree of lipid oxidation."( [Effect of the angiotensin-converting enzyme inhibitor ramipril on the processes of lipid peroxidation on the status of the endogenous antioxidant system in patients with myocardial infarction].
Davydov, BV; Golikov, AP; Golikov, PP; Marchenko, VV; Riabinin, VA,
)
1.1
"Ramipril treatment only slightly reduced the amount of necrosis as well as the expression of extracellular matrix proteins."( Development of heart failure following isoproterenol administration in the rat: role of the renin-angiotensin system.
Bruckschlegel, G; Elsner, D; Griese, D; Grimm, D; Kromer, EP; Muders, F; Pfeifer, M; Riegger, GA; Schunkert, H, 1998
)
1.02
"Ramipril-treated dogs displayed a reduction in mass (83.2 +/- 2.2 to 74.6 +/- 2.9 gm, P < .05)."( Functional impact of an increase in ventricular mass after myocardial damage and its attenuation by converting enzyme inhibition.
Cohn, JN; D'Aloia, A; Hauer, K; McDonald, KM; Mock, J; Parrish, T; Stillman, AE, 1998
)
1.02
"Ramipril treatment attenuated mesenteric vessel hypertrophy and prevented the increase in TGF-beta1 and alpha1 (type IV) collagen mRNA levels after 3 weeks of diabetes."( Angiotensin converting enzyme inhibition reduces the expression of transforming growth factor-beta1 and type IV collagen in diabetic vasculopathy.
Cooper, ME; Cox, A; Gilbert, RE; Rumble, JR; Wu, L, 1998
)
1.02
"Ramipril-treated banded animals had lower left ventricular (LV) and lung weight, improved survival, increased isovolumic LV mechanics, and improved cardiomyocyte Ca2+ transients compared with placebo-treated banded animals."( Effect of angiotensin-converting enzyme inhibition on protein kinase C and SR proteins in heart failure.
Ball, NA; Bhagwat, A; Kirkpatrick, DL; Periasamy, M; Takeishi, Y; Walsh, RA, 1999
)
1.02
"Ramipril treatment prevented STZ-induced hypertension, bradycardia, hypothyroidism, hyperchosesterolaemia and partially the cardiomayopathy."( Effects of chronic ramipril treatment in streptozotocin-induced diabetic rats.
Goyal, RK; Hakim, ZS; Patel, BK, 1997
)
1.35
"Ramipril treatment increased IRS-1-protein content in muscle by 31+/-9% (P<0.05)."( Ramipril increases the protein level of skeletal muscle IRS-1 and alters protein tyrosine phosphatase activity in spontaneously hypertensive rats.
Klein, HH; Krützfeldt, J; Raasch, W, 2000
)
2.47
"Ramipril pretreatment did not influence significantly the blood pressure reduction, renal vasodilatation, and natriuresis caused by felodipine."( Is natriuresis on felodipine due to reversal of the renal effects of angiotensin II?
Huysmans, FT; Koene, RA; Sluiter, HE; van Hamersvelt, HW; Wetzels, JF, 1992
)
1
"Ramipril treatment prevented an increase in protein excretion only in animals given water and with a reduced systolic blood pressure."( Salt blocks the renal benefits of ramipril in diabetic hypertensive rats.
Fabris, B; Jackson, B; Johnston, CI, 1991
)
1.28
"Ramipril treatment resulted in a slower increase in coronary flow, which was significant after 20 min treatment."( Captopril-induced increase in coronary flow: an SH-dependent effect on arachidonic acid metabolism?
de Graeff, PA; de Langen, CD; Scholtens, E; van Gilst, WH; van Wijngaarden, J; Wesseling, H, 1987
)
0.99
"Ramipril treatment reduced albuminuria by approximately 50% at weeks 16 and 24 (P less than 0.01)."( Ramipril reduces albuminuria in diabetic rats fed a high protein diet.
Allen, TJ; Cooper, ME; Jerums, G; O'Brien, RC, 1989
)
2.44
"Ramipril pretreatment did not suppress this rise in prostaglandin excretion."( Frusemide, ACE inhibition, renal dopamine and prostaglandins: acute interactions in normal man.
Craig, K; MacDonald, TM; Watson, ML, 1989
)
1
"Ramipril treatment resulted in a decrease in systemic arterial pressure that was sustained for 24 hours, a decrease in heart rate and an increase in cardiac index, but little change in pulmonary artery pressure or right atrial pressure."( Acute hemodynamic, hormonal and electrolyte effects of ramipril in severe congestive heart failure.
Crozier, IG; Ikram, H; Jans, S; Nicholls, MG, 1987
)
1.24
"Treatment with ramipril seems to reduce thrombin generation beyond effects on reducing blood pressure."( Effects of Angiotensin-Converting Enzyme Inhibition and Alpha 1-Adrenergic Receptor Blockade on Inflammation and Hemostasis in Human Hypertension.
Ekholm, M; Gigante, B; Jekell, A; Kahan, T; Wallén, NH, 2018
)
0.82
"Treatment with ramipril and candesartan, especially with long-term use, reduced the hydropic swelling of hepatocytes."( PATHOMORPHOLOGY OF THE MYOCARDIUM, KIDNEY AND LIVER IN SPONTANEOUSLY HYPERTENSIVE RATS TREATED WITH SHORT AND LONG-TERM USE RAMIPRIL AND CANDESARTAN.
Davydenko, I; Maruschak, A; Shorikov, E; Slobodyan, K; Timofiichuk, I, 2018
)
1.03
"Treatment with ramipril compared with placebo did not lead to a significant reduction in doubling of serum creatinine, end-stage renal disease, or death in kidney transplant recipients with proteinuria. "( Ramipril versus placebo in kidney transplant patients with proteinuria: a multicentre, double-blind, randomised controlled trial.
Cantarovich, M; Chassé, M; Cole, E; Cronin, V; Fergusson, D; Gill, J; Gourishankar, S; Hebert, P; Hogan, D; Holland, D; Kiberd, B; Knoll, GA; Muirhead, N; Paquet, M; Pilmore, H; Prasad, R; Ramsay, T; Shapiro, J; Tibbles, LA; Treleaven, D; Wells, G; White, C, 2016
)
2.23
"Pretreatment with ramipril drastically inhibited ICAM-1 and VCAM-1 production in a time- and dose-dependent manner."( Ramipril inhibits high glucose-stimulated up-regulation of adhesion molecules via the ERK1/2 MAPK signaling pathway in human umbilical vein endothelial cells.
Han, S; Kang, HM; Kim, CE; Kim, MH; Kim, SW, 2015
)
2.18
"Treatment with ramipril 10 mg daily in patients with high risk of CV events and normal/ controlled BP produced neither a significant fall in BP nor significant adverse events in real-world clinical practice and was well tolerated."( Safety and tolerability of ramipril 10 mg in patients at high risk of cardiovascular events: an observational study.
Hathial, M, 2008
)
0.98
"Treatment with ramipril 10 mg daily in patients with high risk of CV events and normal/controlled BP produced neither a significant fall in BP nor significant adverse events in real-world clinical practice and was well tolerated."( Safety and tolerability of ramipril 10 mg in patients at high risk of cardiovascular events: an observational study.
Hathial, M,
)
0.78
"Treatment with ramipril causes a significant decrease in visfatin levels along with the improvement of proteinuria, endothelial dysfunction and inflammatory state in diabetic nephropathy."( Effect of renin-angiotensin-aldosterone system (RAAS) blockade on visfatin levels in diabetic nephropathy.
Caglar, K; Cakir, E; Eyileten, T; Oguz, Y; Saglam, M; Sonmez, A; Vural, A; Yenicesu, M; Yilmaz, MI, 2010
)
0.7
"Treatment with ramipril significantly reduced AV(BS) and improved aortic valve :outflow tract flow velocity ratio. "( Ramipril retards development of aortic valve stenosis in a rabbit model: mechanistic considerations.
Horowitz, JD; Kelly, DJ; Kennedy, JA; Ngo, DT; Qi, W; Smith, MD; Stafford, I; Sverdlov, AL; Weedon, H; Wuttke, RD; Zhang, Y, 2011
)
2.16
"Treatment with ramipril resulted in reduced primary end point rates (11.3% vs. "( Effect of long-term therapy with ramipril in high-risk women.
Bernstein, V; Bosch, J; Dagenais, G; Lonn, E; Micks, M; Probstfield, J; Roccaforte, R; Sleight, P; Suhan, P; Yi, Q; Yusuf, S, 2002
)
0.95
"Treatment with ramipril reduces the CV risk in high-risk women without heart failure and with preserved LV systolic function."( Effect of long-term therapy with ramipril in high-risk women.
Bernstein, V; Bosch, J; Dagenais, G; Lonn, E; Micks, M; Probstfield, J; Roccaforte, R; Sleight, P; Suhan, P; Yi, Q; Yusuf, S, 2002
)
0.95
"Treatment with ramiprilat could abolish this isoform-specific PKC regulation in both areas."( Mechanisms of myocardial remodeling: ramiprilat blocks the expressional upregulation of protein kinase C-epsilon in the surviving myocardium early after infarction.
Braun, MU; Kirrstetter, M; Schön, SP; Simonis, G; Strasser, RH, 2003
)
0.93
"The treatment with ramipril, as well as with AVE 7688, restored endothelial function by increasing the ratio of NO to O2- concentration and bioavailability of NO."( Effect of chronic treatment with the vasopeptidase inhibitor AVE 7688 and ramipril on endothelial function in atherogenic diet rabbits.
Busch, AE; Kalinowski, L; Leitzbach, D; Linz, W; Malinski, T; Weckler, N, 2003
)
0.87
"Treatment with ramipril at a higher dosage induced a greater improvement in NO-dependent vasodilation compared with the lower antihypertensive dosage in hypertensive patients."( Ramipril dose-dependently increases nitric oxide availability in the radial artery of essential hypertension patients.
Ghiadoni, L; Giannarelli, C; Kardasz, I; Magagna, A; Plantinga, Y; Salvetti, A; Taddei, S; Versari, D, 2007
)
2.14
"Treatment with ramipril appears to be economically attractive across a wide range of patient groups, including those with increased coronary risk and/or diabetes mellitus (HOPE and Micro-HOPE), those with congestive heart failure (AIRE), and those with non-diabetic nephropathy (REIN)."( Estimating the cost effectiveness of ramipril used for specific clinical indications: comparing the outcomes in four clinical trials with a common economic model.
Coupal, L; Grover, SA; Lowensteyn, I, 2007
)
0.97
"Treatment with ramipril improves disability and modifies exercise physiology only in D/D patients, raising the possibility of a differential haplotype-linked sensitivity to the treatment."( Randomized, placebo-controlled, double-blind pilot trial of ramipril in McArdle's disease.
Barbiroli, B; Frare, M; Kemp, GJ; Liava, A; Lodi, R; Malucelli, E; Manners, D; Martinuzzi, A; Testa, C; Tonon, C; Trevisi, E, 2008
)
0.93
"Treatment with ramipril reduced blood pressure and force development in response to Bay K8644 in adult SHRSP, although not to levels of WKY rats, whereas WKY rats were unaffected by treatment."( Angiotensin-converting enzyme inhibition during development alters calcium regulation in adult hypertensive rats.
Traub, O; Webb, RC, 1993
)
0.63
"Treatment with ramipril significantly improved maximum EDR to 53 +/- 3% (p < 0.05 vs."( Comparison of the antiatherogenic effects of isradipine and ramipril in cholesterol-fed rabbits: I. Effect on progression of atherosclerosis and endothelial dysfunction.
Beems, RB; de Wildt, DJ; Meijer, GW; Porsius, AJ; Riezebos, J; van Amsterdam, JG; Vleeming, W; Wemer, J, 1994
)
0.87
"Treatment with ramipril attenuates neurohormonal activation."( Neurohormonal activation in patients with mild or moderately severe congestive heart failure and effects of ramipril. The Ramipril Trial Study Group.
Amtorp, O; Gundersen, T; Nilsson, B; Remes, J; Sigurdsson, A; Swedberg, K, 1994
)
0.84
"Treatment with ramipril has a significant impact on plasma fibrinolytic variables during the recovery phase after acute MI. "( Effects of ramipril on plasma fibrinolytic balance in patients with acute anterior myocardial infarction. HEART Study Investigators.
Arnold, JM; Menapace, FJ; Pfeffer, MA; Ridker, PM; Rouleau, JL; Vaughan, DE, 1997
)
1.04
"Treatment with ramipril (0.33 mg/kg/day) significantly improved the maximal angiotensin II-induced contraction in the aorta of rabbits fed a cholesterol diet for 16 weeks to 61.0 +/- 7.3% (vs."( Effects of hypercholesterolemia on the contractions to angiotensin II in the isolated aorta and iliac artery of the rabbit: role of arachidonic acid metabolites.
Dam, JP; Porsius, AJ; Post, MJ; Riezebos, J; Vleeming, W; Wemer, J, 1997
)
0.64
"Treatment with ramipril reduced levels of both insulin (from 6.6 +/- 2.0 to 3.6 +/- 1.7 ng/ml; p < 0.05) and triglycerides (from 292 +/- 88 to 164 +/- 35 mg/dl; p < 0.001) as well as blood pressure (from 144 +/- 6 to 116 +/- 6 mm Hg; p < 0.001)."( Contribution of bradykinin to the beneficial effects of ramipril in the fructose-fed rat.
Erlich, Y; Rosenthal, T, 1998
)
0.89
"Pretreatment with ramiprilat 100 nmol/L for 15 minutes significantly attenuated the recovery of B2 kinin receptors in CR membranes while increasing that from membranes lacking caveolin."( Angiotensin-converting enzyme inhibitor ramiprilat interferes with the sequestration of the B2 kinin receptor within the plasma membrane of native endothelial cells.
Benzing, T; Blaukat, A; Busse, R; Fleming, I; Müller-Esterl, W, 1999
)
0.89
"Late treatment with ramipril significantly extended lifespan of the animals from 21 to 30 months."( Late treatment with ramipril increases survival in old spontaneously hypertensive rats.
Becker, RH; Linz, W; Malinski, T; Schoelkens, BA; Wiemer, G; Wohlfart, P, 1999
)
0.94
"Treatment with ramipril reduced the all-cause mortality risk in both hypertensive (0.63, 0.44 to 0.89, P = 0.009) and normotensive patients (0.78, 0.61 to 0.99, P = 0.041)."( The prognostic significance of a history of systemic hypertension in patients randomised to either placebo or ramipril following acute myocardial infarction: evidence from the AIRE study. Acute Infarction Ramipril Efficacy.
Ball, S; Hall, A; Spargias, K, 1999
)
0.85
"Treatment with ramipril reduced the rates of death from cardiovascular causes (6.1 percent, as compared with 8.1 percent in the placebo group; relative risk, 0.74; P<0.001), myocardial infarction (9.9 percent vs."( Effects of an angiotensin-converting-enzyme inhibitor, ramipril, on cardiovascular events in high-risk patients.
Bosch, J; Dagenais, G; Davies, R; Pogue, J; Sleight, P; Yusuf, S, 2000
)
0.89
"Pretreatment with ramiprilat, an angiotensin-converting enzyme (ACE) inhibitor, induced cardioprotection and its possible mechanism of action was investigated in guinea-pig Langendorff perfused heart."( Pretreatment with ramiprilat induces cardioprotection against free radical injury in guinea-pig isolated heart: involvement of bradykinin, protein kinase C and prostaglandins.
Chen, X; Jin, ZQ, 2000
)
0.96
"Pretreatment with ramiprilat (0.3 micromol/L) or irbesartan (0.01 to 1 micromol/L) had no effect on basal ppET-1 or ET(B)-R expression but markedly attenuated the deformation-induced expression of these gene products, and these effects were reversed by the B(2) receptor antagonist icatibant (Hoe 140) and by the NO synthase inhibitor N(G)-nitro-L-arginine."( ACE inhibitor and AT1 antagonist blockade of deformation-induced gene expression in the rabbit jugular vein through B2 receptor activation.
Cattaruzza, M; Hecker, M; Lauth, M, 2001
)
0.63
"Treatment with ramipril did not affect microalbuminuria or clinic or ambulatory BP in this study. "( Reduction of ACE activity is insufficient to decrease microalbuminuria in normotensive patients with type 1 diabetes.
Bojestig, M; Karlberg, BE; Lindström, T; Nystrom, FH, 2001
)
0.66
"Treatment with ramipril significantly reduced the rates of death, myocardial infarction, stroke, coronary revascularization, cardiac arrest and heart failure, as well as the risk of diabetes-related complications and of diabetes itself."( Why were the results of the Heart Outcomes Prevention Evaluation (HOPE) trial so astounding?
Mancini, GB; Stewart, DJ, 2001
)
0.65
"Treatment with ramipril for 4.5 years would be anticipated to reduce cardiovascular deaths by 26, revascularization procedures by 19 and admissions for myocardial infarction and stroke by 18 and 26, respectively."( HOPE for patients with Type 2 diabetes: an application of the findings of the MICRO-HOPE substudy in a British hospital diabetes clinic.
Bilous, RW; Bowes, PD; Connolly, V; Hall, E; Jones, SC; Kelly, WF, 2001
)
0.65
"Treatment with ramipril did not influence muscular capillary and arteriole density but accelerated the rate of perfusion recovery, leading to complete healing within 28 days after surgery."( Ramipril improves hemodynamic recovery but not microvascular response to ischemia in spontaneously hypertensive rats.
Emanueli, C; Gaspa, L; Madeddu, P; Pinna, A; Salis, MB; Spano, A; Stacca, T, 2002
)
2.1
"Treatment with ramipril plus the BK B2-receptor antagonist HOE 140 for 6 weeks significantly attenuated the antihypertensive effects of the ACE-inhibitor in 2K1C hypertensive WI rats, but not in 2K1C hypertensive BN-K rats and in SHR."( Kinin contribution to chronic antihypertensive actions of ACE-inhibitors in hypertensive rats.
Bao, G; Gohlke, P; Unger, T, 1992
)
0.62
"Pretreatment with ramipril did not affect these responses."( Frusemide, ACE inhibition, renal dopamine and prostaglandins: acute interactions in normal man.
Craig, K; MacDonald, TM; Watson, ML, 1989
)
0.6
"treatment. Ramipril (10 mg/kg), being less lipophilic than Hoe 288, was only effective after acute bolus administration (59% inhibition), whereas the most hydrophilic drug, enalapril (30 mg/kg), did not reduce CE activity in the CSF after either regimen."( Inhibition of converting enzyme in the cerebrospinal fluid of rats after oral treatment with converting enzyme inhibitors.
Gohlke, P; Schölkens, B; Unger, T; Urbach, H, 1989
)
0.65

Toxicity

Treatment with ramipril 10 mg daily in patients with high risk of CV events and normal/controlled BP produced neither a significant fall in BP nor significant adverse events. Ramipril was well tolerated by both young and old patients.

ExcerptReferenceRelevance
" Ramipril was well tolerated by both young and old patients, and there was little evidence that it was less safe in the elderly."( Antihypertensive efficacy, tolerance, and safety of ramipril in young vs. old patients: a retrospective study.
Breitstadt, A; Cairns, V; Mauersberger, H; Rangoonwala, B; Saalbach, R; Wochnik, G, 1991
)
1.44
" The most frequently reported adverse events excluding intercurrent illnesses were dizziness/vertigo (6%), asthenia (4%), nausea (3%), headache (2%), and abdominal pain, gastrointestinal disorder, rash, and increased cough (1% each)."( Antihypertensive efficacy, tolerance, and safety of long-term treatment with ramipril in patients with mild-to-moderate essential hypertension.
Berendes, B; Cairns, V; Langley, A; Schreiner, M; Verho, M, 1991
)
0.51
" Ramipril was well tolerated by diabetic patients, and no serious adverse events occurred."( Assessment of the efficacy, tolerance, and safety of ramipril in diabetic patients with mild-to-moderate hypertension: a retrospective analysis.
Breitstadt, A; Erhard, W; Krall, H; Lindner, U; Pfeiffer, C, 1991
)
1.44
" Adverse events were reported in 11 of the 38 patients in the ramipril group, in 22 of 83 patients treated with the combination for more than 50 weeks, and in 9 of 38 patients treated with the combination for 50 weeks or less."( Efficacy and safety of ramipril in combination with hydrochlorothiazide: results of a long-term study.
Bauer, B; Breitstadt, A; Cairns, V; Froer, KL; Heidbreder, D, 1991
)
0.83
" There were fewer reports of adverse effects, and no clinically significant episodes of hyperkalemia or renal impairment on ramipril."( A comparison of the efficacy and safety of ramipril and digoxin added to maintenance diuretic treatment in patients with chronic heart failure.
Brown, JJ; Kennedy, JA; Kesson, E; Kholeif, MA; Lorimer, AR; Murray, G; Pringle, S; Stock, JK, 1991
)
0.75
" There were no significant differences in LD50 values between male and female animals."( Acute, subchronic and chronic toxicity of the new angiotensin converting enzyme inhibitor ramipril.
Donaubauer, HH; Mayer, D, 1988
)
0.5
" Adverse effects occurred in 11."( Efficacy and safety of ramipril (HOE 498) in the treatment of hypertension: dose finding study.
Fukiyama, K; Iimura, O; Inagaki, Y; Ishii, M; Kaneko, Y; Kumahara, Y; Omae, T; Saruta, T; Yamada, K; Yoshinaga, K, 1987
)
0.58
" The incidence of adverse events was lower in the combination group than in either of the monotherapy groups, and there were no serious clinically significant laboratory abnormalities in the combination group."( Study of the efficacy and safety of the combination ramipril 2.5 mg plus hydrochlorothiazide 12.5 mg in patients with mild-to-moderate hypertension. ATHES Study Group.
Genthon, R, 1994
)
0.54
"5 mg, administered after hemodialysis, appears to be safe and effective in hypertensive patients receiving periodic hemodialysis."( Kinetics, safety, and efficacy of ramipril after long-term administration in hemodialyzed patients.
Baguet, JC; Carcone, N; de la Rey, N; Dubois, D; Fillastre, JP; Genthon, R; Godin, M; Legallicier, B; Luus, HG; Vauquier, J, 1996
)
0.57
" There were no differences between the three groups with respect to the incidence of adverse events overall or those considered treatment-related."( Ramipril and felodipine: a comparison of the efficacy and safety of monotherapy versus combination therapy.
Bauer, B; Poisson, P; Rangoonwala, B; Schueler, E, 1996
)
1.74
" A relationship between the drug and the adverse effect was suggested."( Ramipril-induced agranulocytosis confirmed by a lymphocyte cytotoxicity test.
Horowitz, N; Levy, Y; Molnar, M; Pollack, S, 2005
)
1.77
" The outcome measures studied were: adverse HF outcome, defined as failure to complete the trial as a direct consequence of HF; maximum furosemide dose (mg/kg/day) administered during the study period; and any requirement for additional visits to the clinic as a direct consequence of HF."( Efficacy and safet of pimobendan in canine heart failure caused by myxomatous mitral valve disease.
Corcoran, BM; Dukes-McEwan, J; French, AT; Lee, AJ; Smith, PJ; Smith, SG; Swift, ST; Van Israël, N, 2005
)
0.33
"5 million adverse drug reaction (ADR) reports for 8620 drugs/biologics that are listed for 1191 Coding Symbols for Thesaurus of Adverse Reaction (COSTAR) terms of adverse effects."( Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
Benz, RD; Contrera, JF; Kruhlak, NL; Matthews, EJ; Weaver, JL, 2004
)
0.32
" Overall adverse event rates were similar with aliskiren (61."( Comparative efficacy and safety of aliskiren, an oral direct renin inhibitor, and ramipril in hypertension: a 6-month, randomized, double-blind trial.
Ali, MA; Andersen, K; Constance, CM; Egan, B; Jin, J; Keefe, DL; Weinberger, MH, 2008
)
0.57
" Treatment with ramipril 10 mg daily in patients with high risk of CV events and normal/ controlled BP produced neither a significant fall in BP nor significant adverse events in real-world clinical practice and was well tolerated."( Safety and tolerability of ramipril 10 mg in patients at high risk of cardiovascular events: an observational study.
Hathial, M, 2008
)
0.99
"Treatment with ramipril 10 mg daily in patients with high risk of CV events and normal/controlled BP produced neither a significant fall in BP nor significant adverse events in real-world clinical practice and was well tolerated."( Safety and tolerability of ramipril 10 mg in patients at high risk of cardiovascular events: an observational study.
Hathial, M,
)
0.78
" The proportion of patients with drug-related adverse events was comparable in the two groups (3."( Antihypertensive efficacy and safety of olmesartan medoxomil and ramipril in elderly patients with mild to moderate essential hypertension: the ESPORT study.
Auteri, A; Malacco, E; Omboni, S; Volpe, M; Zanchetti, A, 2010
)
0.6
" The proportion of patients with drug-related adverse events was comparable in the two groups (4."( Antihypertensive efficacy and safety of olmesartan and ramipril in elderly patients with mild to moderate systolic and diastolic essential hypertension.
Barton, J; Mallion, JM; Narkiewicz, K; Omboni, S; Panzer, PK; Puig, JG; Stefanadis, C; Van Mieghem, W; Zweiker, R, 2011
)
0.62
" Safety was assessed by recording adverse events (AEs) and serious AEs (SAEs)."( Efficacy and safety of aliskiren, a direct renin inhibitor, compared with ramipril in Asian patients with mild to moderate hypertension.
Hong, H; Hu, J; Keefe, D; Ritter, S; Sun, NL; Tu, YM; Wang, R; Xu, G; Yang, K; Zhu, JR, 2012
)
0.61
" However, increases in albuminuria, serum transaminase, and frequency of adverse events were noted."( Analogs of bardoxolone methyl worsen diabetic nephropathy in rats with additional adverse effects.
Abbate, M; Benigni, A; Carrara, F; Corna, D; Gaspari, F; Locatelli, M; Nava, V; Remuzzi, G; Sangalli, F; Zoja, C, 2013
)
0.39
" Safety profile and tolerability assessments included monitoring of adverse events."( Efficacy and safety of two ramipril and hydrochlorothiazide fixed-dose combination formulations in adults with stage 1 or stage 2 arterial hypertension evaluated by using ABPM.
Gomes, MA; Kohlmann, O; Nobre, F; Oigman, W; Pereira-Barretto, AC; Póvoa, R; Rocha, JC, 2013
)
0.69
" The incidence of adverse events was 23."( Efficacy and safety of two ramipril and hydrochlorothiazide fixed-dose combination formulations in adults with stage 1 or stage 2 arterial hypertension evaluated by using ABPM.
Gomes, MA; Kohlmann, O; Nobre, F; Oigman, W; Pereira-Barretto, AC; Póvoa, R; Rocha, JC, 2013
)
0.69
" The most common adverse effects (AE) reported by patients were cough (n = 16), hypotension (n = 7), paresthesia (n = 6), skin lesions (n = 6), weakness (n = 5), headache and dizziness (n = 5)."( [Evaluation of efficacy and safety of hypertension treatment with original angiotensin-converting enzyme inhibitors: the comparison of original and generic formulations].
Jaźwińska-Tarnawska, E; Szczotka, B; Wedlarski, R; Wiela-Hojeńska, A; Łapiński, Ł, 2013
)
0.39
" The therapy with original drugs leads less frequently to adverse effects such as cough, weakness, headaches and dizziness."( [Evaluation of efficacy and safety of hypertension treatment with original angiotensin-converting enzyme inhibitors: the comparison of original and generic formulations].
Jaźwińska-Tarnawska, E; Szczotka, B; Wedlarski, R; Wiela-Hojeńska, A; Łapiński, Ł, 2013
)
0.39
" We aimed to review the published and ongoing researches on cardioprevention strategies and to present the SAFE trial (CT registry ID: NCT2236806; EudraCT number: 2015-000914-23)."( SAFE trial: an ongoing randomized clinical study to assess the role of cardiotoxicity prevention in breast cancer patients treated with anthracyclines with or without trastuzumab.
Airoldi, M; Allegrini, G; Amoroso, D; Barletta, G; Barni, S; Becherini, C; Bengala, C; Curigliano, G; Desideri, I; Galanti, G; Guarneri, V; Livi, L; Marchetti, P; Martella, F; Meattini, I; Piovano, P; Tarquini, R; Terziani, F; Vannini, A, 2017
)
0.46
"A drug must reach the central nervous system (CNS) in order to directly cause CNS adverse effects (AEs)."( Quantification of Hydrochlorothiazide and Ramipril/Ramiprilate in Blood Serum and Cerebrospinal Fluid: A Pharmacokinetic Assessment of Central Nervous System Adverse Effects.
Fuhr, U; Holzgrabe, U; Kinzig, M; Schroeter, M; Sigaroudi, A; Sörgel, F; Stelzer, C; Wahl, O, 2018
)
0.75
"Heart substructures of 16 left-sided breast cancer patients included in the SAFE protocol were delineated by five operators."( Assessment of a guideline-based heart substructures delineation in left-sided breast cancer patients undergoing adjuvant radiotherapy : Quality assessment within a randomized phase III trial testing a cardioprotective treatment strategy (SAFE-2014).
Becherini, C; Bonomo, P; Calusi, S; Casati, M; Delli Paoli, C; Desideri, I; Francolini, G; Greto, D; Livi, L; Loi, M; Meattini, I; Olmetto, E; Pallotta, S; Pezzulla, D; Terziani, F, 2019
)
0.51
"Anthracycline‑induced cardiotoxicity (AIC) remains the main long‑term irreversible side effect in malignancy survivors."( Anthracycline-induced cardiotoxicity prevention with angiotensin-converting enzyme inhibitor ramipril in women with low-risk breast cancer: results of a prospective randomized study.
Gajos, G; Jagielski, P; Konduracka, E; Ochenduszko, S; Potocki, P; Streb, J; Słowik, A; Wysocki, P, 2020
)
0.78
" The main efficacy endpoint was major adverse cardiac events (MACE) at 30 days and 6 months, defined as a composite of cardiac death, myocardial infarction, and HF hospitalizations."( Comparison of the Efficacy and Safety of Sacubitril/Valsartan versus Ramipril in Patients With ST-Segment Elevation Myocardial Infarction.
El Nozahi, M; Rezq, A; Saad, M, 2021
)
0.86

Pharmacokinetics

Ramipril and its potent active diacid metabolite, ramiprilate, were investigated. The above pharmacodynamic effects make it possible to consider Ramipril an effective hypotensive agent with organ-protective properties.

ExcerptReferenceRelevance
" The possibility of an acute pharmacokinetic or pharmacodynamic interaction between the ACE inhibitor ramipril and the calcium antagonist felodipine was examined in 12 normotensive male volunteers."( A study of the acute pharmacodynamic interaction of ramipril and felodipine in normotensive subjects.
Bainbridge, AD; Lees, KR; MacFadyen, RJ; Reid, JL, 1991
)
0.75
" Pharmacokinetic data were collected at baseline, 4 weeks, and 1 year."( The pharmacokinetics of ramipril in a group of ten elderly patients with essential hypertension.
Hosie, J; Meredith, P, 1991
)
0.59
"The acute effects and pharmacokinetic properties of an angiotensin converting enzyme (ACE) inhibitor, ramipril, and its potent active diacid metabolite, ramiprilate, were investigated."( Pharmacokinetics of a single dose of ramipril in patients with renal dysfunction: comparison with essential hypertension.
Ishikawa, Y; Kaneko, Y; Miyajima, E; Miyakawa, T; Shionoiri, H; Umemura, S; Yasuda, G, 1987
)
0.76
"1 ng/ml after the first dose, and a peak concentration of 26."( Multiple-dose pharmacokinetics of ramipril in patients with chronic congestive heart failure.
Bender, N; Brockmeier, D; Heintz, B; Lückel, G; Maigatter, S; Rangoonwala, B; Sieberth, HG; Verho, M, 1993
)
0.57
" No other pharmacokinetic parameter was affected."( Pharmacokinetics and pharmacodynamics of ramipril and piretanide administered alone and in combination.
de la Rey, N; Gera, S; Jähnchen, E; Löffler, K; Luus, HG; Ruf, G; Schulz, W; Trenk, D, 1994
)
0.55
" The above pharmacodynamic effects make it possible to consider ramipril an effective hypotensive agent with organ-protective properties."( [Ramipril in the treatment of hypertension. The pharmacodynamic validation of its efficacy in the therapy of initial cardiac and renal involvement].
Antiia, ID; Ivleva, AIa; Moiseev, VS, 1993
)
1.43
" Elimination from the body is characterised by a relatively rapid initial phase with a half-life of 7 hours and a late phase with a half-life of about 120 hours."( Clinical pharmacokinetics of ramipril.
Meisel, S; Rosenthal, T; Shamiss, A, 1994
)
0.58
"We have studied the pharmacodynamic effects of ramipril, propranolol, and their combination, as well as the effect of propranolol on the pharmacokinetics of ramipril in 12 healthy men (age 24 (SD 6) y, weight 72 (7) kg)."( The pharmacokinetic and pharmacodynamic interactions of ramipril with propranolol.
Cohen, AF; Frölich, M; Schoemaker, HC; Seibert-Grafe, M; van Griensven, JM, 1993
)
0.79
" The present paper discusses how tight binding of ramiprilat to ACE affects the pharmacokinetic characteristics and in vitro measurement of ACE inhibition."( Tight binding of ramiprilat to ACE: consequences for pharmacokinetic and pharmacodynamic measurements.
Brockmeier, D, 1995
)
0.88
" Based upon this study performed on normal dogs given a single dose, no pharmacokinetic advantage or disadvantage is apparent for any ACEi except captopril, which, at the dosage used, decreased ACE levels to a much lesser degree and shorter time."( Comparison of some pharmacokinetic parameters of 5 angiotensin-converting enzyme inhibitors in normal beagles.
Hamlin, RL; Nakayama, T,
)
0.13
" The linear ranges correspond well with the serum concentrations of the analytes obtained in clinical pharmacokinetic studies."( High-performance liquid chromatography-mass spectrometric analysis of ramipril and its active metabolite ramiprilat in human serum: application to a pharmacokinetic study in the Chinese volunteers.
Liu, J; Lu, XY; Shen-Tu, JZ, 2006
)
0.57
" This paper describes the first human physiologically based pharmacokinetic (PBPK) model of this drug class."( Human physiologically based pharmacokinetic model for ACE inhibitors: ramipril and ramiprilat.
Levitt, DG; Schoemaker, RC, 2006
)
0.57
"Our objective was to define the pharmacodynamic profile of the new dual neutral endopeptidase (NEP)/angiotensin-converting enzyme (ACE) inhibitor AVE7688."( Pharmacokinetics and pharmacodynamics of the vasopeptidase inhibitor AVE7688 in humans.
Azizi, M; Bissery, A; Floch, A; Guyene, TT; Ménard, J; Ozoux, ML; Peyrard, S, 2006
)
0.33
"AVE7688 at a dose of 25 mg has a favorable pharmacodynamic profile compared with other RAS blockers."( Pharmacokinetics and pharmacodynamics of the vasopeptidase inhibitor AVE7688 in humans.
Azizi, M; Bissery, A; Floch, A; Guyene, TT; Ménard, J; Ozoux, ML; Peyrard, S, 2006
)
0.33
" Four open-label studies investigated the pharmacokinetic interactions between aliskiren 300 mg and the antihypertensive drugs amlodipine 10 mg (n = 18), valsartan 320 mg (n = 18), hydrochlorothiazide 25 mg (HCTZ, n = 22) and ramipril 10 mg (n = 17) in healthy subjects."( Lack of pharmacokinetic interactions of aliskiren, a novel direct renin inhibitor for the treatment of hypertension, with the antihypertensives amlodipine, valsartan, hydrochlorothiazide (HCTZ) and ramipril in healthy volunteers.
Bizot, MN; Denouel, J; Dieterich, HA; Dole, WP; Kemp, C; Vaidyanathan, S; Valencia, J; Yeh, CM; Zhao, C, 2006
)
0.71
"We conducted 3 open-label, multiple-dose, 3-period, randomized, crossover studies in healthy subjects to assess the potential pharmacokinetic interaction between vildagliptin, a novel dipeptidyl peptidase IV inhibitor for the treatment of type 2 diabetes, and representatives of 3 commonly prescribed antihypertensive drug classes: (1) the calcium channel blocker, amlodipine; (2) the angiotensin receptor blocker, valsartan; and (3) the angiotensin-converting enzyme inhibitor, ramipril."( Vildagliptin, a novel dipeptidyl peptidase IV inhibitor, has no pharmacokinetic interactions with the antihypertensive agents amlodipine, valsartan, and ramipril in healthy subjects.
Campestrini, J; Dole, K; Dole, WP; He, YL; Howard, D; Ligueros-Saylan, M; Marion, A; Pommier, F; Sabo, R; Sunkara, G; Wang, Y; Zhao, C, 2008
)
0.71
" The pharmacodynamic effects were assessed by measuring plasma angiotensin-converting enzyme (ACE) activity."( Pharmacokinetics and pharmacodynamics of ramipril and ramiprilat in healthy cats.
Burgaud, S; Desmoulins, PO; Horspool, LJ, 2008
)
0.61
" The developed assay method was successfully applied to a pharmacokinetic study in human male volunteers."( Simultaneous determination of atorvastatin, amlodipine, ramipril and benazepril in human plasma by LC-MS/MS and its application to a human pharmacokinetic study.
Inamadugu, JK; Karra, VK; Mullangi, R; Pilli, NR; Rao, JV; Vaidya, JR, 2011
)
0.62
"Dietary sodium, the main determinant of the pharmacodynamic response to renin-angiotensin system blockade, influences the pharmacokinetics of various cardiovascular drugs."( Effect of contrasted sodium diets on the pharmacokinetics and pharmacodynamic effects of renin-angiotensin system blockers.
Azizi, M; Blanchard, A; Charbit, B; Ezan, E; Funck-Brentano, C; Ménard, J; Peyrard, S; Wuerzner, G, 2013
)
0.39
" Our current study addressed the pharmacokinetic (PK) background of the assumption that CNS concentrations of hydrochlorothiazide (HCT) and ramiprilate may directly cause CNS AEs such as headache and drowsiness."( Quantification of Hydrochlorothiazide and Ramipril/Ramiprilate in Blood Serum and Cerebrospinal Fluid: A Pharmacokinetic Assessment of Central Nervous System Adverse Effects.
Fuhr, U; Holzgrabe, U; Kinzig, M; Schroeter, M; Sigaroudi, A; Sörgel, F; Stelzer, C; Wahl, O, 2018
)
0.95
" Although of special clinical relevance, data on pharmacokinetic interactions between AMLO, RAMI, and venlafaxine (VEN) are lacking."( How to Treat Hypertension in Venlafaxine-Medicated Patients-Pharmacokinetic Considerations in Prescribing Amlodipine and Ramipril.
Augustin, M; Gründer, G; Haen, E; Paulzen, M; Schoretsanitis, G, 2018
)
0.69

Compound-Compound Interactions

ONTARGET programme consists of two parallel trials where ONTARGET as a large, long-term study compares the efficacy of the angiotensin-receptor antagonist, telmisartan and ramipril.

ExcerptReferenceRelevance
" It can be concluded that ramipril alone and in combination with HCTZ is an effective and safe drug for the long-term treatment of essential hypertension."( Efficacy and safety of ramipril in combination with hydrochlorothiazide: results of a long-term study.
Bauer, B; Breitstadt, A; Cairns, V; Froer, KL; Heidbreder, D, 1991
)
0.89
"In a multicenter study in general practice, the tolerability and safety of ramipril alone and in combination with a low dose of furosemide were assessed in moderate hypertension."( [Tolerance to Triatec in monotherapy and in combination with Lasilix in a French multicenter study].
Elmalem, J, 1990
)
0.51
" The purpose of the present study was to examine whether long-term therapy with ramipril (RA, and ACE inhibitor) would lower blood pressure more effectively and without adverse reactions in combination with the loop diuretics piretanide (PI) or furosemide (FU)."( Loop diuretics combined with an ACE inhibitor for treatment of hypertension: a study with furosemide, piretanide, and ramipril in spontaneously hypertensive rats.
Baldes, L; Becker, RH; Treudler, M, 1989
)
0.71
"This study assessed once-daily (OD), sustained-release (SR) diltiazem alone and in combination with ramipril in essential hypertension."( Antihypertensive efficacy and tolerability of once-daily sustained-release diltiazem alone and in combination with ramipril in hypertension.
Bhandari, S; Saxena, GN; Sharma, P; Swarup, D; Tuteja, R, 1999
)
0.73
" The Ongoing Telmisartan Alone and in Combination with Ramipril Global Endpoint Trial (ONTARGET) program will compare the efficacy of the angiotensin II receptor blocker (ARB) telmisartan, the angiotensin-converting enzyme (ACE) inhibitor ramipril, and combination therapy with telmisartan plus ramipril for reducing cardiovascular risk."( The ongoing telmisartan alone and in combination with ramipril global endpoint trial program.
Unger, T, 2003
)
0.81
" We wished to determine the cardioprotective actions of an aminopeptidase P inhibitor, apstatin alone and in combination with enalapril/lisinopril/ramipril in an in vivo rat model of acute ischemia (30 min) and reperfusion (4 h)."( Infarct size limiting effect of apstatin alone and in combination with enalapril, lisinopril and ramipril in rats with experimental myocardial infarction.
Akula, A; Kota, MK; Routhu, KV; Veeravalli, KK, 2003
)
0.74
" The Ongoing Telmisartan Alone and in Combination with Ramipril Global End point Trial (ONTARGET) programme consists of two parallel trials where ONTARGET as a large, long-term study compares the efficacy of the angiotensin-receptor antagonist, telmisartan, the renin-angiotensin-converting enzyme (ACE) inhibitor, ramipril and combination therapy with telmisartan plus ramipril for reducing cardiovascular and cerebral risk."( Challenges in improving prognosis and therapy: the Ongoing Telmisartan Alone and in Combination with Ramipril Global End point Trial programme.
Unger, T; Zimmermann, M, 2004
)
0.79
" A randomized, double-blind, placebo-controlled, crossover trial was conducted with 50 hypercholesterolemic patients with simvastatin and either placebo or ramipril (study I) and in 45 hypercholesterolemic diabetic patients with simvastatin or ramipril with placebo or simvastatin combined with ramipril (study II) for 2 months with 2 months washout."( Simvastatin combined with ramipril treatment in hypercholesterolemic patients.
Ahn, JY; Chung, WJ; Han, SH; Jin, DK; Kang, WC; Kim, DS; Kim, HS; Koh, KK; Seo, YH; Shin, EK; Son, JW, 2004
)
0.82
" Currently, there is uncertainty about the role of ARBs when used alone or in combination with an ACE inhibitor in high-risk populations with controlled hypertension."( Rationale, design, and baseline characteristics of 2 large, simple, randomized trials evaluating telmisartan, ramipril, and their combination in high-risk patients: the Ongoing Telmisartan Alone and in Combination with Ramipril Global Endpoint Trial/Telmi
Anderson, C; Hilbrich, L; Mookadam, F; Pogue, J; Ramos, B; Schumacher, H; Sleight, P; Teo, K; Yusuf, S, 2004
)
0.54
"Primary objectives of the ONgoing Telmisartan Alone and in Combination with Ramipril Global Endpoint Trial (ONTARGET) are to determine if the combination of the ARB telmisartan and the ACE inhibitor ramipril is more effective than ramipril alone, and if telmisartan is at least as effective as ramipril."( Rationale, design, and baseline characteristics of 2 large, simple, randomized trials evaluating telmisartan, ramipril, and their combination in high-risk patients: the Ongoing Telmisartan Alone and in Combination with Ramipril Global Endpoint Trial/Telmi
Anderson, C; Hilbrich, L; Mookadam, F; Pogue, J; Ramos, B; Schumacher, H; Sleight, P; Teo, K; Yusuf, S, 2004
)
0.76
" Simvastatin alone or combined with ramipril significantly changed lipoproteins, and improved the percent flow-mediated dilator response to hyperemia relative to baseline measurements by 33 +/- 6% and by 50 +/- 14%, respectively (both P <0."( Vascular effects of simvastatin combined with ramipril in hypercholesterolemic patients with coronary artery disease, compared with simvastatin alone: a randomized, double-blind, placebo-controlled, crossover study.
Ahn, JY; Chung, WJ; Han, SH; Jin, DK; Kim, DS; Kim, HS; Koh, KK; Park, GS; Shin, EK; Son, JW, 2004
)
0.86
" In 3 open-label studies in which blood pressure was assessed with ambulatory measurement, aliskiren was administered to patients with mild-to-moderate hypertension in combination with hydrochlorothiazide (n=23), ramipril (n=21), or irbesartan (n=23)."( Aliskiren reduces blood pressure and suppresses plasma renin activity in combination with a thiazide diuretic, an angiotensin-converting enzyme inhibitor, or an angiotensin receptor blocker.
Barton, J; Dicker, P; Jensen, C; Mulcahy, D; Nussberger, J; O'Brien, E; Stanton, A, 2007
)
0.53
"The recently published Ongoing Telmisartan Alone and in Combination With Ramipril Global Endpoint Trial (ONTARGET) in patients with vascular disease or high-risk diabetes, as the largest published comparative trial of these agent classes, provides further evidence concerning the comparison between the angiotensin-receptor blockers (ARBs) and the angiotensin-converting enzyme inhibitors (ACEIs)."( Ongoing Telmisartan Alone and in Combination With Ramipril Global Endpoint Trial (ONTARGET): implications for reduced cardiovascular risk.
Amsterdam, EA; Liebson, PR, 2009
)
0.84
" We analysed the impact of BP on cardiovascular events in well treated high-risk patients enrolled in a large clinical trial (Ongoing Telmisartan Alone and in combination with Ramipril Global Endpoint Trial)."( Prognostic value of blood pressure in patients with high vascular risk in the Ongoing Telmisartan Alone and in combination with Ramipril Global Endpoint Trial study.
Böhm, M; Fagard, R; Gao, P; Koon, T; Mancia, G; Pogue, J; Redon, J; Schumacher, H; Sleight, P; Verdecchia, P; Weber, M; Williams, B; Yusuf, S, 2009
)
0.75
"In the Ongoing Telmisartan Alone and in Combination With Ramipril Global End Point Trial (ONTARGET), patients at high vascular risk and tolerant of ACE inhibitors were randomly assigned to ramipril, telmisartan, or their combination (n=23 165)."( Effects of telmisartan, ramipril, and their combination on left ventricular hypertrophy in individuals at high vascular risk in the Ongoing Telmisartan Alone and in Combination With Ramipril Global End Point Trial and the Telmisartan Randomized Assessment
Chen, JH; Fagard, R; Gao, P; Jansky, P; Jennings, G; Kim, JH; Liu, L; Mancia, G; Probstfield, J; Schmieder, RE; Sleight, P; Teo, K; Trimarco, B; Verdecchia, P; Yusuf, S, 2009
)
0.91
"The ONgoing Telmisartan Alone and in combination with Ramipril Global Endpoint Trial (ONTARGET) showed that the angiotensin receptor blocker telmisartan 80 mg was not inferior to the angiotensin-converting enzyme inhibitor ramipril 10 mg, and the combination no more effective than ramipril alone, in decreasing morbidity and mortality in patients with cardiovascular disease or high-risk diabetes."( Left ventricular mass and volume with telmisartan, ramipril, or combination in patients with previous atherosclerotic events or with diabetes mellitus (from the ONgoing Telmisartan Alone and in Combination With Ramipril Global Endpoint Trial [ONTARGET]).
Anderson, C; Cowan, BR; Doughty, RN; Jennings, GL; Krittayaphong, R; Lonn, E; Marwick, TH; Reid, CM; Sanderson, JE; Schmieder, RE; Teo, K; Wadham, AK; Worthley, SG; Young, AA; Yu, CM; Yusuf, S, 2009
)
0.85
"We evaluated the bioavailability of each ingredient of the Polycap and determined any drug-drug interactions relative to single component reference preparations."( Preservation of bioavailability of ingredients and lack of drug-drug interactions in a novel five-ingredient polypill (polycap): a five-arm phase I crossover trial in healthy volunteers.
Chakraborty, BS; Desai, J; Ghosh, C; Jha, V; Khamar, B; Patel, A; Shah, G; Shah, T, 2010
)
0.36
"Comparative bioavailability was computed and no drug-drug interactions and no difference in comparative bioavailability were concluded for each ingredient based on point estimates of the T/R ratio of the geometric means falling within 80-125% for peak plasma concentration (C(max)), area under the plasma concentration-time curve from time zero to the last measurable concentration (AUC(t)), and AUC from time zero to infinity (AUC(infinity))."( Preservation of bioavailability of ingredients and lack of drug-drug interactions in a novel five-ingredient polypill (polycap): a five-arm phase I crossover trial in healthy volunteers.
Chakraborty, BS; Desai, J; Ghosh, C; Jha, V; Khamar, B; Patel, A; Shah, G; Shah, T, 2010
)
0.36
" The present study in healthy volunteers establishes that Polycap is safe (no serious adverse events) and well tolerated, and that there is no indication of pharmacokinetic drug-drug interactions for any of the ingredients, with their bioavailabilities being well preserved."( Preservation of bioavailability of ingredients and lack of drug-drug interactions in a novel five-ingredient polypill (polycap): a five-arm phase I crossover trial in healthy volunteers.
Chakraborty, BS; Desai, J; Ghosh, C; Jha, V; Khamar, B; Patel, A; Shah, G; Shah, T, 2010
)
0.36
" Drug-drug interactions were investigated when nebivolol was coadministered to subjects classified as poor CYP2D6 metabolizers and extensive CYP2D6 metabolizers who were receiving other drugs commonly administered to patients with hypertension or compounds metabolized by cytochrome P450 (CYP) 2D6."( Effects of commonly administered agents and genetics on nebivolol pharmacokinetics: drug-drug interaction studies.
Gorski, JC; Lindamood, C; Ortiz, S; Rackley, R; Shaw, A, 2011
)
0.37
"We tested the effects of rosuvastatin combined with ramipril on atheroma volume and its mechanism in de novo, intermediate coronary artery disease."( Rosuvastatin combined with ramipril significantly reduced atheroma volume by anti-inflammatory mechanism: comparative analysis with rosuvastatin alone by intravascular ultrasound.
Ahn, TH; Choi, IS; Chung, WJ; Han, SH; Kang, WC; Lee, K; Park, YM; Shin, EK; Shin, MS, 2012
)
0.93
" We investigated the CV and renal benefits associated with these BP targets in the high-CV-risk population of the Ongoing Telmisartan Alone and in Combination With Ramipril Global End Point Trial (ONTARGET)."( Blood pressure targets recommended by guidelines and incidence of cardiovascular and renal events in the Ongoing Telmisartan Alone and in Combination With Ramipril Global Endpoint Trial (ONTARGET).
Jennings, G; Liu, GL; Mancia, G; Redon, J; Ryden, L; Schmieder, R; Schumacher, H; Sleight, P; Teo, K; Verdecchia, P; Yusoff, K; Yusuf, S, 2011
)
0.76
"We sought to determine whether the blood pressure (BP) levels at which cardiovascular (CV) protection is achieved differ between diabetic and nondiabetic patients from the ONTARGET (ONgoing Telmisartan Alone and in combination with Ramipril Global Endpoint Trial)."( Safety and efficacy of low blood pressures among patients with diabetes: subgroup analyses from the ONTARGET (ONgoing Telmisartan Alone and in combination with Ramipril Global Endpoint Trial).
Böhm, M; Fagard, R; Gao, P; Mancia, G; Pogue, J; Redon, J; Schumacher, H; Sleight, P; Teo, K; Verdecchia, P; Weber, M; Williams, B; Yusoff, K; Yusuf, S, 2012
)
0.76
" New-onset atrial fibrillation was a prespecified secondary objective of the Ongoing Telmisartan Alone and in Combination With Ramipril Global Endpoint Trial (ONTARGET)/Telmisartan Randomized AssessmeNt Study in ACE iNtolerant subjects with cardiovascular Disease (TRANSCEND) studies."( Blood pressure and other determinants of new-onset atrial fibrillation in patients at high cardiovascular risk in the Ongoing Telmisartan Alone and in Combination With Ramipril Global Endpoint Trial/Telmisartan Randomized AssessmeNt Study in ACE iNtoleran
Binbrek, AS; Chazova, I; Dagenais, G; Dans, AL; Ferreira, R; Gao, P; Healey, J; Holwerda, N; Iacobellis, G; Karatzas, N; Keltai, M; Mancia, G; Sleight, P; Teo, K; Verdecchia, P; Yusuf, S, 2012
)
0.78
"In the Ongoing Telmisartan Alone and in Combination with Ramipril Global Endpoint Trial, telmisartan (T; 80 mg daily) and ramipril (R; 10 mg daily) caused similar clinic blood pressure (BP) reductions, with a similar incidence of cardiovascular and renal events."( Ambulatory blood pressure values in the Ongoing Telmisartan Alone and in Combination with Ramipril Global Endpoint Trial (ONTARGET).
Bilo, G; Czuriga, I; Fagard, R; Gao, P; Mancia, G; Parati, G; Polák, M; Redon, J; Ribeiro, JM; Sanchez, R; Sleight, P; Teo, K; Trimarco, B; van Mieghem, W; Verdecchia, P; Yusuf, S, 2012
)
0.85
"The goal of this study was to investigate potential drug-drug interactions between empagliflozin and verapamil, ramipril, and digoxin in healthy volunteers."( Lack of clinically relevant drug-drug interaction between empagliflozin, a sodium glucose cotransporter 2 inhibitor, and verapamil, ramipril, or digoxin in healthy volunteers.
Broedl, UC; Macha, S; Pinnetti, S; Rose, P; Schoene, K; Sennewald, R; Woerle, HJ, 2013
)
0.81
"The potential drug-drug interactions were evaluated in 3 separate trials."( Lack of clinically relevant drug-drug interaction between empagliflozin, a sodium glucose cotransporter 2 inhibitor, and verapamil, ramipril, or digoxin in healthy volunteers.
Broedl, UC; Macha, S; Pinnetti, S; Rose, P; Schoene, K; Sennewald, R; Woerle, HJ, 2013
)
0.59
" The study compared the effect of physical exercise on the changes of serum potassium in hypertensive patients receiving ACEI alone or in combination with statin."( Short-term changes of serum potassium concentration induced by physical exercise in patient with arterial hypertension treated with angiotensin-converting enzyme inhibitor alone or in combination with statin.
Deska, P; Nowicki, M, 2017
)
0.46
"This open-label, repeat-dose, fixed-sequence study in healthy subjects examined pharmacokinetic drug-drug interactions between the components of a novel fixed-dose combination product containing ramipril, amlodipine, and atorvastatin."( Mechanistic Considerations About an Unexpected Ramipril Drug-Drug Interaction in the Development of a Triple Fixed-Dose Combination Product Containing Ramipril, Amlodipine, and Atorvastatin.
Gundlach, K; Hermann, R; Seiler, D, 2021
)
1.07

Bioavailability

Four weeks of therapy with ramipril or losartan improves endothelial function to similar extents in patients with CAD by increasing the bioavailability of NO.

ExcerptReferenceRelevance
"0]octane-3-carboxylic acid (Hoe acid (Hoe 498), a new ACE-inhibitor with improved bioavailability and pharmacokinetics, is described."( Synthesis of a highly active angiotensin converting enzyme inhibitor: 2-[N-[(S)-1-ethoxycarbonyl-3-phenylpropyl]-L-alanyl]-(1S,3S,5S)-2- azabicyclo[3.3.0]octane-3-carboxylic acid (Hoe 498).
Geiger, R; Henning, R; Teetz, V; Urbach, H, 1984
)
0.27
" Designed as a prodrug to improve the bioavailability Hoe 498 has to be deesterified to its active moiety Hoe 498-diacid to develop full inhibitory potency."( Pharmacological properties of the new orally active angiotensin converting enzyme inhibitor 2-[N-[(S)-1-ethoxycarbonyl-3-phenylpropyl]-L-alanyl] -(1S,3S,5S)-2-azabicyclo[3.3.0]octane-3-carboxylic acid (Hoe 498).
Becker, RH; Metzger, M; Schölkens, BA; Schulze, KJ, 1984
)
0.27
" The absolute bioavailability as judged by ramipril plasma AUC was 15%, by ramiprilat plasma AUC, 44%."( Pharmacokinetics, pharmacodynamics and bioavailability of the ACE inhibitor ramipril.
Cohen, AF; Luus, HG; Röthig, HJ; Schoemaker, RC; Seibert-Grafe, M; van Griensven, JM, 1995
)
0.78
" We hypothesized that both ACE inhibitor (ACEI) and angiotensin II type 1 receptor antagonist (AT(1)-A) increase bioavailability of nitric oxide (NO) by reducing oxidative stress in the vessel wall, possibly by increasing EC-SOD activity."( Comparative effect of ace inhibition and angiotensin II type 1 receptor antagonism on bioavailability of nitric oxide in patients with coronary artery disease: role of superoxide dismutase.
Ahlersmann, D; Christoph, A; Drexler, H; Hornig, B; Kohler, C; Landmesser, U; Spiekermann, S; Tatge, H, 2001
)
0.31
" CONCLUSIONS-Four weeks of therapy with ramipril or losartan improves endothelial function to similar extents in patients with CAD by increasing the bioavailability of NO."( Comparative effect of ace inhibition and angiotensin II type 1 receptor antagonism on bioavailability of nitric oxide in patients with coronary artery disease: role of superoxide dismutase.
Ahlersmann, D; Christoph, A; Drexler, H; Hornig, B; Kohler, C; Landmesser, U; Spiekermann, S; Tatge, H, 2001
)
0.58
" Thus, RA and FU act synergistically to enhance bioavailability of endothelium-derived NO, and this may contribute to the clinical usefulness of the combination of these drugs in treatment of heart failure."( Ramipril improves nitric oxide availability in hypertensive rats with failing hearts after myocardial infarction.
Dobrucki, LW; Itter, G; Linz, W; Malinski, T; Wiemer, G, 2003
)
1.76
" The treatment with ramipril, as well as with AVE 7688, restored endothelial function by increasing the ratio of NO to O2- concentration and bioavailability of NO."( Effect of chronic treatment with the vasopeptidase inhibitor AVE 7688 and ramipril on endothelial function in atherogenic diet rabbits.
Busch, AE; Kalinowski, L; Leitzbach, D; Linz, W; Malinski, T; Weckler, N, 2003
)
0.87
" The relative bioavailability of ramipril nanoemulsion to that of conventional capsule form was found to be 229."( Development and bioavailability assessment of ramipril nanoemulsion formulation.
Ahmad, FJ; Ali, M; Khar, RK; Shafiq, S; Shakeel, F; Talegaonkar, S, 2007
)
0.88
"We evaluated the bioavailability of each ingredient of the Polycap and determined any drug-drug interactions relative to single component reference preparations."( Preservation of bioavailability of ingredients and lack of drug-drug interactions in a novel five-ingredient polypill (polycap): a five-arm phase I crossover trial in healthy volunteers.
Chakraborty, BS; Desai, J; Ghosh, C; Jha, V; Khamar, B; Patel, A; Shah, G; Shah, T, 2010
)
0.36
"The bioavailability of the ingredients of the Polycap (T; test) when formulated as a single capsule was compared with that of identical capsules with each of its ingredients administered separately (R; reference) in a five-arm, randomized, single-dose, two-period, two-treatment, two-sequence, crossover trial with at least a 2-week washout period in a total of 195 healthy volunteers."( Preservation of bioavailability of ingredients and lack of drug-drug interactions in a novel five-ingredient polypill (polycap): a five-arm phase I crossover trial in healthy volunteers.
Chakraborty, BS; Desai, J; Ghosh, C; Jha, V; Khamar, B; Patel, A; Shah, G; Shah, T, 2010
)
0.36
"Comparative bioavailability was computed and no drug-drug interactions and no difference in comparative bioavailability were concluded for each ingredient based on point estimates of the T/R ratio of the geometric means falling within 80-125% for peak plasma concentration (C(max)), area under the plasma concentration-time curve from time zero to the last measurable concentration (AUC(t)), and AUC from time zero to infinity (AUC(infinity))."( Preservation of bioavailability of ingredients and lack of drug-drug interactions in a novel five-ingredient polypill (polycap): a five-arm phase I crossover trial in healthy volunteers.
Chakraborty, BS; Desai, J; Ghosh, C; Jha, V; Khamar, B; Patel, A; Shah, G; Shah, T, 2010
)
0.36
" In addition to its cholesterol-lowering effect, the ability of simvastatin to ameliorate endothelial dysfunction through increasing NO bioavailability and through suppression of oxidative stress and vascular inflammation and its ability to enhance the effect of ramipril on these parameters may play a pivotal role in these effects."( Simvastatin enhances the antihypertensive effect of ramipril in hypertensive hypercholesterolemic animals and patients. Possible role of nitric oxide, oxidative stress, and high sensitivity C-reactive protein.
Abdel-Zaher, AO; Abudahab, LH; Elbakry, MH; Elkoussi, AE; Elsayed, EA, 2012
)
0.81
" Systemic bioavailability of ramiprilat after PO ramipril was 6-9%."( Pharmacokinetics and pharmacodynamics of ramipril and ramiprilat after intravenous and oral doses of ramipril in healthy horses.
Castejón-Riber, C; Esgueva, M; Gómez-Díez, M; Mena-Bravo, A; Muñoz, A; Priego-Capote, F; Serrano Caballero, JM; Serrano-Rodríguez, JM, 2016
)
0.99
" Zofenopril is a unique ACEI that has been shown to increase hydrogen sulfide (H2S) bioavailability and nitric oxide (NO) levels via bradykinin-dependent signaling."( Zofenopril Protects Against Myocardial Ischemia-Reperfusion Injury by Increasing Nitric Oxide and Hydrogen Sulfide Bioavailability.
Ali, MJ; Bradley, JM; Cirino, G; Donnarumma, E; Evangelista, S; Goodchild, TT; Islam, KN; Jenkins, JS; Lefer, DJ; Organ, CL; Patel, RA; Polhemus, DJ; Rushing, AM; Scarborough, AL, 2016
)
0.43
"The ATP-binding cassette transporter P-glycoprotein (P-gp) is known to limit both brain penetration and oral bioavailability of many chemotherapy drugs."( A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
Ambudkar, SV; Brimacombe, KR; Chen, L; Gottesman, MM; Guha, R; Hall, MD; Klumpp-Thomas, C; Lee, OW; Lee, TD; Lusvarghi, S; Robey, RW; Shen, M; Tebase, BG, 2019
)
0.51
" It has about 28% oral bioavailability and is eliminated through the kidneys."( Formulation and In Vitro Evaluation of a Ramipril Entrapped in a Microsponge-based Drug-delivery System.
Abdulbaqi, MR; Rahmani, MHP; Samein, LH; Taghi, HS,
)
0.4

Dosage Studied

Bedtime administration of diltiazem ER led to significantly greater early morning hemodynamic effects compared to the angiotensin-converting enzyme inhibitor ramipril. No adjustment in dosage based on pharmacokinetic considerations is required.

ExcerptRelevanceReference
" An exploratory procedure based on RSM modeling is used to build a segmented linear model and a stairstep linear model to describe dose-response relationships."( The analysis of a multiple-dose, combination-drug clinical trial using response surface methodology.
Cairns, V; Koch, GG; Phillips, JA, 1992
)
0.28
" The incidence of cough appeared to be related both to the dosage of ramipril given and to outbreaks of influenza syndrome."( The French multicentre study of ramipril in ambulatory patients with mild-to-moderate hypertension.
Carré, A; Vasmant, D; Zannad, F, 1992
)
0.8
" ACE activity in the renal cortex and arteries 2 h after last dosing was almost completely inhibited by ramipril whereas ACE activity in the veins and heart was inhibited to a lesser extent."( Inhibition of angiotensin converting enzyme by ramipril in serum and tissue of man.
Akbary, A; Chen-Gal, B; Erman, A; Levi, E; Rabinov, M; Rosenfeld, JB; Shmueli, J; Tadjer, S; Winkler, J; Zelykovski, A, 1991
)
0.75
"The dose-response relationship of ramipril was examined in 216 subjects with mild-to-moderate essential hypertension in a double-blind, placebo-controlled, multicenter study."( Dose-response relationship of ramipril in patients with mild-to-moderate hypertension.
Schnaper, HW, 1991
)
0.85
" Significant decreases from baseline in supine and standing diastolic blood pressures were seen in all dosage groups at end point."( Efficacy and safety of a new angiotensin-converting enzyme inhibitor, ramipril, vs. enalapril in essential hypertension: a multicenter trial.
Mroczek, WJ, 1991
)
0.52
" During treatment, the investigator was permitted to adjust the dosage of ramipril and HCTZ according to BP response and tolerance."( Efficacy and safety of ramipril in combination with hydrochlorothiazide: results of a long-term study.
Bauer, B; Breitstadt, A; Cairns, V; Froer, KL; Heidbreder, D, 1991
)
0.82
" The values for albumin excretion, creatinine clearance, GGT, AAP, NAG, and LDH obtained for the various days during the time course before and during multiple dosing were subjected to an analysis of variance followed by Scheffe's test for means."( Influence of ramipril on renal function in patients with chronic congestive heart failure.
Brockmeier, D; Heintz, B; Kierdorf, H; Kirsten, R; Lefèvre, G; Maigatter, S; Nelson, K; Sieberth, HG; Verho, M, 1991
)
0.65
"The multicentre ramipril trial was original in that the CEI was tested at its lowest effective dosage level."( [The French ambulatory multicenter trial of Triatec: conclusions of the trial].
Le Menn, G, 1990
)
0.63
" Thus, combined treatment with low doses of loop diuretics and ACE inhibitors that permit partial recovery of serum ACE activity during the 24 h after dosing synergistically lowers blood pressure without adverse reactions associated with larger doses of either therapy alone."( Loop diuretics combined with an ACE inhibitor for treatment of hypertension: a study with furosemide, piretanide, and ramipril in spontaneously hypertensive rats.
Baldes, L; Becker, RH; Treudler, M, 1989
)
0.49
" Using an individualised dosage scheme, neither long-lasting hypotension nor deterioration of renal function occurred."( Acute and chronic effects of ramipril and captopril in congestive heart failure.
de Graeff, PA; Kingma, JH; Lie, KI; Viersma, JW; Wesseling, H, 1989
)
0.57
" As the phenprocoumon dosage was kept unchanged during the double-blind phase, the results indicate that ramipril does not interfere with the vitamin K-dependent cascade."( Absence of interaction between ramipril, a new ACE-inhibitor, and phenprocoumon, an anticoagulant agent.
Grötsch, H; Malerczyk, V; Verho, M; Zenbil, I, 1989
)
0.78
" In ex vivo dose-response and time-course studies, the inhibitory effects of the seven drugs on tissue ACEs and their relative distributions to SHR tissues were compared following oral administration."( Comparisons in vitro, ex vivo, and in vivo of the actions of seven structurally diverse inhibitors of angiotensin converting enzyme (ACE).
Cushman, DW; DeForrest, JM; Fung, WC; Grover, GJ; Harvey, CM; Mitch, SL; Scalese, RJ; Wang, FL, 1989
)
0.28
" In patients not responding to this dosage regimen at the end of a 4-week treatment period, the dose was doubled."( A multi-centre comparative study between ramipril and enalapril in patients with mild to moderate essential hypertension.
Akbary, MA; Rangoonwala, B; Rosenfeld, J; Schinzel, S; Zabludowski, J, 1988
)
0.54
" Glucuronidase hydrolysis of urine obtained from rats dosed with either enalapril, ramipril or perindopril indicated the absence of glucuronidate conjugates of these inhibitors in rat urine."( Biotransformation studies of di-acid angiotensin converting enzyme inhibitors.
Drummer, OH; Kourtis, S, 1987
)
0.5
" Blood pressures for the 10 h interval post dosing showed smooth through-the-day control with minimal peak/trough difference in lowering effect."( Effects of the new angiotensin-converting enzyme inhibitor, ramipril, in patients with essential hypertension.
Kolloch, R; Overlack, A; Pahnke, K; Schatz, J; Stumpe, KO; Witte, PU, 1986
)
0.51
"The time course of the blood pressure lowering effect and the dose-response relationship of the new angiotensin converting enzyme inhibitor ramipril (HOE 498) were studied in 8 patients, with essential hypertension."( Studies on the antihypertensive effect of single doses of the angiotensin converting enzyme inhibitor ramipril (HOE 498) in man.
Böhm, RO; Rahn, KH; van Baak, MA, 1986
)
0.69
" It appears from the results of this study that the minimum effective dosage of ramipril is 5 mg once daily."( A double-blind study to compare the efficacy, tolerance and safety of two doses of the angiotensin converting enzyme inhibitor ramipril with placebo.
Bertolasi, CA; Cairns, V; Villamil, AS; Witte, PU, 1987
)
0.71
"The effects of various dosage levels of ramipril on blood pressure were examined in a double-blind multicenter clinical trial."( Dose-response relation of the angiotensin converting enzyme inhibitor ramipril in mild to moderate essential hypertension.
Forthofer, R; Walter, U; Witte, PU, 1987
)
0.77
" Renal excretion largely determines the drug's duration of action and the dosage should be reduced in patients with renal impairment."( Clinical pharmacology of ramipril.
Ball, SG; Robertson, JI, 1987
)
0.58
" The effects of ramipril, a new angiotensin converting enzyme inhibitor, on serum digoxin concentration after multiple dosing were studied in 12 healthy volunteers."( Pharmacokinetic interaction study with ramipril and digoxin in healthy volunteers.
Doering, W; Irmisch, R; König, E; Maass, L, 1987
)
0.89
"5 ng/ml about 1 hour after dosing and was completely eliminated from the serum after 24 hours."( Pharmacokinetics and pharmacodynamics of ramipril in renal failure.
Aurell, M; Delin, K; Herlitz, H; Irmisch, R; Ljungman, S; Witte, PU, 1987
)
0.54
" The activity of the angiotensin converting enzyme in plasma was completely suppressed for up to 12 h, and 72 h after dosing 50% inhibition of the enzyme was still observed."( Pharmacokinetics and pharmacodynamics of a novel orally active angiotensin converting enzyme inhibitor (HOE 498) in healthy subjects.
Hajdú, P; Irmisch, R; Metzger, H; Witte, PU, 1984
)
0.27
" The antifibrotic effect of ramipril was also present in a low dosage that did not lower blood pressure, confirming the hypothesis that angiotensin II has a direct effect on connective tissue cells and their ability to produce extracellular matrix proteins."( Extracellular matrix deposition in hypertensive hearts antifibrotic effects of ramipril.
Linz, W; Münkel, B; Nagasawa, K; Schaper, J; Schölkens, B; Zimmermann, R, 1995
)
0.81
" Furthermore, bradykinin did not modify the dose-response curves for added norepinephrine."( Importance of sympathetic innervation in the positive inotropic effects of bradykinin and ramiprilat.
Djokovic, A; Erdös, EG; Miletich, DJ; Minshall, RD; Rabito, SF; Vogel, SM; Yelamanchi, VP, 1994
)
0.51
" At the end of the 4-week trial, patients in all six dosage groups had clinically and statistically significant reductions in supine diastolic blood pressure compared with baseline values."( Comparison of ramipril and enalapril in patients with essential hypertension.
Mroczek, WJ; Ruddy, MC,
)
0.49
" Measurable concentrations of ramipril were recorded in plasma after oral dosing (bioavailability approximately 45%), whereas in CSF the prodrug concentration was below the minimal determinable levels in most cases."( Central nervous and systemic kinetics of ramipril and ramiprilat in the conscious dog.
Abrahamsson, T; Ervik, M; Forshult, E; Nordström, M; Regårdh, CG, 1993
)
0.84
" Response surface analyses were performed, and a stairstep model was constructed to characterize the shape of the dose-response surface."( Short report: ramipril and hydrochlorothiazide combination therapy in hypertension: a clinical trial of factorial design. The East Germany Collaborative Trial Group.
Bauer, B; Bender, N; Breitstadt, A; Cairns, V; Koch, G; Moreadith, C; Phillips, J; Priestley, C; Scholze, J; Vander Elst, E, 1993
)
0.65
"Several dosage combinations of ramipril plus HCT produced significantly greater blood pressure reductions than the monotherapies at the same dosages."( Short report: ramipril and hydrochlorothiazide combination therapy in hypertension: a clinical trial of factorial design. The East Germany Collaborative Trial Group.
Bauer, B; Bender, N; Breitstadt, A; Cairns, V; Koch, G; Moreadith, C; Phillips, J; Priestley, C; Scholze, J; Vander Elst, E, 1993
)
0.93
" In the present work we determine ANF and BNP synthesis and secretion in the aortic-banded rat treated with dosage schedules of the ACE inhibitor ramipril that result in the prevention or regression of both hypertension and hypertrophy (high dosage) or in the prevention or regression of hypertrophy alone with persistent hypertension (low dosage)."( Evidence for load-dependent and load-independent determinants of cardiac natriuretic peptide production.
Bruneau, BG; Chen, JH; de Bold, AJ; Eid, H; Kuroski de Bold, ML; Linz, W; Ogawa, T; Schölkens, BA; Stevenson, M, 1996
)
0.49
" Data from a randomized crossover study in healthy volunteers given 2 different dosage forms with 5 mg ramipril serve to compare the theoretically deduced predictions with actual measurements."( Tight binding of ramiprilat to ACE: consequences for pharmacokinetic and pharmacodynamic measurements.
Brockmeier, D, 1995
)
0.85
"5 mg is an appropriate starting dosage when initiating combination antihypertensive therapy."( Ramipril and felodipine: a comparison of the efficacy and safety of monotherapy versus combination therapy.
Bauer, B; Poisson, P; Rangoonwala, B; Schueler, E, 1996
)
1.74
" No dosage altered the circadian rhythm of blood pressure, heart rate and locomotor activity of the rats."( Sustained diurnal blood pressure reduction in SHR with ramipril assessed by telemetric monitoring.
Baldes, L; Becker, RH; Fürst, U; Schulze, KJ, 1997
)
0.54
"In rats, a toxic dosage of isoproterenol caused characteristic myocardial damage that subsequently resulted in mild heart failure."( Development of heart failure following isoproterenol administration in the rat: role of the renin-angiotensin system.
Bruckschlegel, G; Elsner, D; Griese, D; Grimm, D; Kromer, EP; Muders, F; Pfeifer, M; Riegger, GA; Schunkert, H, 1998
)
0.3
" The spectrophotometric and atomic absorption spectrometric procedures hold their accuracy and precision well when applied to the determination of ramipril and perindopril dosage forms."( Spectrophotometric and atomic absorption spectrometric determination of ramipril and perindopril through ternary complex formation with eosin and Cu(II).
Abdellatef, HE; Ayad, MM; Taha, EA, 1999
)
0.74
"The aim of the study was to identify the most appropriate dosage combination of ramipril and felodipine ER (an extended release tablet) for mild-to-moderate hypertension."( Antihypertensive profiles with ascending dose combinations of ramipril and felodipine ER.
Bauer, B; Massaro, J; Scholze, J, 1999
)
0.77
" This dosage also inhibited the progression of atherosclerosis in the apo E-deficient mice by 74%."( Attenuation of atherosclerosis in apolipoprotein E-deficient mice by ramipril is dissociated from its antihypertensive effect and from potentiation of bradykinin.
Attias, J; Coleman, R; Hayek, T; Keidar, S; Schölkens, B; Wirth, K, 2000
)
0.54
" Ramiprilat or mercaptoethanol induced leftward shifts in the BK dose-response curve (EC(50)=3."( Potentiation of the vascular response to kinins by inhibition of myocardial kininases.
Dendorfer, A; Dominiak, P; Inamura, N; Schäfer, U; Stewart, JM; Wolfrum, S, 2000
)
1.22
"To be listed for heart transplantation (HTx), optimization of the dosage of angiotensin converting enzyme (ACE) -inhibitors is recommended worldwide even though this issue has not been thoroughly investigated in the pre-transplantation cohort."( ACE inhibitor dosage at the time of listing predicts survival.
Berger, R; Frey, B; Kozanly, I; Kuchling, G; Pacher, R; Stanek, B, 2000
)
0.31
"A simple, rapid and sensitive HPLC method has been developed for the simultaneous determination of ramipril and hydrochlorothiazide in their dosage forms."( A stability-indicating LC method for the simultaneous determination of ramipril and hydrochlorothiazide in dosage forms.
Abounassif, MA; Al-Zaagi, IA; Belal, F; Gadkariem, EA, 2001
)
0.76
" Results obtained for the proposed method when applied to the determination of both compounds in dosage forms were in good agreement with those obtained using reference methods."( Voltammetric determination of benazepril and ramipril in dosage forms and biological fluids through nitrosation.
Abounassif, MA; Al-Zaagi, IA; Belal, F,
)
0.39
" The proposed procedure was successfully applied to the determination of ramipril in both tablet dosage form and in plasma."( Use of 7-fluoro-4-nitrobenzo-2-oxo-1,3-diazole (NBD-F) for the determination of ramipril in tablets and spiked human plasma.
Al-Majed, AA; Al-Zehouri, J, 2001
)
0.77
" Thus, it is reasonable to select an antihypertensive agent that offers smooth and well-sustained blood pressure control for the full 24-hour dosing interval, including the vulnerable early morning period."( The 24-hour blood pressure pattern: does it have implications for morbidity and mortality?
Weber, MA, 2002
)
0.31
" Thus, severe hypertension and related CVD were regressed by MDL-100,240, which resulted to be as effective as a full dosage of ramipril in TGRen2."( Comparative effects of the dual ACE-NEP inhibitor MDL-100,240 and ramipril on hypertension and cardiovascular disease in endogenous angiotensin II-dependent hypertension.
Agabiti-Rosei, E; Bova, S; Neri, G; Nussdorfer, GG; Pessina, AC; Rizzoni, D; Rossi, GP; Sacchetto, A, 2002
)
0.76
" The spectrophotometric and atomic absorption spectrometric procedures hold their accuracy and precision well when applied to the determination of ramipril and enalapril dosage forms."( Spectrophotometric and AAS determination of ramipril and enalapril through ternary complex formation.
Abdellatef, HE; Ayad, MM; Hosny, MM; Shalaby, AA, 2002
)
0.78
"to study different ramipril dosage regimens on cerebral blood flow and cognitive function in elderly patients with mild to moderate hypertension."( [Ramipril in elderly patients with mild and moderate hypertension. Clinical efficacy, effect on cerebral blood flow and intellectual functioning].
Avakian, GN; Gudkova, OA; Ivanishina, NS; Pogosova, GV; Zhidko, NI, 2003
)
1.56
" The aim of the study was to investigate dosing of ACE inhibitors in patients discharged from the hospital after an acute myocardial infarction (AMI) and, furthermore, to compare these doses with the doses actually reached in clinical trials."( The problem of underdosing of angiotensin-converting enzyme inhibitors is markedly overrated: results from a study of patients discharged from hospital after an acute myocardial infarction.
Kvan, E; Reikvam, A, 2004
)
0.32
" Outcome variables, including deaths and drug utilization with dosing after 6 months, were collected."( The problem of underdosing of angiotensin-converting enzyme inhibitors is markedly overrated: results from a study of patients discharged from hospital after an acute myocardial infarction.
Kvan, E; Reikvam, A, 2004
)
0.32
"We studied the effects of a graded-release delivery system of diltiazem (diltiazem HCL extended release tablets) versus ramipril, both dosed at bedtime, on blood pressure (BP), heart rate, and the heart rate-systolic BP product during the first 4 hours after awakening in a double-blind, titration-to-effect trial."( Effects of graded-release diltiazem versus ramipril, dosed at bedtime, on early morning blood pressure, heart rate, and the rate-pressure product.
Albert, KS; Gana, T; Lacourciere, Y; Pascual, MG; Smith, DH; White, WB, 2004
)
0.79
"These data demonstrate that bedtime administration of diltiazem ER, an agent designed to parallel the circadian rhythm of BP and heart rate, led to significantly greater early morning hemodynamic effects compared to the angiotensin-converting enzyme inhibitor ramipril, also dosed in the evening."( Effects of graded-release diltiazem versus ramipril, dosed at bedtime, on early morning blood pressure, heart rate, and the rate-pressure product.
Albert, KS; Gana, T; Lacourciere, Y; Pascual, MG; Smith, DH; White, WB, 2004
)
0.77
" At the end of this crossover sequence, patients received combined ramipril at 5 mg/d, valsartan at 80 mg/d, and an increased furosemide dosage for an additional 4-wk period."( Diuretic and enhanced sodium restriction results in improved antiproteinuric response to RAS blocking agents.
Delcroix, C; Ekhlas, A; Esnault, VL; Moutel, MG; Nguyen, JM, 2005
)
0.56
" The experiment protocol included sham-operated rats (Sham), MI-control rats (MI-control), MI rats treated with ramipril 3 mg/kg (MI-ramipril) or TCV116 2 mg/kg (MI-TCV116) per day, half dosage (MI-1/2R&T) or full dosage (MI-R&T) combination of the two."( Combined effects of ramipril and angiotensin II receptor blocker TCV116 on rat congestive heart failure after myocardial infarction.
Huang, YW; Tao, ZW; Xia, Q; Xu, QW, 2005
)
0.86
"The results suggest that treatment with appropriate dosage combination of a chronic ACEI and a chronic ARB may further improve cardiac remodeling and cardiac function after MI."( Combined effects of ramipril and angiotensin II receptor blocker TCV116 on rat congestive heart failure after myocardial infarction.
Huang, YW; Tao, ZW; Xia, Q; Xu, QW, 2005
)
0.65
" The ramipril/felodipine ER combination is as well tolerated as ramipril or felodipine ER monotherapy administered at the same dosages, and is better tolerated than felodipine ER monotherapy given at twice the dosage used in the combination."( Ramipril/felodipine extended-release fixed-dose combination: a review of its use in the management of essential hypertension.
Cvetković, RS; Plosker, GL, 2005
)
2.29
" The target dosage of 10 mg daily was reached in 73% of patients with 96% of patients achieving 5 mg or 10 mg daily."( The HOPE TIPS: the HOPE study translated into practices.
Sharpe, N, 2005
)
0.33
"To compare the efficacy and safety of once-daily telmisartan and ramipril on blood pressure (BP) reductions during the last 6 h of the dosing interval."( The prospective, randomized investigation of the safety and efficacy of telmisartan versus ramipril using ambulatory blood pressure monitoring (PRISMA I).
Gosse, P; Harper, R; Lowe, L; Williams, B, 2006
)
0.79
"Telmisartan was significantly more effective than ramipril in reducing BP throughout the 24-h dosing interval and particularly during the last 6 h, a time when patients appear to be at greatest risk of cerebro- and cardiovascular events."( The prospective, randomized investigation of the safety and efficacy of telmisartan versus ramipril using ambulatory blood pressure monitoring (PRISMA I).
Gosse, P; Harper, R; Lowe, L; Williams, B, 2006
)
0.81
" In the low-salt panel the rise in plasma active renin concentration achieved 24 hours after dosing by 25 mg AVE7688 (247 pg/mL [95% CI, 157-389 pg/mL], P < ."( Pharmacokinetics and pharmacodynamics of the vasopeptidase inhibitor AVE7688 in humans.
Azizi, M; Bissery, A; Floch, A; Guyene, TT; Ménard, J; Ozoux, ML; Peyrard, S, 2006
)
0.33
" In a prospective, randomized, open-label, blinded-endpoint, parallel-group, multicenter, forced-titration study of telmisartan and ramipril, the efficacy of both drugs on mean ambulatory diastolic BP (DBP) and systolic BP (SBP) during the last 6 h of a 24-h dosing interval was evaluated."( A multicenter, 14-week study of telmisartan and ramipril in patients with mild-to-moderate hypertension using ambulatory blood pressure monitoring.
Davidai, G; Koval, S; Lacourcière, Y; Neutel, JM, 2006
)
0.79
"Telmisartan 80 mg was consistently more effective than ramipril 10 mg in reducing both DBP and SBP during the last 6 h of the dosing interval, a measure of the early morning period when patients are at greatest risk of life-threatening cardiovascular and cerebrovascular events."( A multicenter, 14-week study of telmisartan and ramipril in patients with mild-to-moderate hypertension using ambulatory blood pressure monitoring.
Davidai, G; Koval, S; Lacourcière, Y; Neutel, JM, 2006
)
0.84
" No adjustment of the recommended PO dosage of ramipril is needed in dogs with moderate renal impairment."( Pharmacokinetic and pharmacodynamic parameters of ramipril and ramiprilat in healthy dogs and dogs with reduced glomerular filtration rate.
Jeunesse, E; Laroute, V; Lefebvre, HP; Toutain, PL,
)
0.64
" Furthermore, because of the notorious subtarget dosing of such agents in clinical practice, we explored the influence of a modest dosing of an angiotensin-converting enzyme inhibitor, angiotensin II type 1 receptor blockers, and the combination on common biologic markers of coronary atherosclerotic disease."( Lack of effect on coronary atherosclerotic disease biomarkers with modest dosing of an angiotensin-converting enzyme inhibitor, angiotensin II type-1 receptor blocker, and the combination.
Cox, CD; Meyerrose, GE; Peek, MC; Seifert, CF; Simoni, JS; Tsikouris, JP, 2006
)
0.33
"This study of various methods of the renin-angiotensin system inhibition in stable coronary atherosclerotic disease patients demonstrates negligible effects of a modest dosing of ramipril and the combination of ramipril plus candesartan on common biologic markers of coronary atherosclerotic disease."( Lack of effect on coronary atherosclerotic disease biomarkers with modest dosing of an angiotensin-converting enzyme inhibitor, angiotensin II type-1 receptor blocker, and the combination.
Cox, CD; Meyerrose, GE; Peek, MC; Seifert, CF; Simoni, JS; Tsikouris, JP, 2006
)
0.53
"Rats were ranodmly divided into Model group, Ramipril group (positive control, 1 mg/kg x d), SQCR low dosage (0."( [Effects and mechanism of ShenQi compound recipe on inflammation maker in GK rats].
Chen, SW; Deng, XF; Wang, F; Xie, CG; Xie, YQ; Zhang, HM, 2006
)
0.59
" In each study, subjects received multiple once-daily doses of aliskiren and the test antihypertensive drug alone or in combination in two dosing periods separated by a drug-free washout period."( Lack of pharmacokinetic interactions of aliskiren, a novel direct renin inhibitor for the treatment of hypertension, with the antihypertensives amlodipine, valsartan, hydrochlorothiazide (HCTZ) and ramipril in healthy volunteers.
Bizot, MN; Denouel, J; Dieterich, HA; Dole, WP; Kemp, C; Vaidyanathan, S; Valencia, J; Yeh, CM; Zhao, C, 2006
)
0.52
"The blood pressure-lowering dose-response relationship for angiotensin converting enzyme (ACE) inhibitors is assumed to flatten at doses higher than those conventionally used in clinical practice."( Redefining the ACE-inhibitor dose-response relationship: substantial blood pressure lowering after massive doses.
Bateman, DN; Christie, GA; Lucas, C; Waring, WS, 2006
)
0.33
" We conclude that a blood pressure-lowering dose-response relationship extends to higher ACE inhibitor doses than those conventionally used in clinical practice."( Redefining the ACE-inhibitor dose-response relationship: substantial blood pressure lowering after massive doses.
Bateman, DN; Christie, GA; Lucas, C; Waring, WS, 2006
)
0.33
" The present study revealed that ramipril nanoemulsion could be used as a liquid formulation for pediatric and geriatric patients and can be formulated as self-nanoemulsifying drug delivery system (SNEDDS) as a unit dosage form."( Development and bioavailability assessment of ramipril nanoemulsion formulation.
Ahmad, FJ; Ali, M; Khar, RK; Shafiq, S; Shakeel, F; Talegaonkar, S, 2007
)
0.88
"A double-blind, crossover, randomized study was designed to evaluate the effect of 3-month treatment with a lower versus a higher antihypertensive dosage of ramipril (5 or 10 mg/day) on nitric oxide (NO)-dependent vasodilation in 46 untreated patients with essential hypertension."( Ramipril dose-dependently increases nitric oxide availability in the radial artery of essential hypertension patients.
Ghiadoni, L; Giannarelli, C; Kardasz, I; Magagna, A; Plantinga, Y; Salvetti, A; Taddei, S; Versari, D, 2007
)
1.98
"Treatment with ramipril at a higher dosage induced a greater improvement in NO-dependent vasodilation compared with the lower antihypertensive dosage in hypertensive patients."( Ramipril dose-dependently increases nitric oxide availability in the radial artery of essential hypertension patients.
Ghiadoni, L; Giannarelli, C; Kardasz, I; Magagna, A; Plantinga, Y; Salvetti, A; Taddei, S; Versari, D, 2007
)
2.14
" In this study the dose-response of a single ACEI was assessed, and patients were followed up for 1 year."( Ramipril in post-renal transplant erythrocytosis.
Cirillo, F; De Blasio, A; Esposito, R; Federico, S; Giammarino, A; Martinelli, V; Russo, D; Scopacasa, F,
)
1.57
" The fall in BP after daytime dosing is greater than that observed in the HOPE study (including ABP substudy)."( Assessment of single versus twice daily dosing of ramipril by ambulatory blood pressure monitoring in patients similar to those included in the HOPE study.
Chong, AY; Goyal, D; Prasad, N; Watson, RD; Watson, RL, 2007
)
0.59
" No adjustment in dosage based on pharmacokinetic considerations is required should vildagliptin be coadministered with amlodipine, valsartan, or ramipril in patients with type 2 diabetes and hypertension."( Vildagliptin, a novel dipeptidyl peptidase IV inhibitor, has no pharmacokinetic interactions with the antihypertensive agents amlodipine, valsartan, and ramipril in healthy subjects.
Campestrini, J; Dole, K; Dole, WP; He, YL; Howard, D; Ligueros-Saylan, M; Marion, A; Pommier, F; Sabo, R; Sunkara, G; Wang, Y; Zhao, C, 2008
)
0.74
"A number of analytical methods were reported for the estimation of atorvastatin and ramipril from their individual dosage forms or in combination with other drugs (Valiyare, 2004; Vachareau and Neirinck, 2000)."( Simultaneous estimation of atorvastatin and ramipril by RP-HPLC and spectroscopy.
George, M; Joseph, L; Rao B, VR, 2008
)
0.83
" The appropriateness of this dosage regime needs to be confirmed in diseased cats."( Pharmacokinetics and pharmacodynamics of ramipril and ramiprilat in healthy cats.
Burgaud, S; Desmoulins, PO; Horspool, LJ, 2008
)
0.61
" These methods hold their accuracy and precision well when applied to the determination of ramipril, enalapril maleate and fosinopril in their dosage forms."( Spectrophotometric and atomic absorption determination of ramipril, enalapril maleate and fosinopril through ternary complex formation with molybdenum (V)-thiocyanate (Mo(V)-SCN).
Abd-Alaty, NM; Baraka, MM; El-Sadek, M; Moussa, EM, 2008
)
0.81
"The drugs were given to the diabetic rats for 2 weeks; oxidative stress was measured by dosage of total plasma antioxidant capacity (TRAP) and malondialdehyde (MDA)."( [Effects of ramipril and simvastatin on the oxidative stress of diabetic rats].
Barbosa, DS; Delfino, VD; Elias, JA; Fabris, BA; Matsuo, T, 2008
)
0.72
" Ideally, antihypertensive therapy should maintain control of BP throughout the 24-h dosing cycle."( Antihypertensive efficacy of telmisartan vs ramipril over the 24-h dosing period, including the critical early morning hours: a pooled analysis of the PRISMA I and II randomized trials.
Gosse, P; Lacourcière, Y; Neutel, JM; Schumacher, H; Williams, B, 2009
)
0.61
" The change in the dose-response curve, increased proportion of controlled patients, and improved efficacy on nighttime blood pressure with administration of ramipril at bedtime should be taken into account when prescribing this angiotensin-converting enzyme inhibitor for treatment of essential hypertension."( Chronotherapy with the angiotensin-converting enzyme inhibitor ramipril in essential hypertension: improved blood pressure control with bedtime dosing.
Ayala, DE; Hermida, RC, 2009
)
0.79
"Most patients inadvertently miss an occasional dose of antihypertensive therapy, and hence drugs that provide sustained blood-pressure (BP) reduction beyond the 24-h dosing interval are desirable."( Maintenance of blood-pressure-lowering effect following a missed dose of aliskiren, irbesartan or ramipril: results of a randomized, double-blind study.
Botha, J; Bush, C; Jung, W; Keefe, DL; Palatini, P; Shlyakhto, E, 2010
)
0.58
" In clinical trials conducted in patients with mild-to-moderate hypertension, the angiotensin II receptor blocker (ARB) telmisartan has been shown to provide reduction of blood pressure throughout the 24-h dosing interval."( Achieving blood pressure goals: should angiotensin II receptor blockers become first-line treatment in hypertension?
Weber, M, 2009
)
0.35
" Eighteen patients with stable proteinuria over 1 g/day with combined ramipril at 5 mg/day and valsartan at 80 mg/day in addition to conventional antihypertensive treatments were randomized to receive combined ramipril at 5 mg/day and valsartan at 80 mg/day, or combined ramipril at 10 mg/day and valsartan at 160 mg/day, or combined ramipril at 5 mg/day, valsartan at 80 mg/day and increased furosemide dosage in random order."( Diuretic uptitration with half dose combined ACEI + ARB better decreases proteinuria than combined ACEI + ARB uptitration.
Ekhlas, A; Esnault, VL; Moranne, O; Nguyen, JM, 2010
)
0.59
"The geometric mean urinary protein/creatinine ratio was lower with combined ramipril at 5 mg/day, valsartan at 80 mg/day and increased furosemide dosage compared to combined ramipril at 5 mg/day and valsartan at 80 mg/day, but also to combined ramipril at 10 mg/day and valsartan at 160 mg/day."( Diuretic uptitration with half dose combined ACEI + ARB better decreases proteinuria than combined ACEI + ARB uptitration.
Ekhlas, A; Esnault, VL; Moranne, O; Nguyen, JM, 2010
)
0.59
"A cautious uptitration of loop diuretic dosage in addition to combined half doses of ACEI and ARB better decrease proteinuria in patients with CKD and high residual proteinuria than uptitration to full dose of combined ACEI and ARB."( Diuretic uptitration with half dose combined ACEI + ARB better decreases proteinuria than combined ACEI + ARB uptitration.
Ekhlas, A; Esnault, VL; Moranne, O; Nguyen, JM, 2010
)
0.36
" In patients with mild-to-moderate hypertension, telmisartan has proved superior to other antihypertensive agents (valsartan, losartan, ramipril, perindopril, and atenolol) in controlling blood pressure particularly towards the end of the dosing interval."( New standards in hypertension and cardiovascular risk management: focus on telmisartan.
Capogrosso, C; Di Michele, S; Galzerano, A; Galzerano, D; Gaudio, C; Lama, D; Paparello, P, 2010
)
0.56
" The larger blood pressure reduction obtained with O was particularly evident in the last 6 h from the dosing interval; a better homogeneity of the 24-h BP control with O was confirmed by higher smoothness indices."( Antihypertensive efficacy and safety of olmesartan medoxomil and ramipril in elderly patients with mild to moderate essential hypertension: the ESPORT study.
Auteri, A; Malacco, E; Omboni, S; Volpe, M; Zanchetti, A, 2010
)
0.6
" We set out to test the effect of nephron number dosing on blood pressure and cardiorenal damage including left ventricular (LV) remodeling and function."( Impact of nephron number dosing on cardiorenal damage and effects of ACE inhibition.
Bauhaus, I; Bernhard Haug, M; Eberson, J; Keller, F; Kreutz, R; Lorenz, M; Rothermund, L; Schnieber, A; Schulz, A; Vetter, R, 2011
)
0.37
" In previous ARB outcome trials, cardiovascular risk profile, nature and severity of the underlying cardiovascular disease, dosing regimens and concomitant therapies, follow-up, and endpoints have varied greatly so that caution is warranted in extrapolating evidence gained from high-risk patients to other conditions such as acute myocardial infarction or chronic heart failure."( From evidence to rationale: cardiovascular protection by angiotensin II receptor blockers compared with angiotensin-converting enzyme inhibitors.
Baumhäkel, M; Böhm, M; Mahfoud, F; Werner, C, 2010
)
0.36
" The superiority of O was particularly evident in the last 4 h from the dosing interval."( Antihypertensive efficacy and safety of olmesartan and ramipril in elderly patients with mild to moderate systolic and diastolic essential hypertension.
Barton, J; Mallion, JM; Narkiewicz, K; Omboni, S; Panzer, PK; Puig, JG; Stefanadis, C; Van Mieghem, W; Zweiker, R, 2011
)
0.62
"Two simple and accurate methods to determine atorvastatin calcium and ramipril in capsule dosage forms were developed and validated using HPLC and HPTLC."( Simultaneous determination of atorvastatin calcium and ramipril in capsule dosage forms by high-performance liquid chromatography and high-performance thin layer chromatography.
Panchal, HJ; Suhagia, BN,
)
0.61
" The proposed approach was successfully applied to the analysis of pharmaceutical dosage forms with good accuracy and precision."( A novel analytical approach for reducing the consumption of organic solvents in the charge transfer-based spectrophotometric analysis: application in the analysis of certain antihypertensive drugs.
Al-Majed, AR; Darwish, IA; Mahmoud, AM, 2010
)
0.36
" drugs with duration of action longer than the 24-h dosing interval) may allow an adequate blood pressure (BP) reduction to be maintained despite missed doses."( Impact of prolonged antihypertensive duration of action on predicted clinical outcomes in imperfectly adherent patients: comparison of aliskiren, irbesartan and ramipril.
Brede, Y; Burnier, M; Lowy, A, 2011
)
0.57
"For 1250 patients, we simulated 256-day dosing histories with realistically distributed drug holidays based on a study of electronically monitored dosing records."( Impact of prolonged antihypertensive duration of action on predicted clinical outcomes in imperfectly adherent patients: comparison of aliskiren, irbesartan and ramipril.
Brede, Y; Burnier, M; Lowy, A, 2011
)
0.57
"The development of a rapid and selective capillary electrophoresis method for the quantitation of ramipril and its eight main impurities in pharmaceutical dosage form is described."( Development of a capillary electrophoresis method for the assay of ramipril and its impurities: an issue of cis-trans isomerization.
Furlanetto, S; Giannini, I; Gotti, R; Orlandini, S; Pasquini, B, 2011
)
0.82
" Imidapril had a superior effect for preventing ventricular remodeling characterized by fibrosis and collagen accumulation in left ventricle compared with ramipril in the moderate and large MI groups, even though the dosage used in this study was too small to reduce systemic blood pressure."( A comparison between imidapril and ramipril on attenuation of ventricular remodeling after myocardial infarction.
Hirata, Y; Isobe, M; Nagai, R; Ogawa, M; Suzuki, J; Watanabe, R, 2012
)
0.85
" Olmesartan medoxomil showed larger BP reductions in the last 6 h from the dosing interval and higher smoothness indices than ramipril."( Twenty-four hour and early morning blood pressure control of olmesartan vs. ramipril in elderly hypertensive patients: pooled individual data analysis of two randomized, double-blind, parallel-group studies.
Malacco, E; Mallion, JM; Omboni, S; Volpe, M; Zanchetti, A, 2012
)
0.81
" Among blacks with hypertensive chronic kidney disease, neither PM (bedtime) dosing of once-daily antihypertensive nor the addition of drugs taken at bedtime significantly reduced nocturnal BP compared with morning dosing of antihypertensive medications."( A trial of 2 strategies to reduce nocturnal blood pressure in blacks with chronic kidney disease.
Agodoa, LY; Appel, LJ; Bakris, GL; Charleston, J; Contreras, G; Gabbai, F; Greene, T; Hiremath, L; Jamerson, K; Kendrick, C; Kusek, JW; Lash, JP; Lea, J; Miller, ER; Phillips, RA; Rahman, M; Rostand, S; Toto, R; Wang, X; Wright, JT, 2013
)
0.39
"97) or ramipril (AUC over a uniform dosing interval τ at steady state [AUCτ,ss]: GMR, 96."( Lack of clinically relevant drug-drug interaction between empagliflozin, a sodium glucose cotransporter 2 inhibitor, and verapamil, ramipril, or digoxin in healthy volunteers.
Broedl, UC; Macha, S; Pinnetti, S; Rose, P; Schoene, K; Sennewald, R; Woerle, HJ, 2013
)
1.05
"The execution of the dosing regimen in Polish primary health care is unknown."( Medication adherence in hypertensive patients of different cardiovascular risk treated in primary health care.
Dabrowski, M; Wiliński, J, 2013
)
0.39
" The methods were successfully applied for the determination of the studied drugs in pharmaceutical dosage forms with excellent recovery."( Utility of 4-chloro-7-nitrobenzofurazan (NBD-CI) for the Spectrophotometric and spectrofluorometric determination of several antihistamine and antihypertensive drugs.
Abd, el-HS; Colyer, CL; Hassan, WS; Shalaby, A,
)
0.13
" The optimized batch of microcapsules was formulated as a hard gelatine capsule dosage form containing loading (plain drug) as well as sustained fraction of drug in form of microcapsules."( Statistical optimization and in-vitro evaluation of hollow microcapsules of an anti-hypertensive agent.
Barik, BB; Premchandani, TA,
)
0.13
" The method has been validated according to International Conference on Harmonization guidelines and has been successfully applied for determination of the studied drugs in their dosage forms without interference from commonly encountered excipients."( Development and validation of TLC-densitometric method for simultaneous determination of two binary antihypertensive mixtures containing felodipine in fixed dose combinations.
Hammad, MA; Mohamed, AA; Mohamed, AM; Omar, MA, 2016
)
0.43
"We have used three dimensional (3D) extrusion printing to manufacture a multi-active solid dosage form or so called polypill."( 3D printing of five-in-one dose combination polypill with defined immediate and sustained release profiles.
Alexander, MR; Burley, JC; Khaled, SA; Roberts, CJ; Yang, J, 2015
)
0.42
"Zofenopril (10 mg/kg PO) was administered for 1, 8, and 24 hours to establish optimal dosing in mice."( Zofenopril Protects Against Myocardial Ischemia-Reperfusion Injury by Increasing Nitric Oxide and Hydrogen Sulfide Bioavailability.
Ali, MJ; Bradley, JM; Cirino, G; Donnarumma, E; Evangelista, S; Goodchild, TT; Islam, KN; Jenkins, JS; Lefer, DJ; Organ, CL; Patel, RA; Polhemus, DJ; Rushing, AM; Scarborough, AL, 2016
)
0.43
" The significance of inkjet printing in producing amorphous dosage forms from solution based inks and personalised dosage forms of drugs susceptible to processing conditions was demonstrated using ramipril."( Valvejet Technology for the Production of a Personalised Fixed Dose Combination of Ramipril and Glimepiride: an Investigative Study on the Stability of Ramipril.
Croker, DM; Faucher, A; Kollamaram, G; Walker, GM, 2018
)
0.89
" Complete dose-response curves were generated for the biological endpoint radiation-induced myelopathy (paresis grade II) within an observation time of 300 days."( Ramipril reduces incidence and prolongates latency time of radiation-induced rat myelopathy after photon and carbon ion irradiation.
Brons, S; Debus, J; Hahn, EW; Huber, PE; Karger, CP; Peschke, P; Saager, M, 2020
)
2
" The current work presents three newly developed UV spectrophotometric methods depending on minimal mathematical manipulations on the zero-order spectrum namely: absorption correction, induced dual-wavelength, and Fourier self deconvoluted method; for the simultaneous determination of celecoxib and ramipril in their pharmaceutical combined dosage forms with amlodipine."( Smart UV spectrophotometric methods based on simple mathematical filtration for the simultaneous determination of celecoxib and ramipril in their pharmaceutical mixtures with amlodipine: A comparative statistical study.
Attala, K; Elsonbaty, A, 2021
)
1
" Blood samples were taken over the dosing intervals and drug concentrations quantified by high-performance liquid chromatography-mass spectrometry."( Mechanistic Considerations About an Unexpected Ramipril Drug-Drug Interaction in the Development of a Triple Fixed-Dose Combination Product Containing Ramipril, Amlodipine, and Atorvastatin.
Gundlach, K; Hermann, R; Seiler, D, 2021
)
0.88
" The primary outcome was the change in equivalent dosing of ramipril and bisoprolol at 6-months."( Impact of the COVID-19 pandemic on the management of chronic heart failure.
Gierula, J; Jagger, J; McGinlay, M; Nouri, B; Straw, S; Witte, KK, 2021
)
0.86
" The prevalence of use (patients treated/1000 inhabitants) and of continuous treatment (patients treated for ≥80% period from the supply to the end of the same year - by means of dosage units - per 1000 inhabitants) of each single active substance were assessed."( [Chronic use of the unfixed combination of ACE-inhibitors and beta-blockers in Italy from 2013 to 2019 through the healthcare administrative data.]
Addesi, A; Calabria, S; Cinconze, E; Dondi, L; Esposito, I; Maggioni, AP; Martini, N; Pedrini, A; Piccinni, C; Ronconi, G, 2021
)
0.62
" Therefore, ramipril was considered safe for human use with a standard dosing regimen."( In silico and in vitro screening for carcinogenic potential of angiotensin-converting enzyme inhibitors and their degradation impurities.
Matera-Witkiewicz, A; Mikołajczyk, A; Regulska, K; Stanisz, BJ, 2023
)
1.29
" When administered in an instant dosage form, this medicine produces several side effects, including postural hypotension, hyperkalemia, and angioedema."( Formulation and In Vitro Evaluation of a Ramipril Entrapped in a Microsponge-based Drug-delivery System.
Abdulbaqi, MR; Rahmani, MHP; Samein, LH; Taghi, HS,
)
0.4
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (5)

RoleDescription
EC 3.4.15.1 (peptidyl-dipeptidase A) inhibitorAn EC 3.4.15.* (peptidyl-dipeptidase) inhibitor that interferes with the action of peptidyl-dipeptidase A (EC 3.4.15.1).
prodrugA compound that, on administration, must undergo chemical conversion by metabolic processes before becoming the pharmacologically active drug for which it is a prodrug.
cardioprotective agentAny protective agent that is able to prevent damage to the heart.
matrix metalloproteinase inhibitornull
bradykinin receptor B2 agonistA bradykinin agonist that binds to and activates bradykinin B2 receptors.
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (5)

ClassDescription
dicarboxylic acid monoesterA monoester of a dicarboxylic acid.
azabicycloalkane
cyclopentapyrrole
dipeptideAny molecule that contains two amino-acid residues connected by peptide linkages.
ethyl esterAny carboxylic ester resulting from the formal condensation of the carboxy group of a carboxylic acid with ethanol.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Pathways (3)

PathwayProteinsCompounds
Ramipril Action Pathway34
Ramipril Metabolism Pathway12
CAMKK2 pathway011

Protein Targets (10)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
GLI family zinc finger 3Homo sapiens (human)Potency33.49150.000714.592883.7951AID1259369
cytochrome P450 family 3 subfamily A polypeptide 4Homo sapiens (human)Potency24.54540.01237.983543.2770AID1645841
farnesoid X nuclear receptorHomo sapiens (human)Potency6.68190.375827.485161.6524AID743220
IDH1Homo sapiens (human)Potency29.09290.005210.865235.4813AID686970
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
ATP-binding cassette sub-family C member 3Homo sapiens (human)IC50 (µMol)133.00000.63154.45319.3000AID1473740
Multidrug resistance-associated protein 4Homo sapiens (human)IC50 (µMol)133.00000.20005.677410.0000AID1473741
Bile salt export pumpHomo sapiens (human)IC50 (µMol)133.00000.11007.190310.0000AID1473738
Angiotensin-converting enzyme Homo sapiens (human)IC50 (µMol)0.00400.00010.533610.0000AID39767
Angiotensin-converting enzymeOryctolagus cuniculus (rabbit)IC50 (µMol)0.25300.00001.612910.0000AID1231572; AID763534
Canalicular multispecific organic anion transporter 1Homo sapiens (human)IC50 (µMol)133.00002.41006.343310.0000AID1473739
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (96)

Processvia Protein(s)Taxonomy
xenobiotic metabolic processATP-binding cassette sub-family C member 3Homo sapiens (human)
xenobiotic transmembrane transportATP-binding cassette sub-family C member 3Homo sapiens (human)
bile acid and bile salt transportATP-binding cassette sub-family C member 3Homo sapiens (human)
glucuronoside transportATP-binding cassette sub-family C member 3Homo sapiens (human)
xenobiotic transportATP-binding cassette sub-family C member 3Homo sapiens (human)
transmembrane transportATP-binding cassette sub-family C member 3Homo sapiens (human)
leukotriene transportATP-binding cassette sub-family C member 3Homo sapiens (human)
monoatomic anion transmembrane transportATP-binding cassette sub-family C member 3Homo sapiens (human)
transport across blood-brain barrierATP-binding cassette sub-family C member 3Homo sapiens (human)
prostaglandin secretionMultidrug resistance-associated protein 4Homo sapiens (human)
cilium assemblyMultidrug resistance-associated protein 4Homo sapiens (human)
platelet degranulationMultidrug resistance-associated protein 4Homo sapiens (human)
xenobiotic metabolic processMultidrug resistance-associated protein 4Homo sapiens (human)
xenobiotic transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
bile acid and bile salt transportMultidrug resistance-associated protein 4Homo sapiens (human)
prostaglandin transportMultidrug resistance-associated protein 4Homo sapiens (human)
urate transportMultidrug resistance-associated protein 4Homo sapiens (human)
glutathione transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
cAMP transportMultidrug resistance-associated protein 4Homo sapiens (human)
leukotriene transportMultidrug resistance-associated protein 4Homo sapiens (human)
monoatomic anion transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
export across plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
transport across blood-brain barrierMultidrug resistance-associated protein 4Homo sapiens (human)
guanine nucleotide transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
fatty acid metabolic processBile salt export pumpHomo sapiens (human)
bile acid biosynthetic processBile salt export pumpHomo sapiens (human)
xenobiotic metabolic processBile salt export pumpHomo sapiens (human)
xenobiotic transmembrane transportBile salt export pumpHomo sapiens (human)
response to oxidative stressBile salt export pumpHomo sapiens (human)
bile acid metabolic processBile salt export pumpHomo sapiens (human)
response to organic cyclic compoundBile salt export pumpHomo sapiens (human)
bile acid and bile salt transportBile salt export pumpHomo sapiens (human)
canalicular bile acid transportBile salt export pumpHomo sapiens (human)
protein ubiquitinationBile salt export pumpHomo sapiens (human)
regulation of fatty acid beta-oxidationBile salt export pumpHomo sapiens (human)
carbohydrate transmembrane transportBile salt export pumpHomo sapiens (human)
bile acid signaling pathwayBile salt export pumpHomo sapiens (human)
cholesterol homeostasisBile salt export pumpHomo sapiens (human)
response to estrogenBile salt export pumpHomo sapiens (human)
response to ethanolBile salt export pumpHomo sapiens (human)
xenobiotic export from cellBile salt export pumpHomo sapiens (human)
lipid homeostasisBile salt export pumpHomo sapiens (human)
phospholipid homeostasisBile salt export pumpHomo sapiens (human)
positive regulation of bile acid secretionBile salt export pumpHomo sapiens (human)
regulation of bile acid metabolic processBile salt export pumpHomo sapiens (human)
transmembrane transportBile salt export pumpHomo sapiens (human)
response to hypoxiaAngiotensin-converting enzyme Homo sapiens (human)
kidney developmentAngiotensin-converting enzyme Homo sapiens (human)
blood vessel remodelingAngiotensin-converting enzyme Homo sapiens (human)
angiotensin maturationAngiotensin-converting enzyme Homo sapiens (human)
regulation of renal output by angiotensinAngiotensin-converting enzyme Homo sapiens (human)
neutrophil mediated immunityAngiotensin-converting enzyme Homo sapiens (human)
antigen processing and presentation of peptide antigen via MHC class IAngiotensin-converting enzyme Homo sapiens (human)
regulation of systemic arterial blood pressure by renin-angiotensinAngiotensin-converting enzyme Homo sapiens (human)
proteolysisAngiotensin-converting enzyme Homo sapiens (human)
spermatogenesisAngiotensin-converting enzyme Homo sapiens (human)
female pregnancyAngiotensin-converting enzyme Homo sapiens (human)
regulation of blood pressureAngiotensin-converting enzyme Homo sapiens (human)
male gonad developmentAngiotensin-converting enzyme Homo sapiens (human)
response to xenobiotic stimulusAngiotensin-converting enzyme Homo sapiens (human)
embryo development ending in birth or egg hatchingAngiotensin-converting enzyme Homo sapiens (human)
post-transcriptional regulation of gene expressionAngiotensin-converting enzyme Homo sapiens (human)
negative regulation of gene expressionAngiotensin-converting enzyme Homo sapiens (human)
substance P catabolic processAngiotensin-converting enzyme Homo sapiens (human)
bradykinin catabolic processAngiotensin-converting enzyme Homo sapiens (human)
regulation of smooth muscle cell migrationAngiotensin-converting enzyme Homo sapiens (human)
regulation of vasoconstrictionAngiotensin-converting enzyme Homo sapiens (human)
animal organ regenerationAngiotensin-converting enzyme Homo sapiens (human)
response to nutrient levelsAngiotensin-converting enzyme Homo sapiens (human)
response to lipopolysaccharideAngiotensin-converting enzyme Homo sapiens (human)
mononuclear cell proliferationAngiotensin-converting enzyme Homo sapiens (human)
response to laminar fluid shear stressAngiotensin-converting enzyme Homo sapiens (human)
angiotensin-activated signaling pathwayAngiotensin-converting enzyme Homo sapiens (human)
vasoconstrictionAngiotensin-converting enzyme Homo sapiens (human)
hormone metabolic processAngiotensin-converting enzyme Homo sapiens (human)
hormone catabolic processAngiotensin-converting enzyme Homo sapiens (human)
eating behaviorAngiotensin-converting enzyme Homo sapiens (human)
positive regulation of apoptotic processAngiotensin-converting enzyme Homo sapiens (human)
peptide catabolic processAngiotensin-converting enzyme Homo sapiens (human)
positive regulation of vasoconstrictionAngiotensin-converting enzyme Homo sapiens (human)
negative regulation of glucose importAngiotensin-converting enzyme Homo sapiens (human)
regulation of synaptic plasticityAngiotensin-converting enzyme Homo sapiens (human)
lung alveolus developmentAngiotensin-converting enzyme Homo sapiens (human)
amyloid-beta metabolic processAngiotensin-converting enzyme Homo sapiens (human)
arachidonic acid secretionAngiotensin-converting enzyme Homo sapiens (human)
positive regulation of neurogenesisAngiotensin-converting enzyme Homo sapiens (human)
heart contractionAngiotensin-converting enzyme Homo sapiens (human)
regulation of angiotensin metabolic processAngiotensin-converting enzyme Homo sapiens (human)
hematopoietic stem cell differentiationAngiotensin-converting enzyme Homo sapiens (human)
angiogenesis involved in coronary vascular morphogenesisAngiotensin-converting enzyme Homo sapiens (human)
cellular response to glucose stimulusAngiotensin-converting enzyme Homo sapiens (human)
response to dexamethasoneAngiotensin-converting enzyme Homo sapiens (human)
cell proliferation in bone marrowAngiotensin-converting enzyme Homo sapiens (human)
regulation of heart rate by cardiac conductionAngiotensin-converting enzyme Homo sapiens (human)
negative regulation of calcium ion importAngiotensin-converting enzyme Homo sapiens (human)
response to thyroid hormoneAngiotensin-converting enzyme Homo sapiens (human)
blood vessel diameter maintenanceAngiotensin-converting enzyme Homo sapiens (human)
regulation of hematopoietic stem cell proliferationAngiotensin-converting enzyme Homo sapiens (human)
negative regulation of gap junction assemblyAngiotensin-converting enzyme Homo sapiens (human)
cellular response to aldosteroneAngiotensin-converting enzyme Homo sapiens (human)
positive regulation of peptidyl-cysteine S-nitrosylationAngiotensin-converting enzyme Homo sapiens (human)
positive regulation of systemic arterial blood pressureAngiotensin-converting enzyme Homo sapiens (human)
xenobiotic metabolic processCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic transmembrane transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
negative regulation of gene expressionCanalicular multispecific organic anion transporter 1Homo sapiens (human)
bile acid and bile salt transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
bilirubin transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
heme catabolic processCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic export from cellCanalicular multispecific organic anion transporter 1Homo sapiens (human)
transmembrane transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
transepithelial transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
leukotriene transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
monoatomic anion transmembrane transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
transport across blood-brain barrierCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic transport across blood-brain barrierCanalicular multispecific organic anion transporter 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (40)

Processvia Protein(s)Taxonomy
ATP bindingATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type xenobiotic transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
glucuronoside transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type glutathione S-conjugate transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type bile acid transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ATP hydrolysis activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ATPase-coupled transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
xenobiotic transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ATPase-coupled inorganic anion transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
icosanoid transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
guanine nucleotide transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
protein bindingMultidrug resistance-associated protein 4Homo sapiens (human)
ATP bindingMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type xenobiotic transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
prostaglandin transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
urate transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
purine nucleotide transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type glutathione S-conjugate transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type bile acid transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
efflux transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
15-hydroxyprostaglandin dehydrogenase (NAD+) activityMultidrug resistance-associated protein 4Homo sapiens (human)
ATP hydrolysis activityMultidrug resistance-associated protein 4Homo sapiens (human)
glutathione transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ATPase-coupled transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
xenobiotic transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ATPase-coupled inorganic anion transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
protein bindingBile salt export pumpHomo sapiens (human)
ATP bindingBile salt export pumpHomo sapiens (human)
ABC-type xenobiotic transporter activityBile salt export pumpHomo sapiens (human)
bile acid transmembrane transporter activityBile salt export pumpHomo sapiens (human)
canalicular bile acid transmembrane transporter activityBile salt export pumpHomo sapiens (human)
carbohydrate transmembrane transporter activityBile salt export pumpHomo sapiens (human)
ABC-type bile acid transporter activityBile salt export pumpHomo sapiens (human)
ATP hydrolysis activityBile salt export pumpHomo sapiens (human)
endopeptidase activityAngiotensin-converting enzyme Homo sapiens (human)
carboxypeptidase activityAngiotensin-converting enzyme Homo sapiens (human)
metalloendopeptidase activityAngiotensin-converting enzyme Homo sapiens (human)
calmodulin bindingAngiotensin-converting enzyme Homo sapiens (human)
peptidase activityAngiotensin-converting enzyme Homo sapiens (human)
metallopeptidase activityAngiotensin-converting enzyme Homo sapiens (human)
exopeptidase activityAngiotensin-converting enzyme Homo sapiens (human)
tripeptidyl-peptidase activityAngiotensin-converting enzyme Homo sapiens (human)
peptidyl-dipeptidase activityAngiotensin-converting enzyme Homo sapiens (human)
zinc ion bindingAngiotensin-converting enzyme Homo sapiens (human)
chloride ion bindingAngiotensin-converting enzyme Homo sapiens (human)
mitogen-activated protein kinase kinase bindingAngiotensin-converting enzyme Homo sapiens (human)
bradykinin receptor bindingAngiotensin-converting enzyme Homo sapiens (human)
mitogen-activated protein kinase bindingAngiotensin-converting enzyme Homo sapiens (human)
metallodipeptidase activityAngiotensin-converting enzyme Homo sapiens (human)
heterocyclic compound bindingAngiotensin-converting enzyme Homo sapiens (human)
protein bindingCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATP bindingCanalicular multispecific organic anion transporter 1Homo sapiens (human)
organic anion transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ABC-type xenobiotic transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
bilirubin transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ABC-type glutathione S-conjugate transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATP hydrolysis activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATPase-coupled transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATPase-coupled inorganic anion transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ABC-type transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (23)

Processvia Protein(s)Taxonomy
plasma membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
basal plasma membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
basolateral plasma membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
nucleolusMultidrug resistance-associated protein 4Homo sapiens (human)
Golgi apparatusMultidrug resistance-associated protein 4Homo sapiens (human)
plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
membraneMultidrug resistance-associated protein 4Homo sapiens (human)
basolateral plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
apical plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
platelet dense granule membraneMultidrug resistance-associated protein 4Homo sapiens (human)
external side of apical plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
basolateral plasma membraneBile salt export pumpHomo sapiens (human)
Golgi membraneBile salt export pumpHomo sapiens (human)
endosomeBile salt export pumpHomo sapiens (human)
plasma membraneBile salt export pumpHomo sapiens (human)
cell surfaceBile salt export pumpHomo sapiens (human)
apical plasma membraneBile salt export pumpHomo sapiens (human)
intercellular canaliculusBile salt export pumpHomo sapiens (human)
intracellular canaliculusBile salt export pumpHomo sapiens (human)
recycling endosomeBile salt export pumpHomo sapiens (human)
recycling endosome membraneBile salt export pumpHomo sapiens (human)
extracellular exosomeBile salt export pumpHomo sapiens (human)
membraneBile salt export pumpHomo sapiens (human)
extracellular spaceAngiotensin-converting enzyme Homo sapiens (human)
extracellular regionAngiotensin-converting enzyme Homo sapiens (human)
extracellular spaceAngiotensin-converting enzyme Homo sapiens (human)
lysosomeAngiotensin-converting enzyme Homo sapiens (human)
endosomeAngiotensin-converting enzyme Homo sapiens (human)
plasma membraneAngiotensin-converting enzyme Homo sapiens (human)
external side of plasma membraneAngiotensin-converting enzyme Homo sapiens (human)
basal plasma membraneAngiotensin-converting enzyme Homo sapiens (human)
brush border membraneAngiotensin-converting enzyme Homo sapiens (human)
extracellular exosomeAngiotensin-converting enzyme Homo sapiens (human)
sperm midpieceAngiotensin-converting enzyme Homo sapiens (human)
plasma membraneAngiotensin-converting enzyme Homo sapiens (human)
plasma membraneCanalicular multispecific organic anion transporter 1Homo sapiens (human)
cell surfaceCanalicular multispecific organic anion transporter 1Homo sapiens (human)
apical plasma membraneCanalicular multispecific organic anion transporter 1Homo sapiens (human)
intercellular canaliculusCanalicular multispecific organic anion transporter 1Homo sapiens (human)
apical plasma membraneCanalicular multispecific organic anion transporter 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (106)

Assay IDTitleYearJournalArticle
AID1347106qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for control Hh wild type fibroblast cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347107qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh30 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347098qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SK-N-SH cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347407qHTS to identify inhibitors of the type 1 interferon - major histocompatibility complex class I in skeletal muscle: primary screen against the NCATS Pharmaceutical Collection2020ACS chemical biology, 07-17, Volume: 15, Issue:7
High-Throughput Screening to Identify Inhibitors of the Type I Interferon-Major Histocompatibility Complex Class I Pathway in Skeletal Muscle.
AID1347086qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lymphocytic Choriomeningitis Arenaviruses (LCMV): LCMV Primary Screen - GLuc reporter signal2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1296008Cytotoxic Profiling of Annotated Libraries Using Quantitative High-Throughput Screening2020SLAS discovery : advancing life sciences R & D, 01, Volume: 25, Issue:1
Cytotoxic Profiling of Annotated and Diverse Chemical Libraries Using Quantitative High-Throughput Screening.
AID1347083qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lassa (LASV) Arenavirus: Viability assay - alamar blue signal for LASV Primary Screen2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1347425Rhodamine-PBP qHTS Assay for Modulators of WT P53-Induced Phosphatase 1 (WIP1)2019The Journal of biological chemistry, 11-15, Volume: 294, Issue:46
Physiologically relevant orthogonal assays for the discovery of small-molecule modulators of WIP1 phosphatase in high-throughput screens.
AID1347089qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for TC32 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347093qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SK-N-MC cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347154Primary screen GU AMC qHTS for Zika virus inhibitors2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1347099qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for NB1643 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347424RapidFire Mass Spectrometry qHTS Assay for Modulators of WT P53-Induced Phosphatase 1 (WIP1)2019The Journal of biological chemistry, 11-15, Volume: 294, Issue:46
Physiologically relevant orthogonal assays for the discovery of small-molecule modulators of WIP1 phosphatase in high-throughput screens.
AID1347091qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SJ-GBM2 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347105qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for MG 63 (6-TG R) cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID651635Viability Counterscreen for Primary qHTS for Inhibitors of ATXN expression
AID1347102qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh18 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347101qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for BT-12 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347103qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for OHS-50 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1745845Primary qHTS for Inhibitors of ATXN expression
AID1347095qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for NB-EBc1 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347097qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Saos-2 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347104qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for RD cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1508630Primary qHTS for small molecule stabilizers of the endoplasmic reticulum resident proteome: Secreted ER Calcium Modulated Protein (SERCaMP) assay2021Cell reports, 04-27, Volume: 35, Issue:4
A target-agnostic screen identifies approved drugs to stabilize the endoplasmic reticulum-resident proteome.
AID1347090qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for DAOY cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347092qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for A673 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347094qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for BT-37 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347100qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for LAN-5 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347096qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for U-2 OS cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347108qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh41 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347082qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lassa (LASV) Arenavirus: LASV Primary Screen - GLuc reporter signal2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1079944Benign tumor, proven histopathologically. Value is number of references indexed. [column 'T.BEN' in source]
AID625284Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic failure2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1782319Inhibition of ACE (unknown origin)2021Journal of medicinal chemistry, 11-25, Volume: 64, Issue:22
N-Terminus to Arginine Side-Chain Cyclization of Linear Peptidic Neuropeptide Y Y
AID588219FDA HLAED, gamma-glutamyl transferase (GGT) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID1474166Liver toxicity in human assessed as induction of drug-induced liver injury by measuring severity class index2016Drug discovery today, Apr, Volume: 21, Issue:4
DILIrank: the largest reference drug list ranked by the risk for developing drug-induced liver injury in humans.
AID625290Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver fatty2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079941Liver damage due to vascular disease: peliosis hepatitis, hepatic veno-occlusive disease, Budd-Chiari syndrome. Value is number of references indexed. [column 'VASC' in source]
AID763533Cytotoxicity against human A549 cells assessed as cell survival after 24 hrs by MTT assay2013Bioorganic & medicinal chemistry, Aug-01, Volume: 21, Issue:15
Design, synthesis and evaluation of novel 2-hydroxypyrrolobenzodiazepine-5,11-dione analogues as potent angiotensin converting enzyme (ACE) inhibitors.
AID588216FDA HLAED, serum glutamic oxaloacetic transaminase (SGOT) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID1079940Granulomatous liver disease, proven histopathologically. Value is number of references indexed. [column 'GRAN' in source]
AID1079934Highest frequency of acute liver toxicity observed during clinical trials, expressed as a percentage. [column '% AIGUE' in source]
AID1079937Severe hepatitis, defined as possibly life-threatening liver failure or through clinical observations. Value is number of references indexed. [column 'MASS' in source]
AID1079945Animal toxicity known. [column 'TOXIC' in source]
AID1473739Inhibition of human MRP2 overexpressed in Sf9 cell membrane vesicles assessed as uptake of [3H]-estradiol-17beta-D-glucuronide in presence of ATP and GSH measured after 20 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID1079947Comments (NB not yet translated). [column 'COMMENTAIRES' in source]
AID1079943Malignant tumor, proven histopathologically. Value is number of references indexed. [column 'T.MAL' in source]
AID588214FDA HLAED, liver enzyme composite activity2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID763532Cytotoxicity against HEK293 cells assessed as cell survival after 24 hrs by MTT assay2013Bioorganic & medicinal chemistry, Aug-01, Volume: 21, Issue:15
Design, synthesis and evaluation of novel 2-hydroxypyrrolobenzodiazepine-5,11-dione analogues as potent angiotensin converting enzyme (ACE) inhibitors.
AID1473741Inhibition of human MRP4 overexpressed in Sf9 cell membrane vesicles assessed as uptake of [3H]-estradiol-17beta-D-glucuronide in presence of ATP and GSH measured after 20 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID588215FDA HLAED, alkaline phosphatase increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID1473740Inhibition of human MRP3 overexpressed in Sf9 insect cell membrane vesicles assessed as uptake of [3H]-estradiol-17beta-D-glucuronide in presence of ATP and GSH measured after 10 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID625288Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for jaundice2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID599064Plasma protein binding in human2011Bioorganic & medicinal chemistry letters, Jun-15, Volume: 21, Issue:12
Lipophilicity of acidic compounds: impact of ion pair partitioning on drug design.
AID588218FDA HLAED, lactate dehydrogenase (LDH) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID625289Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver disease2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625280Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholecystitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079949Proposed mechanism(s) of liver damage. [column 'MEC' in source]
AID625287Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatomegaly2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625291Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver function tests abnormal2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625285Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic necrosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID640615Clearance in human liver microsomes at 1 uM measured after 60 mins by HPLC analysis2012Bioorganic & medicinal chemistry letters, Jan-15, Volume: 22, Issue:2
Capture hydrolysis signals in the microsomal stability assay: molecular mechanisms of the alkyl ester drug and prodrug metabolism.
AID588217FDA HLAED, serum glutamic pyruvic transaminase (SGPT) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID588211Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in humans2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID5985271-Octanol-sodium citrate buffer distribution coefficient, log D of the compound at pH 5.5 by shake-flask method2011Bioorganic & medicinal chemistry letters, Jun-15, Volume: 21, Issue:12
Lipophilicity of acidic compounds: impact of ion pair partitioning on drug design.
AID763534Inhibition of rabbit lung ACE assessed as hydrolysis of hippuryl-histidyl-leucine to hippuric acid and histidyl-leucine after 30 mins2013Bioorganic & medicinal chemistry, Aug-01, Volume: 21, Issue:15
Design, synthesis and evaluation of novel 2-hydroxypyrrolobenzodiazepine-5,11-dione analogues as potent angiotensin converting enzyme (ACE) inhibitors.
AID625286Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625292Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) combined score2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625282Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cirrhosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID39767Inhibitory activity against angiotensin I converting enzyme (ACE)2000Journal of medicinal chemistry, Feb-10, Volume: 43, Issue:3
Protease inhibitors: current status and future prospects.
AID1079939Cirrhosis, proven histopathologically. Value is number of references indexed. [column 'CIRRH' in source]
AID409954Inhibition of mouse brain MAOA2008Journal of medicinal chemistry, Nov-13, Volume: 51, Issue:21
Quantitative structure-activity relationship and complex network approach to monoamine oxidase A and B inhibitors.
AID5985261-Octanol-water distribution coefficient, log D of the compound at pH 7.4 by shake-flask method2011Bioorganic & medicinal chemistry letters, Jun-15, Volume: 21, Issue:12
Lipophilicity of acidic compounds: impact of ion pair partitioning on drug design.
AID625283Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for elevated liver function tests2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079946Presence of at least one case with successful reintroduction. [column 'REINT' in source]
AID1079936Choleostatic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is < 2 (see ACUTE). Value is number of references indexed. [column 'CHOLE' in source]
AID588213Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in non-rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID1315906Decrease in albumin level in ZSF-1 obese rat urine at 1 mg/kg administered through oral gavage for 42 days measured on day 14, 28, 42 of compound dosing2016Journal of medicinal chemistry, 09-08, Volume: 59, Issue:17
Discovery and Preclinical Characterization of 6-Chloro-5-[4-(1-hydroxycyclobutyl)phenyl]-1H-indole-3-carboxylic Acid (PF-06409577), a Direct Activator of Adenosine Monophosphate-activated Protein Kinase (AMPK), for the Potential Treatment of Diabetic Neph
AID1079935Cytolytic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is > 5 (see ACUTE). Value is number of references indexed. [column 'CYTOL' in source]
AID1079938Chronic liver disease either proven histopathologically, or through a chonic elevation of serum amino-transferase activity after 6 months. Value is number of references indexed. [column 'CHRON' in source]
AID588212Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID625281Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholelithiasis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID567091Drug absorption in human assessed as human intestinal absorption rate2011European journal of medicinal chemistry, Jan, Volume: 46, Issue:1
Prediction of drug intestinal absorption by new linear and non-linear QSPR.
AID1473738Inhibition of human BSEP overexpressed in Sf9 cell membrane vesicles assessed as uptake of [3H]-taurocholate in presence of ATP measured after 15 to 20 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID1079931Moderate liver toxicity, defined via clinical-chemistry results: ALT or AST serum activity 6 times the normal upper limit (N) or alkaline phosphatase serum activity of 1.7 N. Value is number of references indexed. [column 'BIOL' in source]
AID625279Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for bilirubinemia2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079942Steatosis, proven histopathologically. Value is number of references indexed. [column 'STEAT' in source]
AID1079933Acute liver toxicity defined via clinical observations and clear clinical-chemistry results: serum ALT or AST activity > 6 N or serum alkaline phosphatases activity > 1.7 N. This category includes cytolytic, choleostatic and mixed liver toxicity. Value is
AID1474167Liver toxicity in human assessed as induction of drug-induced liver injury by measuring verified drug-induced liver injury concern status2016Drug discovery today, Apr, Volume: 21, Issue:4
DILIrank: the largest reference drug list ranked by the risk for developing drug-induced liver injury in humans.
AID1079932Highest frequency of moderate liver toxicity observed during clinical trials, expressed as a percentage. [column '% BIOL' in source]
AID1079948Times to onset, minimal and maximal, observed in the indexed observations. [column 'DELAI' in source]
AID1231572Inhibition of rabbit lung ACE assessed as hippuryl-histidyl-leucine hydrolysis after 30 mins by colorimetric method2015Bioorganic & medicinal chemistry, Jul-01, Volume: 23, Issue:13
Design, synthesis and evaluation of novel 2-butyl-4-chloroimidazole derived peptidomimetics as Angiotensin Converting Enzyme (ACE) inhibitors.
AID1346986P-glycoprotein substrates identified in KB-3-1 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1346987P-glycoprotein substrates identified in KB-8-5-11 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID1347411qHTS to identify inhibitors of the type 1 interferon - major histocompatibility complex class I in skeletal muscle: primary screen against the NCATS Mechanism Interrogation Plate v5.0 (MIPE) Libary2020ACS chemical biology, 07-17, Volume: 15, Issue:7
High-Throughput Screening to Identify Inhibitors of the Type I Interferon-Major Histocompatibility Complex Class I Pathway in Skeletal Muscle.
AID1345457Human Angiotensin-converting enzyme (M2: Angiotensin-converting (ACE and ACE2))1984Arzneimittel-Forschung, , Volume: 34, Issue:10B
2-[N-[(S)-1-ethoxycarbonyl-3-phenylpropyl]-L-alanyl]-(1S,3S,5S) -2-azabicyclo[3.3.0]octane-3-carboxylic acid (Hoe 498)--a new and highly effective angiotensin I converting enzyme inhibitor.
AID1159607Screen for inhibitors of RMI FANCM (MM2) intereaction2016Journal of biomolecular screening, Jul, Volume: 21, Issue:6
A High-Throughput Screening Strategy to Identify Protein-Protein Interaction Inhibitors That Block the Fanconi Anemia DNA Repair Pathway.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (2,016)

TimeframeStudies, This Drug (%)All Drugs %
pre-1990141 (6.99)18.7374
1990's493 (24.45)18.2507
2000's802 (39.78)29.6817
2010's486 (24.11)24.3611
2020's94 (4.66)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 118.08

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index118.08 (24.57)
Research Supply Index7.92 (2.92)
Research Growth Index4.93 (4.65)
Search Engine Demand Index221.28 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (118.08)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials606 (28.17%)5.53%
Reviews143 (6.65%)6.00%
Case Studies132 (6.14%)4.05%
Observational8 (0.37%)0.25%
Other1,262 (58.67%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (160)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Long-term Treatment by Inhibitors of Angiotensin II at Low Doses in Non-nephrotic Proteinuric Patients With Pauciimmune and IgA Mesangioproliferative Glomerulonephritis [NCT01115426]Phase 420 participants (Actual)Interventional1997-01-31Completed
Clinical Study Evaluating the Efficacy of Renin Angiotensin System Inhibitors on the Extent of Liver Fibrosis in Patients With Chronic Hepatitis C [NCT03770936]Phase 345 participants (Anticipated)Interventional2018-10-01Recruiting
A Prospective, Randomised, Open-Label, Blinded-Endpoint, Parallel Group, Multicentre, Forced-Titration, 14-Week Treatment Study Comparing MICARDIS® (Telmisartan 40-80-80 mg, QD) and ALTACE® (Ramipril 2.5-5-10 mg, QD) in Patients With Mild-to-Moderate Hype [NCT00274599]Phase 4812 participants (Actual)Interventional2002-10-09Completed
A Two-way Open Label Crossover Experimental Evaluation of Relative Bioavailabilities of Ramipril 10 mg Capsules of Dr.Reddy's Laboratories and ALTACE@ 10 mg Capsules of King Pharmaceuticals in Healthy Adult Human Male Subjects Under Non-fasting Conditions [NCT01164774]Phase 154 participants (Actual)Interventional2005-10-31Completed
Irbesartan Versus Placebo in Combination With Standard Cardiovascular Protection ACE-I Therapy With Ramipril for the Treatment of Albuminuria in Hypertensive Subjects at Elevated Cardiovascular Risk [NCT00095290]Phase 4400 participants Interventional2004-09-30Completed
Effects of Intensive Vasodilating add-on Therapy on Peripheral Vascular Resistance and Coronary Flow Reserve in Patients With Essential Hypertension [NCT01180413]Phase 448 participants (Actual)Interventional2010-12-31Completed
Role of ACE Inhibitors and Beta Blockers as Cardiotoxicity Prevention in Breast Cancer Patients Treated With (Neo)Adjuvant Anthracyclines and/or Trastuzumab: a Four Arm, Placebo Control, Randomized Trial [NCT02236806]Phase 3262 participants (Actual)Interventional2015-07-31Active, not recruiting
HYZAAR Versus Ramipril Diabetic Patients [NCT00480805]Phase 3312 participants (Actual)Interventional2001-08-08Completed
ONTARGET ONgoing Telmisartan Alone and in Combination With Ramipril Global Endpoint Trial A Large, Simple Randomized Trial of an Angiotensin II Receptor Antagonist (Telmisartan) and an ACE-Inhibitor (Ramipril) in Patients at High Risk for Cardiovascular E [NCT00153101]Phase 431,546 participants (Actual)Interventional2001-11-30Completed
Perindopril vs Ramipril for Persistence in MAU Reduction Study [NCT02729441]Phase 323 participants (Actual)Interventional2010-04-30Completed
Explorative Study for Treating Persistent Developmental Stuttering With Ramipril [NCT04173949]Phase 310 participants (Anticipated)Interventional2020-03-15Recruiting
Cross-over Analysis of the Control of Coronary Risk Factors and Level of Platelet Inhibition With a Polypill [NCT05030818]Phase 488 participants (Anticipated)Interventional2022-10-14Recruiting
Prospective Study on Endothelial Function in Subjects With Type 2 Diabetes Mellitus [NCT00905528]69 participants (Anticipated)Observational2002-01-31Completed
A Randomized, Double-Blind, Placebo-Controlled, Multicenter, Parallel-Arm Study Assessing the Efficacy, Safety, and Dose-Response of Ramipril for the Treatment of Hypertension in Children and Adolescents [NCT00389519]Phase 3422 participants (Actual)Interventional2006-10-31Terminated(stopped due to A planned interim analysis was performed after approx. 240 subjects completed the trial. The study was stopped, as permitted by protocol, after the analysis.)
Renin Angiotensin Aldosterone System (RAAS) and Fibrinolysis in Humans: ACEi [NCT00750308]27 participants (Actual)Interventional2006-12-31Completed
Randomized , 2- Way Crossover, Bioequivalence Study of Ramipril 10 mg Capsule and Altace® Administered as 1 x 10 mg Capsule in Healthy Subjects Under Fasting Conditions [NCT00828321]Phase 140 participants (Actual)Interventional2004-08-31Completed
Effect of Dapagliflozin on Secondary Mitral Regurgitation in Patients With Left Ventricular Dysfunction [NCT05849766]Phase 3150 participants (Anticipated)Interventional2023-04-27Recruiting
The Effect of Continuing or Discontinuing ACE-I/ARBs Therapy on the Incidence of Contrast-induced Nephropathy in Patients With Chronic Kidney Disease Undergoing Coronary Angiography; a Randomized Controlled Trial [NCT05271448]600 participants (Anticipated)Interventional2021-06-01Recruiting
A Randomized, Double-blind, Placebo-Controlled Trial to Evaluate the Efficacy of Ramipril to Prevent ICU Admission, Need for Mechanical Ventilation or Death in Persons With COVID-19 [NCT04366050]Phase 2160 participants (Actual)Interventional2020-05-11Completed
Randomized, 2-Way Crossover, Bioequivalence Study of Ramipril 10 mg Capsule and Altace® Administered as 1 x 10 mg Capsule in Healthy Subjects Under Fed Conditions [NCT00829530]Phase 140 participants (Actual)Interventional2004-08-31Completed
Randomized, 2-Way Crossover Bioequivalence Study of Ramipril 10 mg Capsule and Altace® Administered as the Content of 1 x 10 mg Capsule Mixed With Applesauce in Healthy Subjects Under Fasting Conditions. [NCT00829452]Phase 140 participants (Actual)Interventional2004-08-31Completed
Randomized, Controlled, PROBE Trial, Evaluating the Antiproteinuric Effect of Imidapril Versus Ramipril in Type 2 Diabetic Patients and Mild to Moderate Hypertension With Microalbuminuria [NCT01230034]Phase 3206 participants (Anticipated)Interventional2010-10-31Recruiting
Cardiovascular Fixed Combination Pill ASR: Pharmacodynamic Clinical Trial of a Fixed Dose Combination of Acetylsalicylic Acid, Simvastatin, and Ramipril (Cardiovascular Polypill); LDL Cholesterol [NCT01362218]Phase 2107 participants (Actual)Interventional2010-10-31Terminated(stopped due to Per sponsor's decision)
Treatment of Early Immunoglobulin A Nephropathy by Angiotensin Converting Enzyme Inhibitor - A Randomized Controlled Trial [NCT01225445]Phase 360 participants (Actual)Interventional2002-04-30Completed
Improving Equitable Acces and Adherence to Secondary Prevention Therapy With a Fixed-Dose Combination Drug [NCT01321255]Phase 32,118 participants (Actual)Interventional2012-01-31Completed
A Two-way Open Label Crossover Experimental Evaluation of Relative Bioavailabilities of Ramipril 10 mg Capsules of Dr.Reddy's Laboratories and ALTACE@ 10 mg Capsules of King Pharmaceuticals in Healthy Adult Human Male Subjects Under Fasting Conditions [NCT01164761]Phase 154 participants (Actual)Interventional2005-09-30Completed
Effect of ACE-Inhibition on Microvascular Function in Women With Assessed Microvascular Dysfunction and No Obstructive Coronary Artery Disease [NCT02525081]Phase 463 participants (Actual)Interventional2015-07-31Completed
Relative Bioavailability of Multiple Oral Doses of BI 10773 (25 mg) and Ramipril (5 mg) Administered Together Compared to Multiple Oral Doses of BI 10773 (25 mg) Alone and Ramipril (5 mg) Alone in Healthy Male and Female Volunteers (an Open Label, Randomi [NCT01284621]Phase 123 participants (Actual)Interventional2011-01-31Completed
Phase 2/3 Study of Effect of AT1RB Versus ACE Inhibitor in Addition to XO Inhibitor on Progression of LV Remodeling and Dysfunction in Diabetic Patients With Acute MI. [NCT01052272]Phase 2/Phase 372 participants (Actual)Interventional2005-07-31Completed
MELA Study - Hedonic Study on the Taste of Drugs Crushed in Food: Observational Study Involving 16 Healthy Volunteers [NCT02570581]Phase 116 participants (Actual)Interventional2014-06-30Completed
Effect of Pioglitazone Compared to a Combination Therapy With Ramipril and to a Ramipril Monotherapy on Low Grade Inflammation and Vascular Function in Patients With Increased Cardiovascular Risk and an Activated Inflammation. A Randomized Double-blinded [NCT00770497]Phase 2172 participants (Actual)Interventional2007-03-31Completed
Blood Pressure and Weight Trajectory on a Dual Antihypertensive Combination Plus Sibutramine Versus Placebo in Obese Hypertensives [NCT00679653]Phase 3171 participants (Actual)Interventional2002-02-28Completed
ESCAPE-SHF: A Double-blind, Double-dummy, Randomized, Multicenter, Parallel Group Study to Evaluate the Effects of Aliskiren, Ramipril and Combination Treatment on Plasma Concentration of Angiotensin II in Patients With Decompensated Systolic Heart Failur [NCT00923156]Phase 2123 participants (Actual)Interventional2009-05-31Completed
A Prospective, Randomized, Multicenter, Open, Blinded Endpoint (PROBE), Clinical Trial to Assess the Renal and Humoral Effects of Sevelamer Carbonate in Patients With Chronic Kidney Disease and Residual Proteinuria Despite Best Available Treatment [NCT01968759]Phase 253 participants (Actual)Interventional2013-10-31Completed
Safety and Efficacy of Early Angiotensin-converting Enzyme Inhibition in Patients With Alport Syndrome Carrying Pathogenic Heterozygous COL4A3,COL4A4 or COL4A5 Mutations [NCT05133050]510 participants (Anticipated)Interventional2022-01-01Not yet recruiting
A Prospective Randomised Controlled Trial [NCT02086019]250 participants (Actual)Interventional2014-05-01Completed
Open-label With Blinding Bioanalytical Stage Randomized Crossover Two Period Two Sequences Single Dose Bioequivalence Study of Two Formulations Ramipril/Hydrochlorothiazide Tablets 10 mg/25 mg (Manufacturer: Pharmtechnology LLC, Republic of Belarus) and T [NCT05685277]Phase 150 participants (Actual)Interventional2022-12-28Completed
A Double Blind, Randomised, Placebo Controlled Trial to Study the Clinical and Cost Effectiveness of the Angiotensin Converting Enzyme Inhibitor, Ramipril, in Intermittent Claudicants [NCT01037530]Phase 433 participants (Actual)Interventional2010-12-31Completed
A Prospective, Randomized, Open Label, Blinded End-point (Probe) Trial to Evaluate Whether, at Comparable Blood Pressure Control, ACE Inhibitor Therapy More Effectively Than Non RAS Inhibitor Therapy Reduces CArdiovascular Morbidity and Mortality in Chron [NCT00985322]Phase 3269 participants (Actual)Interventional2009-05-31Completed
A Randomised, Single Blind, Multicentre, 9-month, Phase IV Study, Comparing Treatment Guided by Clinical Symptoms and Signs and NT-proBNP vs Treatment Guided by Clinical Symptoms and Signs Alone, in Patients With Heart Failure (HF) and Left Ventricular Sy [NCT00391846]Phase 4252 participants (Actual)Interventional2006-10-31Completed
Effects of Cardioprotective Therapy, Carvedilol vs Ramipril, in Patients Affected by Duchenne and Becker Muscular Dystrophy. Clinical Significance and Prognostic Value of Cardiac Magnetic Resonance Study. [NCT00819845]Phase 4194 participants (Anticipated)Interventional2008-12-31Recruiting
Randomized, Embedded, Multifactorial Adaptive Platform Trial for Community- Acquired Pneumonia [NCT02735707]Phase 310,000 participants (Anticipated)Interventional2016-04-11Recruiting
Association Between Angiotensin Converting Enzyme Inhibitor or Angiotensin Receptor Blocker Use and COVID-19 Severity and Mortality Among US Veterans [NCT04467931]22,213 participants (Actual)Observational2020-01-19Completed
Effect of Renin Angiotensin System Blockade on CD95 and ADMA Levels in Type-2 Diabetic Patients With Proteinuria [NCT00893425]Phase 478 participants (Actual)Interventional2008-01-31Completed
Open Label, Comparative, Multiple-dose, Fixed-sequence Steady State Trial in Healthy Volunteers to Assess the Pharmacokinetic Interaction of Ramipril, Atorvastatin and Amlodipine After a Multiple Oral Dose Administration [NCT04262765]Phase 118 participants (Actual)Interventional2019-02-23Completed
Pharmacodynamic Equivalence Study of Ramipril 10 mg and Atorvastatin 40 mg Administered as a Cardiovascular Fixed Dose Combination Pill AAR as Compared to Monotherapy With the Reference Products Altace® 10 mg and Lipitor® 40 mg [NCT02791958]Phase 2528 participants (Anticipated)Interventional2016-03-31Active, not recruiting
A Relative Bioavailability Study of Ramipril 10 mg Capsules Under Fasting Conditions [NCT00946465]Phase 148 participants (Actual)Interventional2004-10-31Completed
A Relative Bioavailability Study of Ramipril 10 mg Capsules Under Non-Fasting Conditions [NCT00946621]Phase 148 participants (Actual)Interventional2004-10-31Completed
Left Atrial Remodelling in Hypertension: Effects of Ramipril or Irbesartan [NCT00517322]Phase 480 participants (Anticipated)Interventional2007-08-31Recruiting
A Twelve Week, Randomized, Double-blind, Parallel-group, Multicenter Study to Evaluate the Efficacy and Safety of the Combination of Aliskiren/Ramipril/Amlodipine (300/10/5-10 mg) Compared to the Combinations of Ramipril/Amlodipine (10/5-10 mg) and Aliski [NCT00542269]Phase 4178 participants (Actual)Interventional2008-03-31Terminated(stopped due to Early termination of the study due to slow recruitment.)
A Multicentre Open, Non Comparative Study of the Safety of Ramipril (Tritace) 10 mg/Day in Prevention of Cardiovascular Events in High-risk Patients [NCT01053910]Phase 41,012 participants (Actual)Interventional2003-10-31Completed
A Single-Dose, 2-Period, 2-Treatment, 2-Way Crossover Bioequivalence Study of Ramipril10 mg Capsules Administered Orally as a Sprinkle on Applesauce [NCT00863915]Phase 140 participants (Actual)Interventional2004-10-31Completed
A Randomized, Placebo Controlled, Double-Blind Comparative Study Evaluating The Effect of Ramipril On Urinary Protein Excretion In Maintenance Renal Transplant Patients Converted To Sirolimus [NCT00502242]Phase 4229 participants (Actual)Interventional2007-12-31Completed
A 36 Week Randomized, Double-blind, Parallel Group, Multi-center, Active-controlled, Optional Titration Study Comparing an Aliskiren-based Regimen to a Ramipril-based Regimen in Patients ≥ 65 Years Old With Systolic Essential Hypertension [NCT00368277]Phase 3901 participants (Actual)Interventional2006-09-30Completed
Genes, Fibrinolysis and Endothelial Dysfunction- Dialysis Aim 3 [NCT00878969]Phase 378 participants (Actual)Interventional2010-01-31Terminated(stopped due to insufficient enrollment and retention)
Genes, Fibrinolysis and Endothelial Dysfunction- Dialysis Aim 2 [NCT00732069]Phase 219 participants (Actual)Interventional2008-08-31Completed
Telmisartan vs Ramipril for Reduction of Inflammation and Recruitment of Endothelial Progenitor Cells After Acute Coronary Syndrome [NCT00702936]Phase 450 participants (Anticipated)Interventional2007-11-30Recruiting
A Double-Blind, Randomized, Parallel-Group Study to Compare the Efficacy and Safety of TAK-491 With Ramipril in Subjects With Essential Hypertension [NCT00760214]Phase 3885 participants (Actual)Interventional2008-01-31Completed
Prognostic Value of the Circadian Pattern of Ambulatory Blood Pressure for Multiple Risk Assessment [NCT00741585]Phase 421,983 participants (Actual)Interventional2008-09-01Completed
An 8-Week Prospective, Multicenter, Randomized, Double-Blind, Active Control, Parallel Group Study to Evaluate the Efficacy and Safety of Aliskiren HCTZ vs Ramipril in Obese Patients (BMI ≥ 30) With Stage 2 Hypertension [NCT00772577]Phase 4386 participants (Actual)Interventional2008-08-31Completed
Ramipril Treatment of Claudication: Oxidative Damage and Muscle Fibrosis [NCT02842424]Phase 470 participants (Anticipated)Interventional2016-02-25Suspended(stopped due to IRB administratively closed protocol)
Efficacy of Telmisartan and the Combination of Telmisartan and Ramipril in type1 Diabetes Patients With Nephropathy [NCT00738660]Phase 330 participants (Actual)Interventional2007-02-28Completed
A Single-Dose, 2-Period, 2-Treatment, 2-Way Crossover Bioequivalence Study of Ramipril10 mg Capsules Under Fasting Conditions [NCT00864448]Phase 140 participants (Actual)Interventional2004-10-31Completed
Gene Expression Profiling in Skeletal Muscle of Healthy Subjects Treated With Ramipril [NCT00657865]Phase 418 participants (Actual)Interventional2008-03-31Completed
[NCT01038895]Phase 4120 participants (Anticipated)Interventional2009-11-30Recruiting
A 54 Week, Randomized, Double-blind, Parallel-group, Multicenter Study Evaluating the Long-term Gastrointestinal (GI) Safety and Tolerability of Aliskiren (300 mg) Compared to Ramipril (10 mg) in Patients With Essential Hypertension [NCT00631917]Phase 4774 participants (Actual)Interventional2008-02-29Completed
On the Antithrombotic Effects of Doxazosin and Ramipril in Essential Hypertension [NCT02901977]Phase 471 participants (Actual)Interventional2011-03-31Completed
NT-proBNP Selected PreventiOn of Cardiac eveNts in a populaTion of dIabetic Patients Without A History of Cardiac Disease: a Prospective Randomized Trial [NCT02817360]Phase 42,400 participants (Anticipated)Interventional2016-02-29Recruiting
Effect of Pioglitazone on Insulin Resistance, Progression of Atherosclerosis and Clinical Course of Coronary Heart Disease [NCT03011775]Phase 443 participants (Actual)Interventional2012-11-30Completed
An Open-labeled Trial of Ramipril in Patients With Migraine [NCT01402479]Phase 250 participants (Actual)Interventional2004-10-31Completed
An Open Label, Balanced, Randomised, Two-Treatment, Two-Period, Two-Sequence, Single-Dose, Crossover, Bioavailability Study Comparing Ramipril 10 mg Capsules of OHM Laboratories Inc (a Subsidiary of Ranbaxy Pharmaceuticals Inc) With ALTACE® 10 mg Capsules [NCT00879476]68 participants (Actual)Interventional2007-01-31Completed
Bariatric Surgery and Pharmacokinetics of Ramipril: BAR-MEDS Ramipril [NCT03440177]12 participants (Anticipated)Observational2018-01-02Recruiting
An 8 Week, Double-blind, Randomized, Parallel-group Study to Compare the Effect of Aliskiren 300mg + Valsartan 320mg vs. Telmisartan 80mg + Ramipril 10mg on Biomarkers of the Renin-angiotensin-aldosterone System in Moderate Hypertension [NCT00939588]Phase 288 participants (Actual)Interventional2009-07-31Completed
[NCT00674596]Phase 460 participants (Anticipated)Interventional2006-01-31Completed
A Comparison of Effects of Standard Dose vs. Low Dose Advagraf® With IL-2 Receptor Antibody Induction, MMF and Steroids, With or Without ACEi/ARB - Based Antihypertensive Therapy on Renal Allograft Histology, Function, and Immune Response [NCT00933231]Phase 3281 participants (Actual)Interventional2009-08-17Completed
Remission Clinic: Computed Registry for the Ambulatory Follow up of Patients With Proteinuric Chronic Nephropathies Treated Based on a Standard Multipharmacological Model Aimed at Normalizing Proteinuria and Stabilizing the Renal Function [NCT02721342]1,500 participants (Anticipated)Observational2009-06-30Active, not recruiting
Effects of Angiotensin Converting Enzyme Inhibitor Therapy on Vascular Inflammation and Compliance [NCT00005928]Phase 225 participants Interventional2000-06-30Completed
A Single-Dose, 2-Period, 2-Treatment, 2-Way Crossover Bioequivalence Study of Ramipril10 mg Capsules Under Fed Conditions [NCT00864162]Phase 140 participants (Actual)Interventional2004-09-30Completed
Bioequivalence of 40 mg Telmisartan / 2.5 mg Ramipril Fixed Dose Combination Compared With the Monocomponents, Telmisartan and Ramipril (Two Different Formulations) Given Concomitantly to Healthy Male and Female Volunteers (an Open-label, Randomised, Sing [NCT02214979]Phase 184 participants (Actual)Interventional2007-03-31Completed
Nocturnal Hypertension and Prevention of Microalbuminuria in Type 1 Diabetes [NCT00729365]Phase 365 participants (Actual)Interventional2008-07-31Terminated(stopped due to Data from other studies showed that study could not be completef successfully)
An Eight Week, Double-blind, Randomized, Multicenter, Parallel Group, Active-controlled Study Comparing the Safety and Efficacy of Aliskiren 300 mg, 150 mg and 75 mg to Ramipril 5 mg in Patients With Essential Hypertension [NCT00529451]Phase 31,613 participants (Actual)Interventional2007-09-30Completed
RAAS, Inflammation, and Post-operative AF [NCT00141778]Phase 2/Phase 3455 participants (Actual)Interventional2005-04-30Completed
Randomised Controlled Trial Into the Role of Ramipril in Fibrosis Reduction in Rheumatic Heart Disease: The RamiRHeD Trial Protocol [NCT03991910]Phase 366 participants (Anticipated)Interventional2019-06-27Recruiting
Ramipril Improves Endothelial Function and Endothelial Progenitor Cells in Patients With Systemic Lupus Erythematosus: a Randomized and Controlled Study. [NCT03979976]Phase 2/Phase 337 participants (Actual)Interventional2011-03-31Completed
Comparison of a Higher Dose of Ramipril to the Addition of Telmisartan 80 mg+Ramipril 10 mg in Patients With Hypertension and Diabetes [NCT00208221]Phase 350 participants (Anticipated)Interventional2006-08-31Terminated(stopped due to Not enough recruitment)
A Single-blind, Double Dummy, Randomized, Multi-dose, Two Sequence, Crossover, Study to Investigate the Effects of Renin Inhibitor (Aliskiren 300 mg) on Albuminuria in Non-diabetic Nephropathy Patients Treated With Ramipril 10 mg and Volume Intervention ( [NCT01302899]Phase 28 participants (Actual)Interventional2011-01-31Terminated(stopped due to In consequence of termination of ALTITUDE. A number of studies were continued in consultation with the Altitude Data Monitoring Committee.)
The Effects of Statin and Angiotensin-converting Enzyme Inhibitor on Coronary Flow Reserve, indEx of Microcirculatory Resistance, and Symptoms in Patients With Spontaneous Coronary Artery Dissection (SAFER-SCAD) Study [NCT02008786]Phase 440 participants (Anticipated)Interventional2014-06-30Recruiting
Effect of Acupoint Application With Herbal Medicine in Patients With Stable Angina Pectoris: Randomized, Controlled,Double Blind Clinical Study [NCT02029118]Early Phase 1200 participants (Actual)Interventional2012-10-31Completed
Impact of Angiotensin-converting Enzyme Inhibitor on Pediatric Hemodialysis Patients [NCT04582097]Phase 2/Phase 3135 participants (Actual)Interventional2018-12-01Completed
Influence of Food on the Bioavailability of 80 mg Telmisartan / 10 mg Ramipril Fixed Dose Combination in Healthy Male and Female Volunteers (an Open-label, Randomised, Single-dose, Two-sequence, Two-period Crossover Study) [NCT02214966]Phase 142 participants (Actual)Interventional2007-10-31Completed
Steady State Pharmacokinetics of 80 mg Telmisartan (Micardis®), 10 mg Ramipril (Delix®) or the Combination Following Repeated Oral Doses to Healthy Male and Female Volunteers (an Open-label, Randomised, Multiple-dose, Three-way Crossover Study) [NCT02215005]Phase 142 participants (Actual)Interventional2007-06-30Completed
Bioequivalence of 80 mg Telmisartan / 10 mg Ramipril Fixed Dose Combination Compared With the Monocomponents, Telmisartan and Ramipril (Two Different Formulations) Given Concomitantly to Healthy Male and Female Volunteers (an Open-label, Randomised, Singl [NCT02214992]Phase 184 participants (Actual)Interventional2007-03-31Completed
A Single Dose, 2-Period, 2-Treatment, 2-Way Crossover Bioequivalency Study of Ramipril 10 mg Capsules Under Fed Conditions [NCT00702260]39 participants (Actual)Interventional2005-01-31Completed
A Prospective, Open Label, Randomized, Comparative Study of Ramipril 5mg Plus Felodipine 5mg Combined Regimen and Ramipril 10mg in Uncontrolled Hypertensive Patients [NCT00841880]Phase 449 participants (Actual)Interventional2009-01-31Completed
Prevention of Atrial Fibrillation by the Prescription of Inhibition Conversion Enzyme (ICE) After Radiofrequency Ablation of Atrial Flutter [NCT00736294]Phase 3198 participants (Actual)Interventional2008-07-31Terminated(stopped due to Difficulty to include patients)
Cardiac Energetics and Function in Normal Human Ageing [NCT01504828]135 participants (Actual)Interventional2012-07-31Completed
Efficacy of Aliskiren Compared to Ramipril in the Treatment of Moderate Systolic Hypertensive Patients [NCT01042392]Phase 4506 participants (Actual)Interventional2009-11-30Completed
A Single Dose, 2-Period, 2-Treatment, 2-Way Crossover Bioequivalency Study of Ramipril 10 mg Capsules Under Fasting Conditions [NCT00702091]39 participants (Actual)Interventional2005-01-31Completed
ACE Inhibition; A Potential New Therapy for Peripheral Arterial Disease [NCT00681226]Phase 4200 participants (Actual)Interventional2008-01-31Completed
Resistant Hypertension On Treatment - Sequential Nephron Blockade Compared to Dual Blockade of the Renin-angiotensin-aldosterone System Plus Bisoprolol in the Treatment of Resistant Arterial Hypertension: A Randomized Trial (ResHypOT) [NCT02832973]Phase 472 participants (Actual)Interventional2015-09-30Completed
Open-label, Multicenter, multinAtionaL, inteRventional Clinical Trial to Assess Efficacy and Safety of the exteMporaneous combInation of Nebivolol and Ramipril in hypertenSIve pAtients - ARTEMISIA Study [NCT06104423]Phase 4215 participants (Anticipated)Interventional2023-10-02Recruiting
Treatment of Early Immunoglobulin A Nephropathy by ACE Inhibitor - a Randomized Controlled Trial [NCT00437463]Phase 360 participants (Actual)Interventional2004-07-31Completed
A Randomized, Double Blind, Active Comparator, Parallel-group Study to Determine Whether the Combination of Valsartan and Aliskiren Provides Cardioprotection in African American Patients With Hypertension and Elements of the Metabolic Syndrome [NCT01432106]Phase 10 participants (Actual)Interventional2011-02-28Withdrawn(stopped due to Novartis terminated all projects involving aliskiren. Findings of the DMC overseeing the ALTITUDE clinical trial found a higher incidence of adverse events.)
The Effects of Ramipril on Clinical Symptoms in Patients With Peripheral Arterial Disease [NCT00168467]Phase 440 participants InterventionalCompleted
An Open Label, Balanced, Randomized, Two-Treatment, Two-Period, Two-Sequence, Single-Dose, Crossover Bioavailability Study Comparing Ramipril 10 mg Capsules of Ohm Laboratories Inc. (A Subsidiary of Ranbaxy Pharmaceuticals Inc.), With Altace® Capsule 10 m [NCT00879788]32 participants (Actual)Interventional2006-10-31Completed
An Open Label, 2-treatment, 2-period, Single Sequence Study to Evaluate Pharmacokinetic Drug-drug Interaction Between Ramipril and Sotagliflozin at Steady State in Healthy Subjects [NCT03414723]Phase 116 participants (Actual)Interventional2018-01-15Completed
A Prospective Randomised Open- Label Blinded-Endpoint (PROBE) Trial Comparing Telmisartan (MICARDIS®) (40-80-80mg QD) and Ramipril (2.5-5--10mg QD) in Patients With Mild-to-Moderate Hypertension Using Ambulatory Blood Pressure Monitoring. PRISMA = Prospec [NCT00274612]Phase 4801 participants Interventional2002-10-31Completed
[NCT00200694]Phase 418 participants Interventional2005-03-31Terminated(stopped due to difficulty in patients's inclusion)
Early Prospective Therapy Trial to Delay Renal Failure in Children With Alport Syndrome [NCT01485978]Phase 366 participants (Actual)Interventional2012-03-31Completed
Studying the Effects of Antihypertensives on Individuals at Risk for Alzheimer's [NCT00980785]Phase 414 participants (Actual)Interventional2009-04-09Completed
A Prospective, Randomized, Open Label, Blinded-endpoint Study to Compare Awakening Versus Bedtime Administration of 5-10 mg Ramipril in Terms of Systolic Blood Pressure Lowering Determined by ABPM in Subjects With Mild-to-moderate Essential [NCT00473174]Phase 4120 participants (Actual)Interventional2007-03-31Completed
Use of Ramipril and Felodipine Combination Therapy in Hypertension: An Effectiveness Study With Local Patients in Argentina [NCT00507845]Phase 4271 participants (Actual)Interventional2007-06-30Completed
A Single Arm, Pilot Study of Ramipril for Preventing Radiation-Induced Cognitive Decline in Glioblastoma (GBM) Patients Receiving Brain Radiotherapy [NCT03475186]Phase 275 participants (Anticipated)Interventional2019-03-25Recruiting
African American Study of Kidney Disease and Hypertension [NCT04364139]Phase 31,094 participants (Actual)Interventional1995-02-01Completed
A Randomized, Double-blind, Double-dummy, Placebo-controlled, 3x4 Factorial Design Trial to Evaluate Telmisartan 20 and 80 mg Tablets in Combination With Ramipril 1.25, 10, and 20 mg Capsules After Eight Weeks of Treatment in Patients With Stage I or II H [NCT00281593]Phase 31,354 participants (Actual)Interventional2006-04-30Completed
The DREAM (Diabetes Reduction Assessment With Ramipril and Rosiglitazone Medication) Trial [NCT00095654]Phase 35,000 participants Interventional2001-07-31Completed
A Randomized Double Blind Controlled Trial of the Efficacy and Safety of POLYCAP (Quintapill)Versus Its Components in Subjects With at Least One Additional Cardiovascular Risk Factor [NCT00443794]2,050 participants (Actual)Interventional2007-03-31Completed
Studies on Diabetic and Pre Diabetic Vascular Disease and the Effect of Selected Therapeutic Modalities on Associated Vasculopathy [NCT00489229]Phase 366 participants (Actual)Interventional2002-10-31Completed
Replication of the ONTARGET Antihypertensive Trial in Healthcare Claims Data [NCT04354350]63,744 participants (Actual)Observational2017-09-22Completed
Cognitive and Physical Impairment in Frail Older Adults [NCT04962841]485 participants (Anticipated)Observational2020-04-01Recruiting
The Study of Atherosclerosis With Ramipril and Rosiglitazone [NCT00140647]Phase 31,200 participants Interventional2001-07-31Completed
A Dose Escalation, Randomized, Double-blind Withdrawal Study of the Efficacy, Dose-response, and Safety of Ramipril for the Treatment of Hypertension in Children and Adolescents [NCT00044265]Phase 4310 participants Interventional2002-07-31Completed
A Randomized Controlled Trial of Strategies for the Prevention of Accelerated Atherosclerosis in Systemic Lupus Erythematosus - A Pilot Study [NCT00054938]Phase 2150 participants Interventional2003-03-31Completed
Nephropathy in Type 2 Diabetes: Effects of an Intensive Multifactorial Intervention Trial on Cardio-renal Events. [NCT00535925]Phase 4850 participants (Actual)Interventional2005-10-31Completed
Chronic Angiotensin Converting Enzyme Inhibitors in Intermediate Risk Surgery: A Randomized, Single-Blinded Study [NCT01669434]Phase 4291 participants (Actual)Interventional2015-06-01Completed
A Prospective, Randomized, Double-blind, Double-dummy, Forced Titration, Parallel Group Comparison, Multicenter Trial to Compare the Effects of Either Telmisartan (40-80 mg p.o. Once Daily) or Ramipril (5-10 mg p.o. Once Daily) on Renal Endothelial Dysfun [NCT00240422]Phase 496 participants (Actual)Interventional2003-02-28Completed
Mechanisms of Reduced Ramipril on the Onset of Type 2 Diabetes Mellitis [NCT00574834]Early Phase 117 participants (Actual)Interventional2007-03-31Terminated(stopped due to Lack of funding)
A Placebo-controlled, Double-blind, Randomized, Multicenter Study of Ramipril 5 and 10 mg Capsules and Insulin Infusion in Subjects With Unstable Coronary Syndromes [NCT00268619]Phase 30 participants Interventional2004-06-30Completed
Effects of Ramipril on Endothelial Function in Patients With Rheumatoid Arthritis [NCT00273533]Phase 2/Phase 313 participants (Actual)Interventional2004-06-30Completed
Prevention of Hypertension in Patients With High-Normal Blood Pressure With the Angiotensin-Converting-Enzyme-Inhibitor Ramipril - a Randomised Prevention Trial of the German Hypertension League. [NCT00325806]Phase 41,008 participants (Actual)Interventional2000-05-31Completed
Effects of Sodium Intake on Pharmacokinetic/Pharmacodynamic Relationship of a Single Dose of a Renin Angiotensin System-Blocker, or a Beta-Blocker in Normotensive Sodium-Depleted or Replated Volunteers in a Cross-Over Study [NCT00310778]Phase 164 participants (Actual)Interventional2006-03-31Completed
Phase IV, Effect of Rennin-Angiotensin System Blockers on Glomerular Filtration Rate in Patients With Hypertension, Type 2 Diabetes With Normoalbuminuria--- A Randomized Controlled Trial [NCT01500590]Phase 41,400 participants (Actual)Interventional2011-11-30Active, not recruiting
[NCT01703234]Phase 478 participants (Actual)Interventional2008-01-31Completed
A Multi-center, Randomized, Double-blind, Active-controlled, Parallel-group Phase 3 Study to Evaluate the Efficacy and Safety of LCZ696 Compared to Ramipril on Morbidity and Mortality in High Risk Patients Following an Acute Myocardial Infarction (AMI) [NCT02924727]Phase 35,669 participants (Actual)Interventional2016-12-09Completed
A Prospective, Randomized, Two Period, With an Intermediate Wash Out Period, Cross-over Study to Compare the Effects of Either Combined Therapy With Ramipril and Clopidogrel or Ramipril Monotherapy on Oxidative Stress, Vascular Inflammation and Endothelia [NCT01743014]Phase 460 participants (Anticipated)Interventional2012-07-31Recruiting
A Phase II Study of the Effect of ACE Inhibitors on Pro-Angiogenic Hormones in Cancer Patients With Hypertension [NCT01234922]Phase 26 participants (Actual)Interventional2011-02-28Terminated(stopped due to slow accrual)
A Randomized, Double-Blind, Multicenter, Parallel Study Evaluating the Efficacy and Safety of a Combination of Ramipril Plus Hydrochlorothiazide Versus the Component Monotherapies in Subjects With Essential Hypertension [NCT00355589]Phase 30 participants Interventional2006-07-31Completed
Ramipril for the Treatment of Oligospermia: A Double-Blind Randomized Control Trial [NCT01856361]2 participants (Actual)Interventional2013-07-31Terminated(stopped due to We did not accrue as much as anticipated and the PI (Dabaja) is no longer at Weill Cornell.)
Is There a Benefit to Optimize HF (Heart Failure) Treatment in Aged Over 80 Year's Old Patients? [NCT01437371]Phase 335 participants (Actual)Interventional2011-08-31Completed
Italian Study on the Cardiovascular Effects of Systolic Blood Pressure Control - CARDIOSIS Study [NCT00421863]Phase 41,111 participants (Actual)Interventional2005-02-28Completed
ACE Inhibition and Cardiac Allograft Vasculopathy [NCT01078363]96 participants (Actual)Interventional2009-06-30Completed
Cardiovascular Fixed Dose Combination Pill: A Pharmacodynamic Study of a Fixed Dose Combination of Acetylsalicylic Acid, Simvastatin, and Ramipril in Subjects With Elevated LDL Cholesterol [NCT01004705]Phase 236 participants (Actual)Interventional2009-09-30Terminated
The CORONAvirus Disease 2019 Angiotensin Converting Enzyme Inhibitor/Angiotensin Receptor Blocker InvestigatiON (CORONACION) Randomized Clinical Trial [NCT04330300]Phase 42,414 participants (Anticipated)Interventional2020-04-30Suspended(stopped due to Challenges with funding and very low incidence of COVID-19 at Irish study site)
A Randomized, Double-blind, Parallel Group, Active-controlled Study to Compare the Systolic Blood Pressure Lowering Efficacy of Aliskiren, Ramipril and a Combination of Aliskiren and Amlodipine, With an Initial 8-week Evaluation, Followed by a 2-3 Year Fo [NCT01922141]Phase 40 participants (Actual)Interventional2015-05-31Withdrawn
A Double-blind, Placebo Controlled, Cross-over Renal Mechanistic Trial to Assess the Effect of Adding Empagliflozin Versus Placebo on Renal Hyperfiltration on a Background of the Angiotensin Converting Enzyme Inhibitor (ACEi) Ramipril: BETWEEN Study [NCT02632747]Phase 231 participants (Actual)Interventional2016-05-10Completed
Defining Strategies for Improving Endothelial and Fibrinolytic Dysfunction in Obesity [NCT00608465]Phase 44 participants (Actual)Interventional2006-05-31Terminated(stopped due to Lack of enrollment)
Phase 4 Clinical Trial to Evaluate the Antihypertensive Efficacy and Safety of Ramiprin Tab. in Essential Hypertension [NCT00366119]Phase 486 participants Interventional2006-06-30Active, not recruiting
Cardiovascular and Metabolic Effects of Combination Therapy With Ramipril and Candesartan In Hypertensive Patients [NCT00356395]Phase 440 participants Interventional2003-08-31Completed
Open-label Randomized Crossover Two Period Single Dose Bioequivalence Study of Two Formulations Ramipril Tablets 10 mg (Pharmtechnology LLC, Republic of Belarus) and Tritace® Tablets 10 mg (Sanofi-Aventis Deutschland GmbH, Germany) in Healthy Volunteers U [NCT05438316]Phase 150 participants (Actual)Interventional2022-06-17Completed
A Phase 2, Double-blind, Active-controlled, Dose-titrating Efficacy and Safety Study of Firibastat Compared to Ramipril Administered Orally, Twice Daily, Over 12 Weeks to Prevent Left Ventricular Dysfunction After Acute MI [NCT03715998]Phase 2295 participants (Actual)Interventional2019-06-04Completed
Beneficio Del Bloqueo Del Sistema Renina-angiotensina Sobre la evolución clínica y el Remodelado Ventricular Tras la colocación de Una prótesis percutánea aórtica (RASTAVI) [NCT03201185]Phase 4194 participants (Actual)Interventional2018-02-10Active, not recruiting
The Effect of Sacubitril/Valsartan Versus Ramipril on Left Ventricular Function and Remodeling in Patients With Ischemic Heart Failure With Mid-range Ejection Fraction [NCT05508035]Phase 3666 participants (Anticipated)Interventional2022-09-15Not yet recruiting
Cardiovascular Fixed Dose Combination Pill: A Pharmacodynamic Interaction Study to Evaluate the Effect of a Fixed Dose Combination of Acetylsalicylic Acid, Simvastatin and Ramipril (Cardiovascular Fixed Dose Combination Pill) on Blood Pressure [NCT01005290]Phase 238 participants (Actual)Interventional2009-10-31Terminated
Antiproteinuric Efficacy of ACE Inhibitors, Selective MRAs and ACE Inhibitor/Selective MRA Combination Therapy in Diabetic Hypertensives With Microalbuminuria [NCT04143412]Phase 275 participants (Anticipated)Interventional2019-02-04Recruiting
Radiofrequency Ablation for Atrial Fibrillation in Advanced Chronic Heart Failure [NCT00292162]41 participants (Actual)Interventional2007-01-31Completed
The RAS, Fibrinolysis and Cardiopulmonary Bypass [NCT00607672]Phase 4111 participants (Actual)Interventional2006-08-31Completed
European Alport Therapy Registry - European Initiative Towards Delaying Renal Failure in Alport Syndrome: Current and Novel Therapies [NCT02378805]500 participants (Anticipated)Observational [Patient Registry]1995-07-31Recruiting
Short - Medium and Long Term Blood Pressure Variability in Essential Hypertensive Patients Treated With Nifedipine GITS or Ramipril - a Randomized Trial [NCT02499822]Phase 4168 participants (Actual)Interventional2015-10-31Completed
Multicentre Prospective Open Label Clinical Study to Evaluate the Effect of Personalized Therapy on Patients With Immunoglobulin A Nephropathy. [NCT04662723]Phase 4878 participants (Anticipated)Interventional2023-05-01Recruiting
A Study of Patients Treated With Ramipril for Cardiovascular Risk Reduction The HOPE Tips: The HOPE Study Translated Into PracticeS [NCT03099213]Phase 4179 participants (Actual)Interventional2008-11-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00141778 (11) [back to overview]Length of Hospital Stay (Days)
NCT00141778 (11) [back to overview]Postoperative Atrial Fibrillation
NCT00141778 (11) [back to overview]Hypotension
NCT00141778 (11) [back to overview]Hypokalemia
NCT00141778 (11) [back to overview]Death
NCT00141778 (11) [back to overview]Acute Renal Failure
NCT00141778 (11) [back to overview]Perioperative C-reactive Protein (CRP) Concentrations
NCT00141778 (11) [back to overview]Perioperative Plasminogen Activator Inhibitor-1 (PAI-1) Concentrations
NCT00141778 (11) [back to overview]Perioperative Interleukin(IL)-6 Concentrations
NCT00141778 (11) [back to overview]Time to Tracheal Extubation
NCT00141778 (11) [back to overview]Stroke
NCT00153101 (38) [back to overview]ONTARGET. Hospitalization for Congestive Heart Failure
NCT00153101 (38) [back to overview]ONTARGET. New Macroalbuminuria
NCT00153101 (38) [back to overview]ONTARGET. New Microalbuminuria
NCT00153101 (38) [back to overview]ONTARGET. New Onset of Atrial Fibrillation
NCT00153101 (38) [back to overview]ONTARGET. Newly Diagnosed Congestive Heart Failure
NCT00153101 (38) [back to overview]ONTARGET. Newly Diagnosed Diabetes
NCT00153101 (38) [back to overview]ONTARGET. Non-fatal Myocardial Infarction
NCT00153101 (38) [back to overview]ONTARGET. Non-fatal Stroke
NCT00153101 (38) [back to overview]ONTARGET. Normalisation From Micro- or Macroalbuminuria to Normoalbuminuria
NCT00153101 (38) [back to overview]ONTARGET. Progression to End Stage Renal Disease (ESRD) in Diabetic Nephropathy Patients
NCT00153101 (38) [back to overview]ONTARGET. Progression to ESRD
NCT00153101 (38) [back to overview]TRANSCEND. Cardiovascular Death
NCT00153101 (38) [back to overview]TRANSCEND. Cardiovascular Revascularization Procedure
NCT00153101 (38) [back to overview]TRANSCEND. Cognitive Decline
NCT00153101 (38) [back to overview]TRANSCEND. Combined Endpoint of Doubling Serum Creatinine, Progression to ESRD, New Microalbuminuria or New Macroalbuminuria
NCT00153101 (38) [back to overview]TRANSCEND. Composite Endpoint of Cardiovascular Death, Non-fatal Myocardial Infarction and Non-fatal Stroke
NCT00153101 (38) [back to overview]TRANSCEND. Composite Endpoint of Cardiovascular Death, Non-fatal Myocardial Infarction, Non-fatal Stroke and Hospitalization for Congestive Heart Failure
NCT00153101 (38) [back to overview]TRANSCEND. Hospitalization for Congestive Heart Failure
NCT00153101 (38) [back to overview]TRANSCEND. New Macroalbuminuria
NCT00153101 (38) [back to overview]TRANSCEND. New Microalbuminuria
NCT00153101 (38) [back to overview]TRANSCEND. New Onset of Atrial Fibrillation
NCT00153101 (38) [back to overview]TRANSCEND. Newly Diagnosed Congestive Heart Failure
NCT00153101 (38) [back to overview]TRANSCEND. Newly Diagnosed Diabetes
NCT00153101 (38) [back to overview]TRANSCEND. Non-fatal Myocardial Infarction
NCT00153101 (38) [back to overview]TRANSCEND. Non-fatal Stroke
NCT00153101 (38) [back to overview]TRANSCEND. Doubling of Serum Creatinine
NCT00153101 (38) [back to overview]TRANSCEND. Progression to ESRD
NCT00153101 (38) [back to overview]ONTARGET. 3-fold Composite Endpoint of Doubling of Serum Creatinine, Progression to End Stage Renal Disease (ESRD) and All-cause Mortality in Diabetic Nephropathy Patients
NCT00153101 (38) [back to overview]TRANSCEND. Normalisation From Micro- or Macroalbuminuria to Normoalbuminuria
NCT00153101 (38) [back to overview]ONTARGET. All-cause Mortality in Diabetic Nephropathy Patients
NCT00153101 (38) [back to overview]ONTARGET. Cardiovascular Death
NCT00153101 (38) [back to overview]ONTARGET. Cardiovascular Revascularization Procedure
NCT00153101 (38) [back to overview]ONTARGET. Cognitive Decline
NCT00153101 (38) [back to overview]ONTARGET. Combined Endpoint of Doubling of Serum Creatinine, Progression to ESRD, New Microalbuminuria, or New Macroalbuminuria
NCT00153101 (38) [back to overview]ONTARGET. Composite Endpoint of Cardiovascular Death, Non-fatal Myocardial Infarction and Non-fatal Stroke
NCT00153101 (38) [back to overview]ONTARGET. Composite Endpoint of Cardiovascular Death, Non-fatal Myocardial Infarction, Non-fatal Stroke and Hospitalization for Congestive Heart Failure
NCT00153101 (38) [back to overview]ONTARGET. Doubling of Serum Creatinine
NCT00153101 (38) [back to overview]ONTARGET. Doubling of Serum Creatinine in Diabetic Nephropathy Patients
NCT00292162 (6) [back to overview]Plasma B-type Natriuretic Peptide (BNP) at Baseline
NCT00292162 (6) [back to overview]Plasma B-type Natriuretic Peptide (BNP) at 6 Months
NCT00292162 (6) [back to overview]Plasma B-type Natriuretic Peptide (BNP)
NCT00292162 (6) [back to overview]Left Ventricular Ejection Fraction by Magnetic Resonance Imaging (MRI)at 6 Months
NCT00292162 (6) [back to overview]Change in Left Ventricular Ejection Fraction by Magnetic Resonance Imaging (MRI)%
NCT00292162 (6) [back to overview]Baseline Left Ventricular Ejection Fraction by Magnetic Resonance Imaging (MRI)
NCT00368277 (4) [back to overview]Percentage of Patients With Cough
NCT00368277 (4) [back to overview]Percentage of Patients Achieving Blood Pressure Control at Weeks 12 and 36 Endpoints
NCT00368277 (4) [back to overview]Change From Baseline in the Mean Sitting Diastolic Blood Pressure to Week 36
NCT00368277 (4) [back to overview]Change From Baseline in Mean Sitting Systolic Blood Pressure to Week 12
NCT00389519 (5) [back to overview]Change From Baseline to 4 Weeks in Schwartz Formula Glomerular Filtration Rate (GFR)
NCT00389519 (5) [back to overview]Change From Baseline to 4 Weeks in Serum Creatinine
NCT00389519 (5) [back to overview]Change From Baseline to 4 Weeks in Serum Potassium
NCT00389519 (5) [back to overview]Change From Baseline to 4 Weeks in Trough Sitting Diastolic Blood Pressure
NCT00389519 (5) [back to overview]Change From Baseline to 4 Weeks in Trough Sitting Systolic Blood Pressure
NCT00391846 (8) [back to overview]Total Number of Titration Steps in Prescribed Heart Failure Treatment
NCT00391846 (8) [back to overview]Changes in Health-related Quality of Life
NCT00391846 (8) [back to overview]Changes in Heart Failure Symptoms
NCT00391846 (8) [back to overview]Changes in NT-proBNP Values Over Time in All Patients
NCT00391846 (8) [back to overview]Composite Value of 3 Variables After 9 Months: Cardiovascular Death (Days Alive), Cardiovascular Hospitalization (Days Out of Hospital), Heart Failure Symptoms (Symptom Score Subset of the Kansas City Cardiomyopathy Questionnaire - Questions 3,5,7,9)
NCT00391846 (8) [back to overview]Discontinuations
NCT00391846 (8) [back to overview]Number of CV Deaths
NCT00391846 (8) [back to overview]Number of Days in Hospital for CV Reason
NCT00502242 (24) [back to overview]Fraction of Albumin (Milligrams Per Deciliter [mg/dL]) to Protein (mg/dL) in Urine at 24 and 52 Weeks After Conversion to SRL
NCT00502242 (24) [back to overview]Number of Participants With BCAR by Severity of First BCAR
NCT00502242 (24) [back to overview]Percentage of Participants Using Red Blood Cell Production Stimulants (Erythropoiesis Stimulating Agents [ESAs])
NCT00502242 (24) [back to overview]Percentage of Participants Using Statins
NCT00502242 (24) [back to overview]Percentage of Participants Who Discontinued SRL Therapy at 24 and 52 Weeks Following Conversion to SRL
NCT00502242 (24) [back to overview]Percentage of Participants With Both U Alb/c <0.5 and U p/c <0.5 at 24 and 52 Weeks Following Conversion to SRL
NCT00502242 (24) [back to overview]Percentage of Participants With First BCAR at 24 and 52 Weeks Following Conversion to SRL
NCT00502242 (24) [back to overview]Percentage of Participants With Graft Loss at 24 and 52 Weeks Following Conversion to SRL
NCT00502242 (24) [back to overview]Percentage of Participants With Hemoglobin Levels ≤100 Grams Per Liter (g/L)
NCT00502242 (24) [back to overview]Percentage of Participants With Hyperkalemia
NCT00502242 (24) [back to overview]Percentage of Participants With Potentially Clinically Important Blood Pressure (BP) Values by Diastolic and Systolic BP Category
NCT00502242 (24) [back to overview]Percentage of Participants With U p/c <0.5 at 24 and 52 Weeks Following Conversion to Sirolimus
NCT00502242 (24) [back to overview]Percentage of Participants With Urinary Albumin to Creatinine Ratio (U Alb/c) <0.5 at 24 and 52 Weeks Following Conversion to SRL
NCT00502242 (24) [back to overview]SRL Time-Normalized Trough Concentration (Cmin,TN) by Time Interval
NCT00502242 (24) [back to overview]U Alb/c at Baseline and Weeks 3, 4, 8, 12, 24, 30, 36, and 52 Following Conversion to SRL
NCT00502242 (24) [back to overview]U p/c at Baseline and Weeks 3, 4, 8, 12, 24, 30, 36, and 52 Following Conversion to SRL
NCT00502242 (24) [back to overview]Biopsy-Confirmed Acute Rejection (BCAR) - Number of Participants With an Event
NCT00502242 (24) [back to overview]Percentage of Participants Who Had a Dose Escalation in Randomized Test Article (Ramipril or Placebo) by 52 Weeks Following Conversion to SRL
NCT00502242 (24) [back to overview]Percentage of Participants Who Had Initiated Losartan Therapy at 52 Weeks Following Conversion to SRL
NCT00502242 (24) [back to overview]Percentage of Participants With an Infection
NCT00502242 (24) [back to overview]Percentage of Participants With Angioedema
NCT00502242 (24) [back to overview]Percentage of Participants With Malignancy
NCT00502242 (24) [back to overview]Abbreviated Modified Diet in Renal Disease (MDRD) Glomerular Filtration Rate (GFR) at Weeks 12, 24, and 52 Following Conversion to SRL
NCT00502242 (24) [back to overview]Change From Baseline in Fasting Lipid Parameters (Millimoles Per Liter [mmol/L]) at 4, 12, 24, and 52 Weeks Following Conversion to SRL
NCT00529451 (6) [back to overview]Evaluation of the Percentage of Patients Controlled to a Target Blood Pressure of < 140/90 mmHg on Aliskiren 300 mg, 150 mg and 75 mg vs. Ramipril 5 mg
NCT00529451 (6) [back to overview]Evaluation of the Percentage of Responders on Aliskiren 300 mg, 150 mg and 75 mg vs. Ramipril 5 mg, Define as msDBP < 90 mmHg or ≥ 10mmHg Decrease From Baseline in msDBP
NCT00529451 (6) [back to overview]Non-inferiority of Aliskiren 75 mg to Ramipril 5 mg in Change in Mean Sitting Diastolic Blood Pressure (msDBP)
NCT00529451 (6) [back to overview]Non-inferiority of Aliskiren 150 mg to Ramipril 5 mg in Change in Mean Sitting Diastolic Blood Pressure (msDBP)
NCT00529451 (6) [back to overview]Non-inferiority of Aliskiren 300 mg to Ramipril 5 mg in Change in Mean Sitting Diastolic Blood Pressure (msDBP)
NCT00529451 (6) [back to overview]Change in Mean Sitting Systolic Blood Pressure (msSBP)and Mean Sitting Diastolic Blood Pressure (msDBP) From Baseline to 8 Week Endpoint
NCT00535925 (2) [back to overview]"Number of Participants Who Achieved of BP, HbA1c and Total, HDL and LDL Cholesterol Goals at the End of Intervention Phase"
NCT00535925 (2) [back to overview]"Number of Participants With Overall Fatal and Non-fatal, Major Adverse Cardiovascular Events (MACEs)"
NCT00542269 (10) [back to overview]Change in Mean Sitting Systolic Blood Pressure (msSBP) From Baseline to End of Study - Aliskiren/Ramipril/Amlodipine vs Ramipril/Amlodipine)
NCT00542269 (10) [back to overview]Change in HbA1c (Glycated Hemoglobin) From Baseline to End of Study - Aliskiren/Ramipril/Amlodipine vs Ramipril/Amlodipine
NCT00542269 (10) [back to overview]Percentage of Patients Who Achieved Normalized Blood Pressure at End of Study
NCT00542269 (10) [back to overview]Change in HbA1c (Glycated Hemoglobin) From Baseline to End of Study - Aliskiren/Amlodipine vs Ramipril/Amlodipine)
NCT00542269 (10) [back to overview]Change in Mean Sitting Systolic Blood Pressure (msSBP) From Baseline to End of Study - Aliskiren/Amlodipine vs Ramipril/Amlodipine
NCT00542269 (10) [back to overview]Percentage of Patients Who Developed Diabetes at End of Study
NCT00542269 (10) [back to overview]Change in Mean Sitting Diastolic Blood Pressure (msDBP) From Baseline to End of Study - Aliskiren/Ramipril/Amlodipine vs Ramipril/Amlodipine
NCT00542269 (10) [back to overview]Change in Mean Sitting Diastolic Blood Pressure (msDBP) From Baseline to End of Study - Aliskiren/Amlodipine vs Ramipril/Amlodipine
NCT00542269 (10) [back to overview]Change in HOMA-β From Baseline to End of Study
NCT00542269 (10) [back to overview]Change in HOMA-IR From Baseline to End of Study
NCT00574834 (1) [back to overview]Changes in Insulin Sensitivity
NCT00607672 (13) [back to overview]New Onset Atrial Fibrillation
NCT00607672 (13) [back to overview]Plasminogen Activator Inhibitor-1 (PAI-1) Response
NCT00607672 (13) [back to overview]Interleukin-8 (IL-8) Response
NCT00607672 (13) [back to overview]Interleukin-6 (IL-6) Response
NCT00607672 (13) [back to overview]Tissue-type Plasminogen Activator (t-PA) Antigen Response
NCT00607672 (13) [back to overview]Length of Hospital Stay
NCT00607672 (13) [back to overview]Re-exploration for Bleeding
NCT00607672 (13) [back to overview]Blood Loss
NCT00607672 (13) [back to overview]Stroke
NCT00607672 (13) [back to overview]Vasopressor Drug Use
NCT00607672 (13) [back to overview]Blood Product Transfusion Requirement
NCT00607672 (13) [back to overview]Interleukin-10 (IL-10) Response
NCT00607672 (13) [back to overview]Acute Kidney Injury
NCT00631917 (5) [back to overview]Percentage of Participants With Colonic Pathology
NCT00631917 (5) [back to overview]Summary of the End of Study Colonoscopy Results
NCT00631917 (5) [back to overview]Percentage of Participants With Each of the Individual Components of Colonic Pathology
NCT00631917 (5) [back to overview]Percentage of Participants Achieving the Mean Sitting Blood Pressure Control Target
NCT00631917 (5) [back to overview]Mucosal Hyperplasia Score in Rectal and Cecal Mucosal Biopsy Specimens After One Year of Treatment
NCT00732069 (2) [back to overview]F2-Isoprostanes
NCT00732069 (2) [back to overview]Interleukin 1 Beta
NCT00750308 (2) [back to overview]Insulin Sensitivity
NCT00750308 (2) [back to overview]Beta Cell Function
NCT00760214 (12) [back to overview]Change From Baseline in the 12-hour Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring
NCT00760214 (12) [back to overview]Change From Baseline in the Nighttime (12 am to 6 am) Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.
NCT00760214 (12) [back to overview]Change From Baseline in the Nighttime (12 am to 6 am) Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.
NCT00760214 (12) [back to overview]Change From Baseline in the Trough (22-24-hr) Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.
NCT00760214 (12) [back to overview]Change From Baseline in the Trough (22-24-hr) Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.
NCT00760214 (12) [back to overview]Change From Baseline in 24-hour Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.
NCT00760214 (12) [back to overview]Change From Baseline in 24-hour Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.
NCT00760214 (12) [back to overview]Change From Baseline in Daytime (6am to 10 pm) Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.
NCT00760214 (12) [back to overview]Change From Baseline in Daytime (6am to 10 pm) Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.
NCT00760214 (12) [back to overview]Change From Baseline in Mean Trough Clinic Sitting Diastolic Blood Pressure
NCT00760214 (12) [back to overview]Change From Baseline in Mean Trough Clinic Sitting Systolic Blood Pressure.
NCT00760214 (12) [back to overview]Change From Baseline in the 12-hour Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring
NCT00772577 (5) [back to overview]Percentage of Patients Achieving Blood Pressure Control During 8 Weeks
NCT00772577 (5) [back to overview]Percentage of Responders (MSSBP < 140 mmHg or ≥ 20 mmHg Decrease From Baseline in MSSBP)
NCT00772577 (5) [back to overview]Change From Baseline in Mean Sitting Diastolic Blood Pressure (MSDBP)
NCT00772577 (5) [back to overview]Change From Baseline in Mean Sitting Pulse Pressure (MSPP)
NCT00772577 (5) [back to overview]Change From Baseline in Mean Sitting Systolic Blood Pressure (MSSBP)
NCT00828321 (5) [back to overview]AUC0-72 (Area Under the Concentration-time Curve From Time Zero to Time 72 Hours)of Ramiprilat.
NCT00828321 (5) [back to overview]AUC0-inf (Area Under the Concentration-time Curve From Time Zero to Infinity)of Ramipril.
NCT00828321 (5) [back to overview]AUC0-t (Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)of Ramipril
NCT00828321 (5) [back to overview]Cmax (Maximum Observed Concentration of Drug Substance in Plasma)of Ramipril
NCT00828321 (5) [back to overview]Cmax (Maximum Observed Concentration of Drug Substance in Plasma)of Ramiprilat.
NCT00829452 (5) [back to overview]AUC0-inf (Area Under the Concentration-time Curve From Time Zero to Infinity) for Ramipril.
NCT00829452 (5) [back to overview]AUC0-t (Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) for Ramipril.
NCT00829452 (5) [back to overview]Cmax (Maximum Observed Concentration of Drug Substance in Plasma)for Ramipril.
NCT00829452 (5) [back to overview]Cmax (Maximum Observed Concentration of Drug Substance in Plasma)for Ramiprilat.
NCT00829452 (5) [back to overview]AUC0-72 (Area Under the Concentration-time Curve From Time Zero to Time of 72 Hours) for Ramiprilat.
NCT00829530 (5) [back to overview]Cmax (Maximum Observed Concentration of Drug Substance in Plasma)for Ramipril.
NCT00829530 (5) [back to overview]Cmax (Maximum Observed Concentration of Drug Substance in Plasma)for Ramiprilat.
NCT00829530 (5) [back to overview]AUC0-t (Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)for Ramipril.
NCT00829530 (5) [back to overview]AUC0-inf (Area Under the Concentration-time Curve From Time Zero to Infinity)for Ramipril.
NCT00829530 (5) [back to overview]AUC0-72 (Area Under the Concentration-time Curve From Time Zero to Time of 72 Hours)for Ramiprilat.
NCT00923156 (11) [back to overview]Pharmacokinetic of Aliskiren: The Area Under the Plasma Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUClast)
NCT00923156 (11) [back to overview]Pharmacokinetic of Aliskiren: The Area Under the Plasma Concentration-time Curve From Time Zero to the End of the Dosing Interval Tau(AUCtau)
NCT00923156 (11) [back to overview]Pharmacokinetic of Aliskiren: The Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUCinf)
NCT00923156 (11) [back to overview]Biomarker Urinary Aldosterone After 12 Weeks of Treatment
NCT00923156 (11) [back to overview]Biomarker Plasma Renin Concentration (PRC)After 12 Weeks of Treatment
NCT00923156 (11) [back to overview]Biomarker B-type Natriuretic Peptide (BNP) After 12 Weeks of Treatment
NCT00923156 (11) [back to overview]Pharmacokinetic of Aliskiren: The Observed Maximum Plasma Concentration (Cmax) Following Drug Administration
NCT00923156 (11) [back to overview]Pharmacokinetic of Aliskiren: The Terminal Elimination Half-life (T½)
NCT00923156 (11) [back to overview]Biomarker Trapping Plasma Renin Activity (tPRA) After 12 Weeks of Treatment
NCT00923156 (11) [back to overview]Venous Angiotensin II Levels After 12 Weeks of Treatment
NCT00923156 (11) [back to overview]Pharmacokinetic of Aliskiren: Time to Reach the Maximum Concentration (Tmax) After Drug Administration
NCT00980785 (4) [back to overview]Change in Cerebrospinal Fluid (CSF) Amyloid Beta-42 (Aβ42) Levels Between Baseline and Month 4 in Subjects Taking Ramipril vs Subjects on Placebo
NCT00980785 (4) [back to overview]Change in Augmentation Index (%) Between Baseline and Month 4 in Subjects Taking Ramipril vs Subjects on Placebo
NCT00980785 (4) [back to overview]Change in Flow-mediated Vasodilation (FMD) Between Baseline and Month 4 in Subjects Taking Ramipril vs Subjects on Placebo
NCT00980785 (4) [back to overview]Change in CSF Angiotensin Converting Enzyme (ACE) Levels Between Baseline and Month 4 in Subjects Taking Ramipril vs Subjects on Placebo
NCT01004705 (2) [back to overview]The Difference in LDL Cholesterol Levels Between the Basal and the Final Visit of Each Treatment Period.
NCT01004705 (2) [back to overview]The Difference in Mean Total Cholesterol Between the Basal and the Final Visit of Each Treatment Period.
NCT01005290 (2) [back to overview]Difference in the Adjusted Mean 24-h Diastolic Pressure Results Between the Basal and the Final Visit of Each Treatment Period
NCT01005290 (2) [back to overview]Difference in the Adjusted Mean 24-h Systolic Pressure Results (Using ABPM) Between the Basal and the Final Visit of Each Treatment Period.
NCT01042392 (9) [back to overview]Percentage of Patients With Controlled Blood Pressure
NCT01042392 (9) [back to overview]Difference Between the Maximal and the Minimal Mean-hour SPB Measured Between 1 and 8 am at Week 8
NCT01042392 (9) [back to overview]Change From Baseline in Mean Sitting Diastolic Blood Pressure (msDBP)
NCT01042392 (9) [back to overview]Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP)
NCT01042392 (9) [back to overview]Number of the Participants With More Than 55 mmHg Difference Between the Mean SBP Measured at the Morning Surge and the Mean Minimal SBP Measured During the Night
NCT01042392 (9) [back to overview]Change in Mean Sitting DBP and SBP in Specified Sub-groups From Visit 2 (Baseline) to Visit 4 (at 8 Weeks)
NCT01042392 (9) [back to overview]Change in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP) From Last Active Dose Taken to After a One-day Missed-dose
NCT01042392 (9) [back to overview]Change in msSBP and msDBP From Visit 2 (Baseline) to Visit 3 (at 4 Weeks)
NCT01042392 (9) [back to overview]Number Patients Reported With Adverse Events (AEs), Serious Adverse Events (SAE) and Death (Period II and Period III)
NCT01052272 (7) [back to overview]Left Ventricular End Diastolic Volume Indexed to Body Surface Area (LVEDV/BSA)
NCT01052272 (7) [back to overview]Left Ventricular End-Diastolic Radius to Wall Thickness (LVED Radius/Wall Thickness)
NCT01052272 (7) [back to overview]Left Ventricular End-diastolic Mass Indexed to Left Ventricular End-diastolic Volume (LVED Mass/LVEDV)
NCT01052272 (7) [back to overview]Left Ventricular End Systolic Volume Indexed to Body Surface Area (LVESV/BSA)
NCT01052272 (7) [back to overview]Left Ventricular Ejection Fraction (LVEF)
NCT01052272 (7) [back to overview]Peak Early Filling Rate Normalized to EDV
NCT01052272 (7) [back to overview]LV End Systolic Maximum Shortening (LVES Max Shortening)
NCT01078363 (6) [back to overview]ADMA Level at One Year Post Transplant
NCT01078363 (6) [back to overview]Cardiac Allograft Vasculopathy(CAV) Defined as Change in IVUS-assessed Plaque Volume From Baseline to One Year
NCT01078363 (6) [back to overview]Fractional Flow Reserve (FFR) at One Year Post Transplant
NCT01078363 (6) [back to overview]The Percentage of Endothelial Progenitor Cells ( EPC) in Peripheral Blood in Patients One Year After Transplant
NCT01078363 (6) [back to overview]Percentage of Participants With ≥20% Coronary Artery Diameter Reduction After Acetylcholine
NCT01078363 (6) [back to overview]Index of Microcirculatory Resistance at One Year Post Heart Transplant
NCT01234922 (1) [back to overview]Changes in Ang1-7 Levels Among Patients After ACE-I/ARB Treatment Measured in Picogram/Milliliter
NCT01284621 (15) [back to overview]Ramiprilat: Predose Concentration Prior to Administration of the Nth Dose (Cpre,N)
NCT01284621 (15) [back to overview]Terminal Half-life (T 1/2,ss)
NCT01284621 (15) [back to overview]Terminal Rate Constant (λz,ss)
NCT01284621 (15) [back to overview]Total Ramipril: Area Under the Curve at Steady-state Over a Uniform Dosing Interval (AUCτ,ss).
NCT01284621 (15) [back to overview]Clinically Relevant Abnormalities for Physical Examination, Vital Signs, ECG, Blood Chemistry and Tolerability
NCT01284621 (15) [back to overview]Time From Last Dosing to the Maximum Measured Concentration (Tmax,ss)
NCT01284621 (15) [back to overview]Mean Residence Time (MRTpo,ss)
NCT01284621 (15) [back to overview]Empa: Predose Concentration Prior to Administration of the Nth Dose (Cpre,N)
NCT01284621 (15) [back to overview]Apparent Volume of Distribution During the Terminal Phase (Vz/Fss)
NCT01284621 (15) [back to overview]Apparent Clearance After Extravascular Administration (CL/Fss)
NCT01284621 (15) [back to overview]Total Ramiprilat: Maximum Measured Concentration (Cmax,ss)
NCT01284621 (15) [back to overview]Total Ramiprilat: Area Under the Curve at Steady-state Over a Uniform Dosing Interval (AUCτ,ss).
NCT01284621 (15) [back to overview]Total Ramipril: Maximum Measured Concentration (Cmax,ss)
NCT01284621 (15) [back to overview]Total Empa: Maximum Measured Concentration (Cmax,ss)
NCT01284621 (15) [back to overview]Total Empa: Area Under the Curve at Steady-state Over a Uniform Dosing Interval (AUCτ,ss)
NCT01302899 (1) [back to overview]Number of Participants With Adverse Events, Serious Adverse Events and Death as Assessment of Safety and Tolerability of Aliskiren Added to Ramipril
NCT01669434 (6) [back to overview]Postoperative Hypotension
NCT01669434 (6) [back to overview]Acute Renal Failure
NCT01669434 (6) [back to overview]Number of Participants With Interoperative Hypotension
NCT01669434 (6) [back to overview]Older Age Subgroup
NCT01669434 (6) [back to overview]Postoperative Hypertension
NCT01669434 (6) [back to overview]Low Blood Pressure Subgroup
NCT02632747 (1) [back to overview]Glomerular Filtration Rate (GFR) Under Euglycaemic Conditions After 4 Weeks of Treatment With Either Empagliflozin Added to Ramipril or Placebo Added to Ramipril.
NCT02924727 (7) [back to overview]Total Number of Confirmed Composite Endpoints
NCT02924727 (7) [back to overview]All Collected Deaths
NCT02924727 (7) [back to overview]Number of Participants With First CEC (Clinical Endpoint Committee) Confirmed Primary Composite Endpoint
NCT02924727 (7) [back to overview]Number of Participants With a Confirmed Composite of CV Death or HF Hospitalization
NCT02924727 (7) [back to overview]All-cause Mortality for Full Analysis Set (FAS)
NCT02924727 (7) [back to overview]Number of Participants With a Confirmed Composite of CV Death, Non-fatal Spontaneous Myocardial Infarction or Non-fatal Stroke
NCT02924727 (7) [back to overview]Number of Participants With a Confirmed Composite of HF Hospitalization or Outpatient HF
NCT03011775 (17) [back to overview]Safety and Tolerability 1
NCT03011775 (17) [back to overview]Systemic Inflammation Level
NCT03011775 (17) [back to overview]Thickness of the Intima-media Complex
NCT03011775 (17) [back to overview]Lipid Metabolism 3
NCT03011775 (17) [back to overview]Percutaneous Coronary Intervention [Coronary Revascularization]
NCT03011775 (17) [back to overview]Safety and Tolerability 2
NCT03011775 (17) [back to overview]Safety and Tolerability 3
NCT03011775 (17) [back to overview]Safety and Tolerability 4
NCT03011775 (17) [back to overview]Сardiovascular Death
NCT03011775 (17) [back to overview]Lipid Metabolism 2
NCT03011775 (17) [back to overview]Lipid Metabolism 1
NCT03011775 (17) [back to overview]Level of Insulin Resistance 2
NCT03011775 (17) [back to overview]Level of Insulin Resistance 1
NCT03011775 (17) [back to overview]Diameter of Stenosis [Carotic Atherosclerotic Lesions]
NCT03011775 (17) [back to overview]Coronary Artery Bypass [Coronary Revascularization]
NCT03011775 (17) [back to overview]Carotic Atherosclerotic Lesions
NCT03011775 (17) [back to overview]Cardiovascular Hospitalization
NCT03715998 (5) [back to overview]Major Cardiac Event (MACE): Combined Clinical Endpoint of Cardiovascular Death, MI, and Cardiac Hospitalization
NCT03715998 (5) [back to overview]Left Ventricular Ejection Fraction Assessed by Cardiac Magnetic Resonance Imaging (CMRI)
NCT03715998 (5) [back to overview]Left-ventricle End-diastolic Volume Assessed by CMRI
NCT03715998 (5) [back to overview]Left-ventricle End-systolic Volume Assessed by CMRI
NCT03715998 (5) [back to overview]N-terminal Pro B-type Natriuretic Peptide (NT proBNP)
NCT04366050 (1) [back to overview]Composite of Mortality or Need for ICU Admission or Ventilator Use

Length of Hospital Stay (Days)

(NCT00141778)
Timeframe: Measured from the day of surgery until the time of hospital discharge

Interventiondays (Mean)
Placebo6.8
Ramipril5.7
Spironolactone5.8

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Postoperative Atrial Fibrillation

The primary endpoint of the study was the percentage of patients with electrocardiographically confirmed AF of at least 10 secs duration at any time following the end of surgery until hospital discharge, an average from 5.7 days in the ramipril group to 6.8 days in the placebo group. Patients were monitored continuously on telemetry throughout the postoperative period until discharge. Electrocardiograms were obtained for any rhythm changes detected on telemetry monitoring, and in addition, electrocardiograms were performed preoperatively, at admission to the intensive care unit, and daily starting on postoperative day 1. All electrocardiograms and rhythm strips were reviewed in a blinded fashion by a single cardiac electrophysiologist. (NCT00141778)
Timeframe: Measured from admission to the ICU until discharge from hospital

Interventionpercentage of patients (Number)
Placebo27.2
Ramipril27.8
Spironolactone25.9

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Hypotension

Percentage of patients with hypotension defined as a systolic blood pressure <90 mmHg and/or prolonged requirement for vasopressor use. (NCT00141778)
Timeframe: Measured during and after surgery, until discharge, from 5.7 to 6.8 days on average.

Interventionpercentage of patients (Number)
Placebo5.4
Ramipril10.6
Spironolactone10.2

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Hypokalemia

Percentage of patients who had a serum potassium concentrations <3.5 milliequivalents (mEq)/L (NCT00141778)
Timeframe: Measured until the time of hospital discharge, which was an average of 5.7 to 6.8 days depending on the treatment arm.

Interventionpercentage of patients (Number)
Placebo11.6
Ramipril13.8
Spironolactone6.8

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Death

The percentage of patients in each study arm who died. (NCT00141778)
Timeframe: Measured until the time of hospital discharge

Interventionpercentage of patients (Number)
Placebo1.4
Ramipril2.0
Spironolactone0

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Acute Renal Failure

Percentage of patients with a creatinine concentrations >2.5mg/dl (NCT00141778)
Timeframe: Measured until the time of hospital discharge, from 5.7 to 6.8 days on average, depending on the study group.

Interventionpercentage of patients (Number)
Placebo5.4
Ramipril0.7
Spironolactone0.7

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Perioperative C-reactive Protein (CRP) Concentrations

C-reactive protein was measured at several time points (see table) over the course of the study. (NCT00141778)
Timeframe: Perioperative period

,,
Interventionug/mL (Mean)
Initiation of surgeryPostoperative day 1Postoperative day 2Postoperative day 3Postoperative day 4
Placebo4.151.4134.8128.394.1
Ramipril4.349.9131.0164.8105.2
Spironolactone3.964.3127.8189.4126.5

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Perioperative Plasminogen Activator Inhibitor-1 (PAI-1) Concentrations

Plasminogen activator inhibitor-1 (PAI-1) was measured at several time points (see table) over the course of the study. (NCT00141778)
Timeframe: Perioperative period

,,
Interventionng/mL (Mean)
Initiation of surgery30min intraop60min intraopPostopPostoperative day 1Postoperative day 2
Placebo19.619.221.036.455.228.1
Ramipril16.219.722.038.947.925.7
Spironolactone17.317.320.134.048.931.0

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Perioperative Interleukin(IL)-6 Concentrations

Interleukin-6 was measured at several time points (see time points in table) over the course of the study (NCT00141778)
Timeframe: Perioperative period

,,
Interventionpg/ml (Mean)
Initiation of surgery30min intraop60min intraopPostopPostoperative day 1Postoperative day 2
Placebo4.712.015.6130.0119.0100.3
Ramipril4.620.528.8202.1171.095.5
Spironolactone6.611.317.4145.7164.9109.6

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Time to Tracheal Extubation

It is the time in minutes that it took to extubate the patient after surgery. (NCT00141778)
Timeframe: It is the time (in minutes) from admission to the ICU until tracheal extubation

Interventionminutes (Mean)
Placebo1091.3
Ramipril970.1
Spironolactone576.4

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Stroke

Percentage of patients in each study group who experience a cerebrovascular event, confirmed by CT. (NCT00141778)
Timeframe: Measured until the time of hospital discharge, from 5.7 to 6.8 days on average depending on the study arm.

Interventionpercentage of patients (Number)
Placebo2.7
Ramipril1.3
Spironolactone2.0

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ONTARGET. Hospitalization for Congestive Heart Failure

The Ongoing Telmisartan Alone and combination with Ramipril global Endpoint trial (ONTARGET). Time to the first event analysis of the endpoint hospitalization for congestive heart failure. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)332
Telmisartan (ONTARGET)394
Ramipril (ONTARGET)354

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ONTARGET. New Macroalbuminuria

ONTARGET. Nephropathy subcategory: New macroalbuminuria. New macroalbuminuria is defined as Urinary Albumin Creatinine Ratio ≥300 mg/g Crea in patients with a Urinary Albumin Creatinine Ratio <300 mg/g Crea at baseline. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)205
Telmisartan (ONTARGET)229
Ramipril (ONTARGET)257

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ONTARGET. New Microalbuminuria

ONTARGET. Nephropathy subcategory: New microalbuminuria. New microalbuminuria is defined as Urinary Albumin Creatinine Ratio ≥30 mg/g Crea in patients with a Urinary Albumin Creatinine Ratio <30 mg/g Crea at baseline. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)763
Telmisartan (ONTARGET)799
Ramipril (ONTARGET)869

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ONTARGET. New Onset of Atrial Fibrillation

The Ongoing Telmisartan Alone and combination with Ramipril global Endpoint trial (ONTARGET). Time to first event analysis of endpoint new onset of atrial fibrillation. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)542
Telmisartan (ONTARGET)560
Ramipril (ONTARGET)586

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ONTARGET. Newly Diagnosed Congestive Heart Failure

The Ongoing Telmisartan Alone and combination with Ramipril global Endpoint trial (ONTARGET). Time to the first event analysis of the endpoint Newly diagnosed Congestive Heart failure. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)469
Telmisartan (ONTARGET)529
Ramipril (ONTARGET)503

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ONTARGET. Newly Diagnosed Diabetes

The Ongoing Telmisartan Alone and combination with Ramipril global Endpoint trial (ONTARGET). Time to the first event analysis of the endpoint Newly diagnosed Diabetes. Only calculated for those patients without diabetes at baseline. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)224
Telmisartan (ONTARGET)277
Ramipril (ONTARGET)249

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ONTARGET. Non-fatal Myocardial Infarction

The Ongoing Telmisartan Alone and combination with Ramipril global Endpoint trial (ONTARGET). Time to the first event analysis of the endpoint non-fatal myocardial infarction. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)424
Telmisartan (ONTARGET)431
Ramipril (ONTARGET)400

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ONTARGET. Non-fatal Stroke

The Ongoing Telmisartan Alone and combination with Ramipril global Endpoint trial (ONTARGET). Time to first event analysis of the endpoint non-fatal stroke. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)364
Telmisartan (ONTARGET)364
Ramipril (ONTARGET)402

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ONTARGET. Normalisation From Micro- or Macroalbuminuria to Normoalbuminuria

ONTARGET. Nephropathy subcategory: Normalisation from micro- or macroalbuminuria to normoalbuminuria. Normalisation from micro- or macroalbuminuria to normoalbuminuria is defined as UACR <30 mg/g Crea in patients with a UACR ≥30 mg/g Crea at baseline. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)508
Telmisartan (ONTARGET)483
Ramipril (ONTARGET)448

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ONTARGET. Progression to End Stage Renal Disease (ESRD) in Diabetic Nephropathy Patients

ESRD is defined by initiation of dialysis, need for renal transplantation, or eGFR <15 mL/min/1.73 m². Diabetic nephropathy patients are diabetic patients with macro-albuminuria assessed as a Urinary Albumin Creatinine Ratio (UACR) ≥300 mg/g Crea at baseline. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)30
Telmisartan (ONTARGET)24
Ramipril (ONTARGET)32

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ONTARGET. Progression to ESRD

ONTARGET. Nephropathy subcategory: Progression to ESRD. Progression to ESRD is defined as initiation of dialysis, need for renal transplantation, or eGFR <15 mL/min/1.73 m². (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)79
Telmisartan (ONTARGET)67
Ramipril (ONTARGET)71

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TRANSCEND. Cardiovascular Death

Telmisartan Randomized Assessment Study in Angiotension Converting Enzyme inhibitor intolerant subjects with cardiovascular disease (TRANSCEND). Time to the first event analysis of the endpoint cardiovascular death. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan (TRANSCEND)227
Placebo (TRANSCEND)223

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TRANSCEND. Cardiovascular Revascularization Procedure

Telmisartan Randomized Assessment Study in Angiotension Converting Enzyme inhibitor intolerant subjects with cardiovascular disease (TRANSCEND). (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan (TRANSCEND)351
Placebo (TRANSCEND)390

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TRANSCEND. Cognitive Decline

Telmisartan Randomized Assessment Study in Angiotension Converting Enzyme inhibitor intolerant subjects with cardiovascular disease (TRANSCEND). Time to first event analysis of the endpoint cognitive decline i.e. Comparison of the Mini mental state Evaluation (MMSE) of patients at baseline with that at the 2years and end of trial. A decrease in MMSE from baseline represents a cognitive decline. This outcome measure is only available for those patients who had MMSE at baseline. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan (TRANSCEND)230
Placebo (TRANSCEND)192

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TRANSCEND. Combined Endpoint of Doubling Serum Creatinine, Progression to ESRD, New Microalbuminuria or New Macroalbuminuria

TRANSCEND. Nephropathy subcategory: Combined endpoint of doubling serum creatinine, progression to ESRD, new microalbuminuria or new macroalbuminuria (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan (TRANSCEND)357
Placebo (TRANSCEND)448

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TRANSCEND. Composite Endpoint of Cardiovascular Death, Non-fatal Myocardial Infarction and Non-fatal Stroke

Telmisartan Randomized Assessment Study in Angiotension Converting Enzyme inhibitor intolerant subjects with cardiovascular disease (TRANSCEND). Time to first event analysis of the following defined endpoints, Cardiovascular Death, Non-fatal myocardial infarction, non-fatal stroke and hospitalization for congestive heart failure. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan (TRANSCEND)384
Placebo (TRANSCEND)440

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TRANSCEND. Composite Endpoint of Cardiovascular Death, Non-fatal Myocardial Infarction, Non-fatal Stroke and Hospitalization for Congestive Heart Failure

Telmisartan Randomized Assessment Study in Angiotension Converting Enzyme inhibitor intolerant subjects with cardiovascular disease (TRANSCEND). Time to first event analysis of the following defined endpoints, Cardiovascular Death, Non-fatal myocardial infarction, non-fatal stroke and hospitalization for congestive heart failure. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan (TRANSCEND)465
Placebo (TRANSCEND)504

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TRANSCEND. Hospitalization for Congestive Heart Failure

Telmisartan Randomized Assessment Study in Angiotension Converting Enzyme inhibitor intolerant subjects with cardiovascular disease (TRANSCEND). (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan (TRANSCEND)134
Placebo (TRANSCEND)129

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TRANSCEND. New Macroalbuminuria

TRANSCEND. Nephropathy subcategory: New macroalbuminuria. New macroalbuminuria is defined as UACR ≥300 mg/g creatinine [Crea] in patients with a UACR <300 mg/g Crea at baseline (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan (TRANSCEND)66
Placebo (TRANSCEND)101

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TRANSCEND. New Microalbuminuria

TRANSCEND. Nephropathy subcategory: New microalbuminuria. New microalbuminuria is defined as UACR ≥30 mg/g creatinine [Crea] in patients with a UACR <30 mg/g Crea at baseline (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan (TRANSCEND)276
Placebo (TRANSCEND)363

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TRANSCEND. New Onset of Atrial Fibrillation

Telmisartan Randomized Assessment Study in Angiotension Converting Enzyme inhibitor intolerant subjects with cardiovascular disease (TRANSCEND). (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan (TRANSCEND)181
Placebo (TRANSCEND)182

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TRANSCEND. Newly Diagnosed Congestive Heart Failure

Telmisartan Randomized Assessment Study in Angiotension Converting Enzyme inhibitor intolerant subjects with cardiovascular disease (TRANSCEND). (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan (TRANSCEND)187
Placebo (TRANSCEND)191

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TRANSCEND. Newly Diagnosed Diabetes

Telmisartan Randomized Assessment Study in Angiotension Converting Enzyme inhibitor intolerant subjects with cardiovascular disease (TRANSCEND). Time to the first event analysis of the endpoint Newly diagnosed Diabetes. Only calculated for those patients without diabetes at baseline. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan (TRANSCEND)124
Placebo (TRANSCEND)165

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TRANSCEND. Non-fatal Myocardial Infarction

Telmisartan Randomized Assessment Study in Angiotension Converting Enzyme inhibitor intolerant subjects with cardiovascular disease (TRANSCEND). Time to the first event analysis of the endpoint non-fatal myocardial infarction. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan (TRANSCEND)114
Placebo (TRANSCEND)145

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TRANSCEND. Non-fatal Stroke

Telmisartan Randomized Assessment Study in Angiotension Converting Enzyme inhibitor intolerant subjects with cardiovascular disease (TRANSCEND). (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan (TRANSCEND)112
Placebo (TRANSCEND)136

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TRANSCEND. Doubling of Serum Creatinine

TRANSCEND. Nephropathy subcategory: doubling of serum creatinine (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan (TRANSCEND)62
Placebo (TRANSCEND)40

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TRANSCEND. Progression to ESRD

TRANSCEND. Nephropathy subcategory: Progression to ESRD. Progression to ESRD is defined as initiation of dialysis, need for renal transplantation, or eGFR <15 mL/min/1.73m² (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan (TRANSCEND)11
Placebo (TRANSCEND)14

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ONTARGET. 3-fold Composite Endpoint of Doubling of Serum Creatinine, Progression to End Stage Renal Disease (ESRD) and All-cause Mortality in Diabetic Nephropathy Patients

"ESRD is defined by initiation of dialysis, need for renal transplantation, or eGFR <15 mL/min/1.73 m². Diabetic nephropathy patients are diabetic patients with macro-albuminuria assessed as a Urinary Albumin Creatinine Ratio (UACR) ≥300 mg/g Crea at baseline.~These renal outcomes were not adjudicated (apart from death)." (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)108
Telmisartan (ONTARGET)119
Ramipril (ONTARGET)112

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TRANSCEND. Normalisation From Micro- or Macroalbuminuria to Normoalbuminuria

TRANSCEND. Nephropathy subcategory: Normalisation from micro- or macroalbuminuria to normoalbuminuria. Normalisation from micro- or macroalbuminuria to normoalbuminuria is defined as UACR <30 mg/g Crea in patients with a UACR ≥30 mg/g Crea at baseline. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan (TRANSCEND)135
Placebo (TRANSCEND)110

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ONTARGET. All-cause Mortality in Diabetic Nephropathy Patients

Diabetic nephropathy patients are diabetic patients with macro-albuminuria assessed as a Urinary Albumin Creatinine Ratio (UACR) ≥300 mg/g Crea at baseline. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)75
Telmisartan (ONTARGET)92
Ramipril (ONTARGET)83

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ONTARGET. Cardiovascular Death

The Ongoing Telmisartan Alone and combination with Ramipril global Endpoint trial (ONTARGET). Time to the first event analysis of the endpoint cardiovascular death. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)620
Telmisartan (ONTARGET)598
Ramipril (ONTARGET)603

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ONTARGET. Cardiovascular Revascularization Procedure

The Ongoing Telmisartan Alone and combination with Ramipril global Endpoint trial (ONTARGET). (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)1303
Telmisartan (ONTARGET)1290
Ramipril (ONTARGET)1269

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ONTARGET. Cognitive Decline

The Ongoing Telmisartan Alone and combination with Ramipril global Endpoint trial (ONTARGET). Time to first event analysis of the endpoint cognitive decline i.e. Comparison of the Mini mental state Evaluation (MMSE) of patients at baseline with that at the 2years and end of trial. A decrease in MMSE from baseline represents a cognitive decline. This outcome measure is only available for those patients who had MMSE at baseline. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)561
Telmisartan (ONTARGET)600
Ramipril (ONTARGET)577

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ONTARGET. Combined Endpoint of Doubling of Serum Creatinine, Progression to ESRD, New Microalbuminuria, or New Macroalbuminuria

ONTARGET. Nephropathy subcategory: Combined endpoint of doubling of serum creatinine, progression to ESRD, new microalbuminuria, or new macroalbuminuria (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)1067
Telmisartan (ONTARGET)1101
Ramipril (ONTARGET)1190

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ONTARGET. Composite Endpoint of Cardiovascular Death, Non-fatal Myocardial Infarction and Non-fatal Stroke

The Ongoing Telmisartan Alone and combination with Ramipril global Endpoint trial (ONTARGET). Time to first event analysis of the following defined endpoints, non-fatal myocardial infarction or non-fatal stroke (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)1200
Telmisartan (ONTARGET)1190
Ramipril (ONTARGET)1210

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ONTARGET. Composite Endpoint of Cardiovascular Death, Non-fatal Myocardial Infarction, Non-fatal Stroke and Hospitalization for Congestive Heart Failure

The Ongoing Telmisartan Alone and combination with Ramipril global Endpoint trial (ONTARGET). Time to first event analysis of the following defined endpoints, Cardiovascular Death, Non-fatal myocardial infarction, non-fatal stroke and hospitalization for congestive heart failure. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)1386
Telmisartan (ONTARGET)1423
Ramipril (ONTARGET)1412

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ONTARGET. Doubling of Serum Creatinine

ONTARGET. Nephropathy subcategory: doubling of serum creatinine (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)167
Telmisartan (ONTARGET)160
Ramipril (ONTARGET)149

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ONTARGET. Doubling of Serum Creatinine in Diabetic Nephropathy Patients

Diabetic nephropathy patients are diabetic patients with macro-albuminuria assessed as a Urinary Albumin Creatinine Ratio (UACR) ≥300 mg/g Crea at baseline. (NCT00153101)
Timeframe: 56 months

Interventionparticipants (Number)
Telmisartan/Ramipril (ONTARGET)30
Telmisartan (ONTARGET)24
Ramipril (ONTARGET)23

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Plasma B-type Natriuretic Peptide (BNP) at Baseline

Plasma B-type Natriuretic Peptide (BNP) measured at basline (NCT00292162)
Timeframe: Baseline

Interventionpicograms per millilitre (Mean)
Medical Therapy1846
Radiofrequency Ablation2550

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Plasma B-type Natriuretic Peptide (BNP) at 6 Months

Plasma B-type Natriuretic Peptide (BNP) (NCT00292162)
Timeframe: 6 months

Interventionpicograms per millilitre (Mean)
Medical Therapy1931
Radiofrequency Ablation2354

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Plasma B-type Natriuretic Peptide (BNP)

venous blood taken to assess levels of the above peptide. High evels of the peptide are associated with adverse prognosis. Blood levels are taken at baseline and 6 months. The change over 6 months is assessed, thereore it is possible to have a negative number if the level falls. (NCT00292162)
Timeframe: baseline and 6 months

Interventionpicograms per millilitre (Mean)
Medical Therapy85
Radiofrequency Ablation-196

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Left Ventricular Ejection Fraction by Magnetic Resonance Imaging (MRI)at 6 Months

Left Ventricular Ejection Fraction as measured by Magnetic Resonance Imaging (MRI)at 6 months (NCT00292162)
Timeframe: 6 months

Interventionpercentage of blood ejected in one beat (Mean)
Medical Therapy46
Radiofrequency Ablation41

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Change in Left Ventricular Ejection Fraction by Magnetic Resonance Imaging (MRI)%

left ventricular ejection fraction (LVEF) is a measure of the % of blood ejected from the ventricle in one heart beat. It is a measure of cardiac function. We measured LVEF at baseline and at 6 months, to assess whether there had been a change in the patients cardiac function over time. (NCT00292162)
Timeframe: baseline and 6 months

Interventionpercentage of blood ejected in one beat (Mean)
Medical Therapy2.8
Radiofrequency Ablation4.5

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Baseline Left Ventricular Ejection Fraction by Magnetic Resonance Imaging (MRI)

Baseline Left Ventricular Ejection Fraction by Magnetic Resonance Imaging (MRI)in % (NCT00292162)
Timeframe: Baseline

Interventionpercentage of blood ejected in one beat (Mean)
Medical Therapy43
Radiofrequency Ablation36

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Percentage of Patients With Cough

(NCT00368277)
Timeframe: Weeks 12 and 36

,
InterventionPercentage of Participants (Number)
Week 12Week 36
Aliskiren Based Treatment Regimen3.14.4
Ramipril Based Treatment Regimen9.914.2

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Percentage of Patients Achieving Blood Pressure Control at Weeks 12 and 36 Endpoints

Blood pressure control is defined as a mean sitting blood pressure < 140/90 mm Hg (NCT00368277)
Timeframe: Weeks 12 and 36

,
InterventionPercentage of participants (Number)
week 12 endpointweek 36 endpoint
Aliskiren Based Treatment Regimen46.365.6
Ramipril Based Treatment Regimen39.357.5

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Change From Baseline in the Mean Sitting Diastolic Blood Pressure to Week 36

(NCT00368277)
Timeframe: Baseline and week 36

Interventionmm Hg (Least Squares Mean)
Aliskiren Based Treatment Regimen-8.24
Ramipril Based Treatment Regimen-7.02

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Change From Baseline in Mean Sitting Systolic Blood Pressure to Week 12

(NCT00368277)
Timeframe: Baseline and Week 12

Interventionmm Hg (Least Squares Mean)
Aliskiren Based Treatment Regimen-13.96
Ramipril Based Treatment Regimen-11.64

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Change From Baseline to 4 Weeks in Schwartz Formula Glomerular Filtration Rate (GFR)

Value at end of treatment (up to 4 weeks) minus value at baseline; GFR is a measure of kidney function. (NCT00389519)
Timeframe: Baseline up to 4 weeks

InterventionmL/min per 1.73 m2 (Mean)
Placebo-4.2
Ramipril Low Dose-6.0
Ramipril Mid Dose-5.9
Ramipril High Dose-6.9

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Change From Baseline to 4 Weeks in Serum Creatinine

Value at end of treatment (up to 4 weeks) minus value at baseline (NCT00389519)
Timeframe: Baseline up to 4 weeks

Interventionmg/dL (Mean)
Placebo0.04
Ramipril Low Dose0.06
Ramipril Mid Dose0.03
Ramipril High Dose0.06

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Change From Baseline to 4 Weeks in Serum Potassium

Value at end of treatment (up to 4 weeks) minus value at baseline (NCT00389519)
Timeframe: Baseline up to 4 weeks

Interventionmg/dL (Mean)
Placebo0.01
Ramipril Low Dose-0.20
Ramipril Mid Dose-0.08
Ramipril High Dose0.07

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Change From Baseline to 4 Weeks in Trough Sitting Diastolic Blood Pressure

Value at end of treatment minus value at baseline, comparing the high-dose ramipril group with placebo (NCT00389519)
Timeframe: Baseline to 4 weeks

Interventionmm Hg (Mean)
Placebo-5.0
Ramipril Low Dose-5.8
Ramipril Mid Dose-6.1
Ramipril High Dose-8.4

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Change From Baseline to 4 Weeks in Trough Sitting Systolic Blood Pressure

Value at end of treatment minus value at baseline, comparing the high-dose ramipril group with placebo (NCT00389519)
Timeframe: Baseline to 4 weeks

Interventionmm Hg (Mean)
Placebo-8.1
Ramipril Low Dose-9.7
Ramipril Mid Dose-11.1
Ramipril High Dose-11.3

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Total Number of Titration Steps in Prescribed Heart Failure Treatment

Each titration step in prescribed medication is counted as one step, either up or down. One step up indicates an increase of dose in prescribed medication and one step down indicates a decrease of dose in prescribed medication. The sum of steps is given as a score. Score is given for each arm as a total number of titration steps for all patients in arm. (NCT00391846)
Timeframe: 9 months

InterventionTitration steps (Number)
Guided by NT-proBNP517
Not Guided by NT-proBNP485

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Changes in Heart Failure Symptoms

Changes from baseline in the symptom score subset (question 3, 5, 7 and 9) of KCCQ (swelling, fatigue, shortness of breath, shortness of breath night time). KCCQ is a self-administered by patient symptom score, where higher score reflect better health status. Scale scores are transformed to a 0 to 100 range by subtracting the lowest possible scale score, dividing by the range of the scale and multiplying by 100. This mean that the KCCQ scale is from 0 to 100 with the higher value showing a better health status. (NCT00391846)
Timeframe: 9 months and baseline

InterventionCategorial scale (Mean)
Guided by NT-proBNP3.67
Not Guided by NT-proBNP6.11

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Changes in NT-proBNP Values Over Time in All Patients

The 95% confidential interval (CI) is given as measure of dispersion (NCT00391846)
Timeframe: 9 months and baseline

Interventionng/L (Geometric Mean)
Guided by NT-proBNP2332.1
Not Guided by NT-proBNP2063

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Composite Value of 3 Variables After 9 Months: Cardiovascular Death (Days Alive), Cardiovascular Hospitalization (Days Out of Hospital), Heart Failure Symptoms (Symptom Score Subset of the Kansas City Cardiomyopathy Questionnaire - Questions 3,5,7,9)

The non-parametric scale is constructed from 3 variables, modified after Cleland. Each patient receives a rank score from 1 to 246 (246-number of patients in the study). The lowest score receive patients who die (due to CV event), next patients still alive at end-of-study with the worst composite score, the best alive patients with 0 days in hospital and the largest improvement in the KCCQ (self-administered by patient symptom score, where the higher score reflect better health status). Scores will be summarized using non-parametric calculations. The mean of non-parametric scores is presented (NCT00391846)
Timeframe: 9 months

InterventionScores on a scale (Mean)
Guided by NT-proBNP118.6
Not Guided by NT-proBNP128.4

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Discontinuations

Number of patients discontinued due to adverse events' (NCT00391846)
Timeframe: 9 months

InterventionParticipants (Number)
Guided by NT-proBNP8
Not Guided by NT-proBNP6

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Number of CV Deaths

Number of deaths (NCT00391846)
Timeframe: 9 months

InterventionParticipants (Number)
Guided by NT-proBNP4
Not Guided by NT-proBNP5

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Number of Days in Hospital for CV Reason

Each overnight stay is counted as one day. The lower the better (NCT00391846)
Timeframe: 9 months

InterventionDays in hospital (Mean)
Guided by NT-proBNP5.79
Not Guided by NT-proBNP5.94

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Fraction of Albumin (Milligrams Per Deciliter [mg/dL]) to Protein (mg/dL) in Urine at 24 and 52 Weeks After Conversion to SRL

Baseline fraction was the last value of the pre-SRL conversion period. Only the last value of U p/c or U alb/c was used for analysis if multiple measurements occurred in the same data anlysis interval. Fraction of albumin and protein was calculated only when urine protein was 6.2 mg/dL or higher. For urine albumin, if the value was reported as 'NCT00502242)
Timeframe: 24 weeks and 52 weeks after conversion

,
Intervention(mg/dL)/(mg/dL) (Mean)
Week 24 (n=104,110)Week 52 (n=111,105)
Placebo0.250.25
Ramipril0.190.22

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Number of Participants With BCAR by Severity of First BCAR

Severity was summarized by type (antibody versus T-cell) and by phase: post-SRL (where both on-therapy and off-therapy events are included) and post-SRL (on-therapy). BCAR was categorized using Banff criteria as antibody-mediated (AM) or T-cell. AM BCAR severity was graded as Grade I (mild), Grade II (moderate [mod]), and Grade III (severe). T-cell BCAR severity was graded as 'Grade Ia, Ib (mild), Grade IIa, IIb (mod), and Grade III (severe). If a participant had both T-cell BCAR and antibody-mediated BCAR on the first rejection, the participant was counted in each category. For participants with T-cell BCAR (post-SRL and post-SRL On -Therapy) the p-value could not be calculated and all events were mild in severity. (NCT00502242)
Timeframe: From Day 1 of SRL conversion to 52 weeks after conversion

,
Interventionparticipants (Number)
Post-SRL, AM BCAR, Grade I (mild)Post-SRL, AM BCAR, Grade II (mod)Post-SRL, AM BCAR, Grade III (severe)Post-SRL, T-Cell BCAR, Grade I (mild)Post-SRL (On-Therapy), AM BCAR, Grade I (mild)Post-SRL (On-Therapy), AM BCAR, Grade II (mod)Post-SRL (On-Therapy), T-Cell BCAR, Grade I (mild)
Placebo2114113
Ramipril100121010

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Percentage of Participants Using Red Blood Cell Production Stimulants (Erythropoiesis Stimulating Agents [ESAs])

(NCT00502242)
Timeframe: Baseline, Pre-SRL (from first dose of ramipril/placebo up to SRL conversion), On-Therapy (up to 52 weeks after SRL conversion), and Off-Therapy Period (up to 56 weeks after SRL conversion)

,
Interventionpercentage of participants (Number)
Baseline (n=155,140)Pre-SRL (n=155,140)On-Therapy (n=138,126)Off-Therapy (n=136,122)
Placebo1.40.73.24.1
Ramipril5.84.54.31.5

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Percentage of Participants Using Statins

(NCT00502242)
Timeframe: Baseline, Pre-SRL (from first dose of ramipril/placebo up to SRL conversion), On-Therapy (up to 52 weeks after SRL conversion), and Off-Therapy Period (up to 56 weeks after SRL conversion)

,
Interventionpercentage of participants (Number)
Baseline (n=155,140)Pre-SRL (n=155,140)On-Therapy (n=138,126)Off-Therapy (n=136,122)
Placebo36.440.072.268.9
Ramipril45.845.267.462.5

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Percentage of Participants Who Discontinued SRL Therapy at 24 and 52 Weeks Following Conversion to SRL

Defined as the percentage of participants who stop SRL (as test article) between the first day of SRL and either Week 24 or Week 52 following conversion to SRL. If a participant had a >14 day gap in SRL use, the stop date of SRL was the date of the last SRL use before it was re-initiated. Participants who early terminate SRL at Week 24 were defined as having SRL stop day less than or equal to (≤) Day 190 (selected as the midpoint between Weeks 24 and 30). Participants who early terminate SRL at Week 52 were defined as having SRL stop day ≤Day 337 (selected as the midpoint between Weeks 44 and 52). (NCT00502242)
Timeframe: 24 weeks and 52 weeks after conversion

,
Interventionpercentage of participants (Number)
Up to 24 weeks post-conversionUp to 52 weeks post-conversion
Placebo15.928.6
Ramipril15.219.6

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Percentage of Participants With Both U Alb/c <0.5 and U p/c <0.5 at 24 and 52 Weeks Following Conversion to SRL

The U alb/c and U p/c must have been collected on the same day to be counted as the numerator. (NCT00502242)
Timeframe: 24 weeks and 52 weeks after conversion

,
Interventionpercentage of participants (Number)
Up to 24 weeks post-conversionUp to 52 weeks post-conversion
Placebo77.070.6
Ramipril91.379.0

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Percentage of Participants With First BCAR at 24 and 52 Weeks Following Conversion to SRL

BCAR was defined according to updated Banff criteria (1997)for renal allograft rejection. Participants without BCAR were censored at the time of withdrawal from the study. Defined as the first BCAR occurring on therapy following conversion to SRL based on the mITT population. Time to first BCAR was defined as the date of first BCAR to date of the first dose of SRL (in weeks). Percentages were estimated using the Kaplan-Meier method for time to event data. (NCT00502242)
Timeframe: 24 weeks and 52 weeks after conversion

,
Interventionpercentage of participants (Number)
24 weeks post-conversion52 weeks post-conversion
Placebo0.83.2
Ramipril8.09.5

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Percentage of Participants With Graft Loss at 24 and 52 Weeks Following Conversion to SRL

Graft loss was defined as physical loss (nephrectomy orretransplantation), functional loss (requiring dialysis for ≥56days with no return of graft function), or death. (NCT00502242)
Timeframe: 24 weeks and 52 weeks after conversion

,
Interventionpercentage of participants (Number)
Week 24Week 52
Placebo0.00.8
Ramipril0.00.0

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Percentage of Participants With Hemoglobin Levels ≤100 Grams Per Liter (g/L)

(NCT00502242)
Timeframe: Baseline, Pre-SRL (from first dose of ramipril/placebo up to SRL conversion), On-Therapy (up to 52 weeks after SRL conversion), and Off-Therapy Period (up to 56 weeks after SRL conversion)

,
Interventionpercentage of participants (Number)
Baseline (n=155,140)Pre-SRL (n=148,129)On-Therapy (n=138,124)Off-Therapy (n=33,34)
Placebo1.40.812.12.9
Ramipril1.32.017.49.1

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Percentage of Participants With Hyperkalemia

Hyperkalemia defined as serum potassium >5.6 millimoles per liter (mmol/L) (NCT00502242)
Timeframe: Baseline, Pre-SRL (from first dose of ramipril/placebo up to SRL conversion), On-Therapy (up to 52 weeks after SRL conversion), and Off-Therapy Period (up to 56 weeks after SRL conversion)

,
Interventionpercentage of participants (Number)
Baseline (n=155,140)Pre-SRL (n=151,135)On-Therapy (n=138,124)Off-Therapy (n=34,36)
Placebo1.41.51.60.0
Ramipril0.04.60.72.9

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Percentage of Participants With Potentially Clinically Important Blood Pressure (BP) Values by Diastolic and Systolic BP Category

BP values of potential clinical importance were recorded and categorized as follows: diastolic BP (DBP) ≤50 millimeters of mercury (mmHg) or ≥110 mmHg and systolic BP (SBP) ≤90 mmHg and ≥180 mmHg. Data were summarized for the on-therapy period and the off-therapy period and for the pre-SRL period. (NCT00502242)
Timeframe: Baseline, Pre-SRL (from first dose of ramipril/placebo up to SRL conversion), On-Therapy (up to 52 weeks after SRL conversion), and Off-Therapy Period (up to 56 weeks after SRL conversion)

,
Interventionpercentage of participants (Number)
Baseline, Low DBP ≤50 mmHg (n=155,140)Baseline, Low SBP: ≤90 mmHg (n=155,140)Pre-SRL, Low DBP: ≤50 mmHg (n=152,135)Pre-SRL, High DBP: ≥110 mmHg (n=152,135)Pre-SRL, Low SBP: ≤90 mmHg (n=152,135)Pre-SRL, High SBP: ≥180 mmHg (n=152,135)On Therapy, Low DBP: ≤50 mmHg (n=138,126)On Therapy, High DBP: ≥110 mmHg (n=138,126)On Therapy, Low SBP: ≤90 mmHg (n=138,126)On Therapy, High SBP: ≥180 mmHg (n=138,126)Off Therapy, High DBP ≥110 mmHg (n=35,69)Off Therapy, Low SBP: ≤90 mmHg (n=35,69)
Placebo0.70.70.71.50.70.72.41.64.04.01.41.4
Ramipril0.00.00.00.00.00.73.60.03.60.72.92.9

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Percentage of Participants With U p/c <0.5 at 24 and 52 Weeks Following Conversion to Sirolimus

Spot urine sample of protein and creatinine concentrations were obtained during the pre-SRL conversion period and after conversion. (NCT00502242)
Timeframe: 24 weeks and 52 weeks after conversion

,
Interventionpercentage of participants (Number)
Up to 24 weeks post-conversionUp to 52 weeks post-conversion
Placebo77.873.0
Ramipril92.082.6

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Percentage of Participants With Urinary Albumin to Creatinine Ratio (U Alb/c) <0.5 at 24 and 52 Weeks Following Conversion to SRL

Spot urine sample of albumin and creatinine concentrations were obtained during the pre-SRL conversion period and after conversion. (NCT00502242)
Timeframe: 24 weeks and 52 weeks after conversion

,
Interventionpercentage of participants (Number)
Up to 24 weeks post-conversionUp to 52 weeks post-conversion
Placebo89.782.5
Ramipril95.788.4

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SRL Time-Normalized Trough Concentration (Cmin,TN) by Time Interval

Cmin,TN was determined for SRL using the area method for the intervals: 0-2 weeks, >2-4 weeks, >4-12 weeks, >12-24 weeks, >24-36 weeks and >36-52 weeks using the equation:Cmin,TN = AUCi-j/timej-timeiwhere AUC is the area under the concentration-time curve, i is the beginning of the interval and j is the end of the interval. Cmin,TN was calculated for participants who did not dropout of studies, but were missing concentrations at the interval endpoints by carrying the last observed concentration forward to the interval endpoint. (NCT00502242)
Timeframe: From Day 1 of SRL conversion to 52 weeks after conversion

Interventionng/mL (Mean)
0-2 weeks (n=258)>2-4 weeks (n=257)>4-12 weeks (n=256)>12-24 weeks (n=244)>24-36 weeks (n=226)>36-52 weeks (n=193)0-52 weeks (n=264)
Ramipril9.8539.8729.2739.2749.3168.9619.300

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U Alb/c at Baseline and Weeks 3, 4, 8, 12, 24, 30, 36, and 52 Following Conversion to SRL

U alb/c was measured in mg/mg. Baseline U alb/c values were the last values of the pre-SRL conversion period. (NCT00502242)
Timeframe: Baseline and 3, 4, 8, 12, 24, 30, 36, and 52 weeks after conversion

,
Interventionmg/mg (Mean)
Baseline (n=138,126)Week 3 (n=129,117)Week 4 (n=136,124)Week 8 (n=129,119)Week 12 (n=124,121)Week 24 (n=121,122)Week 30 (n=111,108)Week 36 (n=109,92)Week 52 (n=126,111)
Placebo0.020.060.090.110.170.110.110.100.15
Ramipril0.040.030.030.060.050.080.060.050.09

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U p/c at Baseline and Weeks 3, 4, 8, 12, 24, 30, 36, and 52 Following Conversion to SRL

U p/c was measured in milligrams per milligram (mg/mg). The baseline U p/c values were the last values of the pre-SRL conversion period. (NCT00502242)
Timeframe: Baseline and 3, 4, 8, 12, 24, 30, 36, and 52 weeks after conversion

,
Interventionmg/mg (Mean)
Baseline (n=138,126)Week 3 (n=130,117)Week 4 (n=136,124)Week 8 (n=130,119)Week 12 (n=124,121)Week 24 (n=121,122)Week 30 (n=111,108)Week 36 (n=109,92)Week 52 (n=126,111)
Placebo0.150.230.280.310.380.310.320.290.35
Ramipril0.170.180.180.230.230.260.230.220.27

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Biopsy-Confirmed Acute Rejection (BCAR) - Number of Participants With an Event

BCAR was defined according to updated Banff criteria (1997)for renal allograft rejection. The time to the first BCAR was defined as the date of first BCAR to the date of the first dose of SRL (in weeks). Participants without BCAR were censored at the time of withdrawal from the study. (NCT00502242)
Timeframe: From Day 1 of SRL conversion to 52 weeks after conversion

Interventionparticipants (Number)
Ramipril13
Placebo5

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Percentage of Participants Who Had a Dose Escalation in Randomized Test Article (Ramipril or Placebo) by 52 Weeks Following Conversion to SRL

Defined as the time from the first dose of SRL administration to the first dose escalation of randomized test article (ramipril or placebo; in weeks), or censored on the day that a participant stopped the combination of SRL and randomized test article (ramipril or placebo) if the participants did not experience any ramipril/placebo dose escalation following conversion to SRL. Dose-escalation was defined as an increase in total daily dose of ramipril/placebo compared to Day 1 post conversion. Percentage was estimated using Kaplan-Meier method for time to event data. (NCT00502242)
Timeframe: From Day 1 of SRL conversion to 52 weeks after conversion

Interventionpercentage of participants (Number)
Ramipril14.4
Placebo29.2

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Percentage of Participants Who Had Initiated Losartan Therapy at 52 Weeks Following Conversion to SRL

The event for each participant was defined as the initiation of losartan while on SRL and ramipril/placebo combination therapy. Participants who started losartan prior to SRL administration were not counted as events. Percentage was estimated using Kaplan-Meier method for time to event data. (NCT00502242)
Timeframe: From Day 1 of SRL conversion to 52 weeks after conversion

Interventionpercentage of participants (Number)
Ramipril6.2
Placebo23.2

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Percentage of Participants With an Infection

Includes treatment-emergent adverse events based on categorization by the investigator as 'infection', regardless of the event preferred term in Medical Dictionary for Regulatory Activities (MedDRA.) (NCT00502242)
Timeframe: From Day 1 of Ramipril/Placebo to 52 weeks after SRL conversion

Interventionpercentage of participants (Number)
Ramipril54.2
Placebo56.4

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Percentage of Participants With Angioedema

Includes treatment-emergent adverse events based on categorization by the investigator as angioedema, regardless of the event preferred term in MedDRA. (NCT00502242)
Timeframe: From Day 1 of Ramipril/Placebo to 52 weeks after SRL conversion

Interventionpercentage of participants (Number)
Ramipril1.3
Placebo1.4

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Percentage of Participants With Malignancy

Includes treatment-emergent adverse events based on categorization by the investigator as 'malignancy', regardless of the event preferredterm in MedDRA. (NCT00502242)
Timeframe: From Day 1 of Ramipril/Placebo to 52 weeks after SRL conversion

Interventionpercentage of participants (Number)
Ramipril3.9
Placebo2.9

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Abbreviated Modified Diet in Renal Disease (MDRD) Glomerular Filtration Rate (GFR) at Weeks 12, 24, and 52 Following Conversion to SRL

Calculated in millimeters per minute per 1.73 square meters (mL/min/1.73m^2). Age and corresponding creatinine at each visit (Weeks 12, 24, and 52) were used to calculate GFR. (NCT00502242)
Timeframe: 12, 24, and 52 weeks following conversion

,
InterventionmL/min/1.73 m^2 (Mean)
Baseline (n=138,126)Week 12 (n=125,122)Week 24 (n=123,122)Week 52 (n=128,115)
Placebo63.3066.5863.8563.41
Ramipril62.0664.9165.1864.17

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Change From Baseline in Fasting Lipid Parameters (Millimoles Per Liter [mmol/L]) at 4, 12, 24, and 52 Weeks Following Conversion to SRL

Parameters assessed included (all fasting) total cholesterol (TC), triglycerides, low-density lipoprotein cholesterol (LDL-C), high-densitylipoprotein cholesterol (HDL-C). (NCT00502242)
Timeframe: 4, 12, 24, and 52 weeks after conversion

,
Interventionmmol/L (Mean)
TC, Week 4 (n=128,109)TC, Week 12 (n=115,108)TC, Week 24 (n=105,102)TC, Week 52 (n=94,79)HDL-C, Week 4 (n=125,107)HDL-C, Week 12 (n=114,104)HDL-C, Week 24 (n=102,100)HDL-C, Week 52 (n=92,78)LDL-C, Week 4 (n=123,100)LDL-C, Week 12 (n=109,96)LDL-C, Week 24 (n=96,95)LDL-C, Week 52 (n=90,73)Triglycerides, Week 4 (n=127,108)Triglycerides, Week 12 (n=114,107)Triglycerides, Week 24 (n=104,102)Triglycerides, Week 52 (n=93,77)
Placebo0.910.920.870.690.090.030.040.060.560.530.560.270.650.790.720.58
Ramipril0.830.940.910.840.060.030.070.120.590.660.660.560.410.590.540.44

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Evaluation of the Percentage of Patients Controlled to a Target Blood Pressure of < 140/90 mmHg on Aliskiren 300 mg, 150 mg and 75 mg vs. Ramipril 5 mg

To evaluate the percentage of patients controlled to a target blood pressure of < 140/90 mmHg on aliskiren 300 mg, 150 mg and 75 mg vs. ramipril 5 mg. (NCT00529451)
Timeframe: Week 8

InterventionPercentage of participants (Number)
Aliskiren 300 mg52.29
Aliskiren 150 mg48.11
Aliskiren 75 mg45.68
Ramipril 5 mg43.65

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Evaluation of the Percentage of Responders on Aliskiren 300 mg, 150 mg and 75 mg vs. Ramipril 5 mg, Define as msDBP < 90 mmHg or ≥ 10mmHg Decrease From Baseline in msDBP

To evaluate the percentage of responders on aliskiren 300 mg, 150 mg and 75 mg vs. ramipril 5 mg, defined as msDBP < 90 mmHg or ≥ 10mmHg decrease from baseline in msDBP. (NCT00529451)
Timeframe: Week 8

InterventionPercentage of participants (Number)
Aliskiren 300 mg67.89
Aliskiren 150 mg59.75
Aliskiren 75 mg59.57
Ramipril 5 mg53.87

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Non-inferiority of Aliskiren 75 mg to Ramipril 5 mg in Change in Mean Sitting Diastolic Blood Pressure (msDBP)

To evaluate the non-inferiority of aliskiren 75 mg to ramipril 5 mg in the change in Mean Sitting Diastolic Blood Pressure (msDBP) from baseline to 8 week endpoint (NCT00529451)
Timeframe: Baseline and Week 8

Interventionmm Hg (Least Squares Mean)
Aliskiren 75 mg-10.66
Ramipril 5 mg-9.19

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Non-inferiority of Aliskiren 150 mg to Ramipril 5 mg in Change in Mean Sitting Diastolic Blood Pressure (msDBP)

To evaluate the non-inferiority of aliskiren 300 mg to ramipril 5 mg in the change in Mean Sitting Diastolic Blood Pressure (msDBP) from baseline to 8 week endpoint (NCT00529451)
Timeframe: Baseline and Week 8

Interventionmm Hg (Least Squares Mean)
Aliskiren 150 mg-10.04
Ramipril 5 mg-9.19

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Non-inferiority of Aliskiren 300 mg to Ramipril 5 mg in Change in Mean Sitting Diastolic Blood Pressure (msDBP)

To evaluate the non-inferiority of aliskiren 300 mg to ramipril 5 mg in the change in Mean Sitting Diastolic Blood Pressure (msDBP) from baseline to 8 week endpoint (NCT00529451)
Timeframe: Baseline and Week 8

Interventionmm Hg (Least Squares Mean)
Aliskiren 300 mg-11.63
Ramipril 5 mg-9.19

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Change in Mean Sitting Systolic Blood Pressure (msSBP)and Mean Sitting Diastolic Blood Pressure (msDBP) From Baseline to 8 Week Endpoint

To evaluate the change in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic blood Pressure (msDBP) from baseline to 8 week endpoint on aliskiren 300 mg, 150 mg and 75 mg vs. ramipril 5 mg in patients with essential hypertension. (NCT00529451)
Timeframe: Baseline and Week 8

,,,
Interventionmm Hg (Least Squares Mean)
msSBPmsDBP
Aliskiren 150 mg-12.16-10.04
Aliskiren 300 mg-14.39-11.63
Aliskiren 75 mg-12.24-10.66
Ramipril 5 mg-11.46-9.19

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"Number of Participants Who Achieved of BP, HbA1c and Total, HDL and LDL Cholesterol Goals at the End of Intervention Phase"

Achievement of targets at end of intervention was performed applying generalized estimating equation (GEE) models, further adjusting for baseline values as covariate. (NCT00535925)
Timeframe: 13 years

InterventionParticipants (Count of Participants)
Standard of Care (SoC) Therapy150
Multifactorial Intensified Therapy191

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"Number of Participants With Overall Fatal and Non-fatal, Major Adverse Cardiovascular Events (MACEs)"

number of MACEs in the two groups are reported. In addition, The primary endpoint was analyzed with event curves for the time-to-first event based on Kaplan-Meier analysis. Cox regression model was used to calculate hazard ratio (HR) and 95% Confidence Interval (CI). Due to the cluster randomized study design, a Cox shared-frailty model was fitted. multivariable model was adjusted for selected potential confounders: age, sex, systolic blood pressure (SBP), hemoglobin, estimated glomerular filtration rate (eGFR), albuminuria, HbA1c, total cholesterol and triglycerides (log-scaled) to reduce risk of bias. (NCT00535925)
Timeframe: 4 years (in the case the number of events needed by sample size is not reached at the expected 4-year time frame, primary end point will be assessed after the follow-up phase)

InterventionParticipants (Count of Participants)
Conventional Therapy146
Intensified Therapy116

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Change in Mean Sitting Systolic Blood Pressure (msSBP) From Baseline to End of Study - Aliskiren/Ramipril/Amlodipine vs Ramipril/Amlodipine)

Automated blood pressure determinations were made with the Omron HEM-705CP blood pressure monitor at trough (24 hours ± 3 hours post-dose) and recorded at all study visits following detailed directions specified in the study protocol. Three readings were made and msSBP was calculated as the average of the 3 readings. In the event of aberrant readings, ie, the lowest reading was ≥ 10 mmHg systolic or ≥ 5 mmHg diastolic lower than the highest of the 3 readings, 3 additional readings were obtained. A negative change indicates improvement. (NCT00542269)
Timeframe: Baseline to Week 12

InterventionmmHg (Least Squares Mean)
Aliskiren / Ramipril / Amlodipine-12.8
Ramipril / Amlodipine-10.9

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Change in HbA1c (Glycated Hemoglobin) From Baseline to End of Study - Aliskiren/Ramipril/Amlodipine vs Ramipril/Amlodipine

(NCT00542269)
Timeframe: Baseline to Week 12

Interventionmmol/mol (Least Squares Mean)
Aliskiren / Ramipril / Amlodipine0.1
Ramipril / Amlodipine0.1

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Percentage of Patients Who Achieved Normalized Blood Pressure at End of Study

Normalized was defined as a msSBP < 140 mmHg and/or a msDBP < 90 mmHg. (NCT00542269)
Timeframe: Week 12

InterventionPercentage of patients (Number)
Aliskiren / Ramipril / Amlodipine45.90
Aliskiren /Amlodipine43.33
Ramipril / Amlodipine42.11

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Change in HbA1c (Glycated Hemoglobin) From Baseline to End of Study - Aliskiren/Amlodipine vs Ramipril/Amlodipine)

(NCT00542269)
Timeframe: Baseline to Week 12

Interventionmmol/mol (Least Squares Mean)
Aliskiren / Amlodipine0.1
Ramipril / Amlodipine0.1

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Change in Mean Sitting Systolic Blood Pressure (msSBP) From Baseline to End of Study - Aliskiren/Amlodipine vs Ramipril/Amlodipine

Automated blood pressure determinations were made with the Omron HEM-705CP blood pressure monitor at trough (24 hours ± 3 hours post-dose) and recorded at all study visits following detailed directions specified in the study protocol. Three readings were made and msSBP was calculated as the average of the 3 readings. In the event of aberrant readings, ie, the lowest reading was ≥ 10 mmHg systolic or ≥ 5 mmHg diastolic lower than the highest of the 3 readings, 3 additional readings were obtained. A negative change indicates improvement. (NCT00542269)
Timeframe: Baseline to Week 12

InterventionmmHg (Least Squares Mean)
Aliskiren / Amlodipine-12.4
Ramipril / Amlodipine-10.0

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Percentage of Patients Who Developed Diabetes at End of Study

A patient had diabetes if fasting plasma glucose > 7 mmol/L. (NCT00542269)
Timeframe: Week 12

InterventionPercentage of patients (Number)
Aliskiren / Ramipril / Amlodipine1.9
Aliskiren /Amlodipine4.1
Ramipril / Amlodipine2.1

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Change in Mean Sitting Diastolic Blood Pressure (msDBP) From Baseline to End of Study - Aliskiren/Ramipril/Amlodipine vs Ramipril/Amlodipine

Automated blood pressure determinations were made with the Omron HEM-705CP blood pressure monitor at trough (24 hours ± 3 hours post-dose) and recorded at all study visits following detailed directions specified in the study protocol. Three readings were made and msDBP was calculated as the average of the 3 readings. In the event of aberrant readings, ie, the lowest reading was ≥ 10 mmHg systolic or ≥ 5 mmHg diastolic lower than the highest of the 3 readings, 3 additional readings were obtained. A negative change indicates improvement. (NCT00542269)
Timeframe: Baseline to Week 12

InterventionmmHg (Least Squares Mean)
Aliskiren / Ramipril / Amlodipine-6.0
Ramipril / Amlodipine-4.1

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Change in Mean Sitting Diastolic Blood Pressure (msDBP) From Baseline to End of Study - Aliskiren/Amlodipine vs Ramipril/Amlodipine

Automated blood pressure determinations were made with the Omron HEM-705CP blood pressure monitor at trough (24 hours ± 3 hours post-dose) and recorded at all study visits following detailed directions specified in the study protocol. Three readings were made and msDBP was calculated as the average of the 3 readings. In the event of aberrant readings, ie, the lowest reading was ≥ 10 mmHg systolic or ≥ 5 mmHg diastolic lower than the highest of the 3 readings, 3 additional readings were obtained. A negative change indicates improvement. (NCT00542269)
Timeframe: Baseline to Week 12

InterventionmmHg (Least Squares Mean)
Aliskiren / Amlodipine-5.8
Ramipril / Amlodipine-4.5

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Change in HOMA-β From Baseline to End of Study

Homeostasis model assessment-β (HOMA-β) was defined as fasting insulin (μU/mL) x 20 / (fasting glucose (mmol/L) - 3.5). (NCT00542269)
Timeframe: Baseline to Week 12

Interventionmmol/L (Mean)
Aliskiren / Ramipril / Amlodipine2.71
Aliskiren /Amlodipine0.87
Ramipril / Amlodipine0.60

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Change in HOMA-IR From Baseline to End of Study

Homeostasis model assessment-insulin resistance (HOMA-IR) was defined as (fasting insulin [μU/mL] x fasting glucose [mmol/L]) / 22.5. (NCT00542269)
Timeframe: Baseline to Week 12

Interventionmmol/L (Mean)
Aliskiren / Ramipril / Amlodipine0.98
Aliskiren /Amlodipine0.87
Ramipril / Amlodipine0.60

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Changes in Insulin Sensitivity

Measures of change in endogenous glucose production from baseline to final 30 minutes of clamp studies after 6 months of treatment. (NCT00574834)
Timeframe: 6 months

Interventionmg/kg/min (Mean)
Ramipril0.98
HCTZ1.5
Ramipril+HCTZ1.2

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New Onset Atrial Fibrillation

New onset atrial fibrillation based on electrocardiogram (ECG) rhythm strips with a duration longer than 10 seconds (NCT00607672)
Timeframe: From arrival in intensive care unit until discharge from hospital

Interventionpercentage of patients (Number)
Placebo17.9
Ramipril (ACEI)16.7
Candesartan (ARB)27.3

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Plasminogen Activator Inhibitor-1 (PAI-1) Response

To compare the effects of AT1 receptor antagonism or ACE inhibition versus placebo on the fibrinolytic responses to CPB as measured by PAI-1 response (NCT00607672)
Timeframe: From the start of surgery until postoperative day 2

,,
Interventionng/mL (Mean)
Pre CPB60min of CPBPost surgeryPostoperative day 1Postoperative day 2
Candesartan (ARB)18.2824.1949.1021.7013.4
Placebo15.1420.4339.6931.8321.59
Ramipril (ACEI)16.2519.4141.6226.2717.33

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Interleukin-8 (IL-8) Response

To compare the effects of AT1 receptor antagonism or ACE inhibition versus placebo on the inflammatory response to CPB as measured by IL-8 (NCT00607672)
Timeframe: From the start of surgery until postoperative day 2

,,
Interventionpg/mL (Mean)
Pre CPBPost surgeryPostoperative day 1Postoperative day 2
Candesartan (ARB)13.3876.7637.1137.77
Placebo16.1866.4446.1834.39
Ramipril (ACEI)11.8680.0737.3928.06

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Interleukin-6 (IL-6) Response

To compare the effects of AT1 receptor antagonism or ACE inhibition versus placebo on the inflammatory response to CPB as measured by IL-6 (NCT00607672)
Timeframe: From the start of surgery until postoperative day 2

,,
Interventionpg/mL (Mean)
Pre CPBPost surgeryPostoperative day 1Postoperative day 2
Candesartan (ARB)6.44144.76218.16243.72
Placebo6.29116.04224.96166.96
Ramipril (ACEI)9.33167.51172.65144.67

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Tissue-type Plasminogen Activator (t-PA) Antigen Response

To compare the effects of angiotensin II type I (AT1) receptor antagonism or angiotensin-converting enzyme (ACE) inhibition versus placebo on the fibrinolytic responses to cardiopulmonary bypass (CPB) as measured by t-PA antigen response (NCT00607672)
Timeframe: From the start of surgery until postoperative day 2

,,
Interventionng/mL (Mean)
Pre CPB60min of CPBPost surgeryPostoperative day 1Postoperative day 2
Candesartan (ARB)11.9724.8931.4715.7512.89
Placebo14.3627.6534.5620.2516.56
Ramipril (ACEI)14.0536.6741.1117.1012.49

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Length of Hospital Stay

(NCT00607672)
Timeframe: From the start of surgery until discharge from hospital

Interventiondays (Mean)
Placebo7.7
Ramipril (ACEI)6.3
Candesartan (ARB)8.1

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Re-exploration for Bleeding

The percentage of patients that were taken back to the operating room for re-exploration because of bleeding (NCT00607672)
Timeframe: From arrival in intensive care unit until discharge from hospital

Interventionpercentage of patients (Number)
Placebo3.6
Ramipril (ACEI)8.3
Candesartan (ARB)4.5

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Blood Loss

Blood loss over 24 hours as measured by chest tube output (NCT00607672)
Timeframe: First 24 hours after arrival in the intensive care unit

InterventionmL (Mean)
Placebo437
Ramipril (ACEI)470
Candesartan (ARB)511

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Stroke

New onset neurological deficit with a duration of longer than 24 hours (NCT00607672)
Timeframe: From arrival in intensive care unit until discharge from hospital

Interventionpercentage of patients (Number)
Placebo7.1
Ramipril (ACEI)4.2
Candesartan (ARB)4.5

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Vasopressor Drug Use

(NCT00607672)
Timeframe: From the end of cardiopulmonary bypass until arrival in intensive care unit

,,
Interventionpercentage of patients (Number)
DobutamineMlrinoneNorepinephrineEpinephrine
Candesartan (ARB)27.322.795.513.6
Placebo35.725.085.77.1
Ramipril (ACEI)29.225.079.24.3

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Blood Product Transfusion Requirement

Percentage of patients that received blood product transfusion (NCT00607672)
Timeframe: From the start of surgery until discharge from hospital

,,
Interventionpercentage of patients (Number)
Packed red blood cellsPlasmaPlateletsCryoprecipitate
Candesartan (ARB)2.731.822.74.5
Placebo67.960.746.47.1
Ramipril (ACEI)62.529.229.24.2

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Interleukin-10 (IL-10) Response

To compare the effects of AT1 receptor antagonism or ACE inhibition versus placebo on the inflammatory response to CPB as measured by the IL-10 response (NCT00607672)
Timeframe: From the start of surgery until postoperative day 2

,,
Interventionpg/mL (Mean)
Pre CPBPost surgeryPostoperative day 1Postoperative day 2
Candesartan (ARB)4.21749.5622.5514.26
Placebo4.45461.9030.7016.74
Ramipril (ACEI)5.36815.7426.8914.59

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Acute Kidney Injury

Acute kidney injury (AKI) was defined according to Acute Kidney Injury Network (AKIN) criteria,specifically any increase in subject serum creatinine concentration of 50% or 0.3 mg/dL (26.5 umol/L) within 72 hours of surgery. (NCT00607672)
Timeframe: From the start of surgery until postoperative day 3

Interventionpercentage of patients (Number)
Placebo28.6
Ramipril (ACEI)23.8
Candesartan (ARB)36.4

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Percentage of Participants With Colonic Pathology

The primary analysis variable was the occurrence of an abnormal colonoscopy finding (defined as hyper-plastic polyps, inflammatory polyps, adenomatous polyps or carcinoma) at or prior to the planned one year visit. The occurrence of colonic pathology was identified during colonoscopy and histopathologic examination of biopsy. The composite endpoint was evaluated after one year of treatment with an aliskiren-based regimen compared to a ramipril-based regimen. (NCT00631917)
Timeframe: 54 weeks

InterventionPercentage of participants (Number)
Aliskiren25.5
Ramipril25.1

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Summary of the End of Study Colonoscopy Results

During each colonoscopy procedure, random biopsy samples were taken from normal appearing mucosa in both the cecum and rectum in addition to obvious endoscopically atypical areas. The mucosal biopsy samples were evaluated for mucosal hyperplasia, dysplasia, and inflammation. Anything noted as a distinct visual abnormality from cecum to rectum such as ulcers, erythematous mucosa, or polyps, was photographed and biopsied for histopathology evaluation. Colonic lesions were categorized according to location in the colon, size, number, and morphology. (NCT00631917)
Timeframe: 54 weeks

,
InterventionPercentage of Participants (Number)
Complete colonoscopy performedWas cecum reached in procedurePhotos obtainedTook drug affecting bowel functionTook low dose aspirin during wk prior to procedureAdequacy of bowel preparation - OptimalAdequacy of bowel preparation - SuboptimalAdequacy of bowel preparation - InadequateColonoscopy prep given- PEG containing solutionColonoscopy prep given - OtherOccurrence of colon polypsPatients with polyps-Cecum/ascendingPatients with polyps-TransversePatients with polyps-Descending/sigmoidPatients with polyps-RectumMean number of polyps-Cecum/ascendingMean number of polyps-TransverseMean number of polyps-Descending/sigmoidMean number of polyps-RectumPolyps were completely resected-Cecum/ascendingPolyps were completely resected-TransversePolyps were completely resected-Descending/sigmoidPolyps were completely resected-RectumPhoto taken for polyps-Cecum/ascendingPhoto taken for polyps-TransversePhoto taken for polyps-Descending/sigmoidPhoto taken for polyps-RectumMucosal abnormalities for colitisPatients with colitis-Cecum/ascendingPatients with colitis-TransversePatients with colitis-Descending/sigmoidPatients with colitis-RectumArea of colitis biopsied-Cecum/ascendingArea of colitis biopsied-TransverseArea of colitis biopsied-Descending/sigmoidArea of colitis biopsied-RectumArea of colitis photographed-Cecum/ascendingArea of colitis photographed-TransverseArea of colitis photographed-Descending/sigmoidArea of colitis photographed-RectumNormal mucosal biopsies collected-CecumNormal mucosal biopsies collected-RectumMean number of normal mucosal biopsies-CecumMean number of normal mucosal biopsies-RectumMalignance for any biopsy samples-YesMalignance for any biopsy samples-NoMalignance for any biopsy samples-MissingInflammation for any biopsy samples-YesInflammation for any biopsy samples-NoInflammation for any biopsy samples-Missing
Aliskiren10099.799.40.04.872.327.40.396.83.229.611.86.112.18.01.31.21.51.611.86.112.17.611.85.710.87.61.30.60.00.00.60.60.00.00.60.60.00.00.699.499.73.03.00.099.40.61.098.40.6
Ramipril10010099.70.65.273.525.50.997.22.826.511.45.211.76.51.21.41.51.311.14.911.76.511.14.610.56.21.50.90.00.00.60.90.00.00.60.90.00.00.699.799.73.03.00.098.80.90.698.80.6

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Percentage of Participants With Each of the Individual Components of Colonic Pathology

Assessment of the occurrence of the individual components (hyperplastic polyps, inflammatory polyps, adenomatous polyps or carcinomas) of the composite endpoint (colonic pathology) following one-year of treatment with an aliskiren-based regimen compared to a ramipril-based regimen. (NCT00631917)
Timeframe: 54 weeks

,
InterventionPercentage of Participants (Number)
Hyperplastic polypsInflammatory polypsAdenomatous polypsCarcinoma
Aliskiren13.10.015.00.0
Ramipril10.20.317.30.0

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Percentage of Participants Achieving the Mean Sitting Blood Pressure Control Target

The mean sitting blood pressure control target is defined as less than 140/90 mmHg (or 130/80 mmHg for diabetic patients) (NCT00631917)
Timeframe: Weeks 8, 30 and End of Study (54 weeks)

,
InterventionPercentage of Participants (Number)
Week 8Week 30End of Study
Aliskiren50.860.265.0
Ramipril44.954.156.1

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Mucosal Hyperplasia Score in Rectal and Cecal Mucosal Biopsy Specimens After One Year of Treatment

Maximum hyperplasia score at end of study across rectal and cecal mucosa biopsy specimens. Score of 0 is no change from baseline, the minimum possible score. Score > 0 is worsening from baseline in which the maximum possible score is 3. (NCT00631917)
Timeframe: 54 weeks

,
Interventionparticipants (Number)
Score = 0Score = 1Score = 2Score = 3Score is Missing
Aliskiren29517002
Ramipril30419002

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F2-Isoprostanes

Mean difference in F2-isoprostanes during dialysis between treatment with ramipril or valsartan and placebo (NCT00732069)
Timeframe: During dialysis after one week of study drug

Interventionpg/mL (Mean)
Ramipril59.55
Valsartan59.03
Placebo50.23

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Interleukin 1 Beta

Mean difference in interleukin 1 beta concentration during treatment with ramipril versus treatment with placebo (NCT00732069)
Timeframe: During dialysis after one week of study drug

Interventionpg/mL (Mean)
Ramipril6.18
Valsartan2.16
Placebo1.44

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Insulin Sensitivity

As assessed using IV glucose tolerance test and calculated using Min Mod units mU/mm (NCT00750308)
Timeframe: three weeks

Intervention(mU/L)-1x(min)-1xL (Mean)
Placebo Treatment2.21
Ramipril Treatment1.76
Tadalafil Treatment1.88
Combination Treatment1.76

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Beta Cell Function

Beta cell function as measured during a frequently sampled IV glucose tolerance test (NCT00750308)
Timeframe: 3 hours

InterventionmicroU/mM (Mean)
Placeb Treatment241.2
Ramipril Treatment232.3
Tadalafil Treatment292.1
Combination Treatment287.6

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Change From Baseline in the 12-hour Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring

The change in the 12-hour mean systolic blood pressure measured at week 24 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The 12-hour mean is the average of all measurements recorded in the first 12 hours after dosing. (NCT00760214)
Timeframe: Baseline and Week 24.

InterventionmmHg (Least Squares Mean)
Azilsartan Medoxomil 40 mg QD-12.06
Azilsartan Medoxomil 80 mg QD-11.71
Ramipril 10 mg QD-8.28

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Change From Baseline in the Nighttime (12 am to 6 am) Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.

The change in nighttime (12am to 6am) mean diastolic blood pressure measured at week 24 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. Nighttime mean is the average of all measurements recorded between the hours of 12 am and 6 am. (NCT00760214)
Timeframe: Baseline and Week 24.

InterventionmmHg (Least Squares Mean)
Azilsartan Medoxomil 40 mg QD-7.44
Azilsartan Medoxomil 80 mg QD-8.20
Ramipril 10 mg QD-4.43

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Change From Baseline in the Nighttime (12 am to 6 am) Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.

The change in nighttime (12am to 6am) mean systolic blood pressure measured at week 24 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. Nighttime mean is the average of all measurements recorded between the hours of 12 am and 6 am. (NCT00760214)
Timeframe: Baseline and Week 24.

InterventionmmHg (Least Squares Mean)
Azilsartan Medoxomil 40 mg QD-12.82
Azilsartan Medoxomil 80 mg QD-12.69
Ramipril 10 mg QD-6.87

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Change From Baseline in the Trough (22-24-hr) Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.

The change in trough mean diastolic blood pressure measured at week 24 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The trough mean is the average of all measurements recorded from 22 to 24 hours after dosing. (NCT00760214)
Timeframe: Baseline and Week 24.

InterventionmmHg (Least Squares Mean)
Azilsartan Medoxomil 40 mg QD-10.21
Azilsartan Medoxomil 80 mg QD-9.85
Ramipril 10 mg QD-4.53

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Change From Baseline in the Trough (22-24-hr) Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.

The change in trough mean systolic blood pressure measured at week 24 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The trough mean is the average of all measurements recorded from 22 to 24 hours after dosing. (NCT00760214)
Timeframe: Baseline and Week 24.

InterventionmmHg (Least Squares Mean)
Azilsartan Medoxomil 40 mg QD-15.60
Azilsartan Medoxomil 80 mg QD-14.93
Ramipril 10 mg QD-6.73

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Change From Baseline in 24-hour Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.

The change in 24-hour mean diastolic blood pressure measured at week 24 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The 24-hour mean is the average of all measurements recorded for 24 hours after dosing. (NCT00760214)
Timeframe: Baseline and Week 24.

InterventionmmHg (Least Squares Mean)
Azilsartan Medoxomil 40 mg QD-8.03
Azilsartan Medoxomil 80 mg QD-8.32
Ramipril 10 mg QD-5.26

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Change From Baseline in 24-hour Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.

The change in 24-hour mean systolic blood pressure measured at week 24 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The 24-hour mean is the average of all measurements recorded for 24 hours after dosing. (NCT00760214)
Timeframe: Baseline and Week 24.

InterventionmmHg (Least Squares Mean)
Azilsartan Medoxomil 40 mg QD-12.65
Azilsartan Medoxomil 80 mg QD-12.29
Ramipril 10 mg QD-7.83

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Change From Baseline in Daytime (6am to 10 pm) Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.

The change in daytime (6am to 10pm) mean diastolic blood pressure measured at week 8 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. Daytime mean is the average of all measurements recorded between the hours of 6 am and 10 pm. (NCT00760214)
Timeframe: Baseline and Week 24.

InterventionmmHg (Least Squares Mean)
Azilsartan Medoxomil 40 mg QD-8.19
Azilsartan Medoxomil 80 mg QD-8.53
Ramipril 10 mg QD-5.55

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Change From Baseline in Daytime (6am to 10 pm) Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.

The change in daytime (6am to 10pm) mean systolic blood pressure measured at week 24 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. Daytime mean is the average of all measurements recorded between the hours of 6 am and 10 pm. (NCT00760214)
Timeframe: Baseline and Week 24.

InterventionmmHg (Least Squares Mean)
Azilsartan Medoxomil 40 mg QD-12.61
Azilsartan Medoxomil 80 mg QD-12.35
Ramipril 10 mg QD-8.08

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Change From Baseline in Mean Trough Clinic Sitting Diastolic Blood Pressure

The change in mean trough clinic sitting diastolic blood pressure measured at final visit or week 24 relative to baseline. Diastolic blood pressure is the arithmetic mean of the 3 trough sitting diastolic blood pressure measurements. (NCT00760214)
Timeframe: Baseline and Week 24.

InterventionmmHg (Least Squares Mean)
Azilsartan Medoxomil 40 mg QD-10.18
Azilsartan Medoxomil 80 mg QD-10.54
Ramipril 10 mg QD-4.87

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Change From Baseline in Mean Trough Clinic Sitting Systolic Blood Pressure.

The change in mean trough clinic sitting systolic blood pressure measured at final visit or week 24 relative to baseline. Systolic blood pressure is the arithmetic mean of the 3 trough sitting systolic blood pressure measurements. (NCT00760214)
Timeframe: Baseline and Week 24.

InterventionmmHg (Least Squares Mean)
Azilsartan Medoxomil 40 mg QD-20.63
Azilsartan Medoxomil 80 mg QD-21.24
Ramipril 10 mg QD-12.22

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Change From Baseline in the 12-hour Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring

The change in the 12-hour mean diastolic blood pressure measured at week 8 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The 12-hour mean is the average of all measurements recorded in the first 12 hours after dosing. (NCT00760214)
Timeframe: Baseline and Week 24.

InterventionmmHg (Least Squares Mean)
Azilsartan Medoxomil 40 mg QD-7.71
Azilsartan Medoxomil 80 mg QD-8.07
Ramipril 10 mg QD-5.65

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Percentage of Patients Achieving Blood Pressure Control During 8 Weeks

The percentage of patients achieving the Blood Pressure control (defined as patients achieving a MSSBP < 140 mm Hg and MSDBP < 90 mm Hg) during 8 weeks of treatment with aliskiren HCTZ (150/12.5 mg, 300/25 mg) versus ramipril (5 mg, 10 mg). Data presented are cumulative. Cumulative refers to achieving blood pressure control before or at the 8 week visit. If achieving blood pressure control occurred more than once, only the first occurrence was counted. (NCT00772577)
Timeframe: 8 weeks

InterventionPercentage of patients (Number)
Aliskiren HCTZ63.7
Ramipril30.0

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Percentage of Responders (MSSBP < 140 mmHg or ≥ 20 mmHg Decrease From Baseline in MSSBP)

To compare the percentage of responders (as defined by patients with MSSBP < 140 mm Hg or a decrease from baseline ≥ 20 mm Hg) during 8 weeks of treatment with aliskiren HCTZ (150/12.5 mg, 300/25 mg) versus ramipril (5 mg, 10 mg). Data presented are cumulative. Cumulative refers to achieving the response before or at the 8 week visit. If response occurred more than once, only the first occurrence was counted. (NCT00772577)
Timeframe: 8 weeks

InterventionPercentage of patients (Number)
Aliskiren HCTZ87.9
Ramipril63.2

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Change From Baseline in Mean Sitting Diastolic Blood Pressure (MSDBP)

To evaluate the difference in mean sitting diastolic blood pressure (MSDBP) after 8 weeks of treatment with aliskiren HCTZ (150/12.5 mg, 300/25 mg) versus ramipril (5 mg, 10 mg). (NCT00772577)
Timeframe: Baseline to week 8

,
Interventionmm Hg (Mean)
BaselineWeek 8Change from baseline to week 8
Aliskiren HCTZ94.384.2-10.1
Ramipril96.392.7-3.6

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Change From Baseline in Mean Sitting Pulse Pressure (MSPP)

To compare the change in mean sitting pulse pressure (MSPP) after 8 weeks of treatment with aliskiren HCTZ (150/12.5 mg, 300/25 mg) versus ramipril (5 mg, 10 mg). (NCT00772577)
Timeframe: Baseline to week 8

,
Interventionmm Hg (Mean)
BaselineWeek 8Change from baseline to week 8
Aliskiren HCTZ72.754.7-18.0
Ramipril71.958.9-13.0

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Change From Baseline in Mean Sitting Systolic Blood Pressure (MSSBP)

To assess the change in mean sitting systolic blood pressure (MSSBP) after 8 weeks of treatment with aliskiren HCTZ (150/12.5 mg, 300/25 mg) versus ramipril (5 mg, 10 mg). (NCT00772577)
Timeframe: Baseline to week 8

,
Interventionmm Hg (Mean)
BaselineWeek 8Change from baseline to week 8
Aliskiren HCTZ167.0138.9-28.1
Ramipril168.2151.6-16.6

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AUC0-72 (Area Under the Concentration-time Curve From Time Zero to Time 72 Hours)of Ramiprilat.

Informational comparison of AUC0-72 values for the metabolite Ramiprilat. (NCT00828321)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Test (Ramipril)196669.75
Reference (Altace®)201747.51

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AUC0-inf (Area Under the Concentration-time Curve From Time Zero to Infinity)of Ramipril.

Bioequivalence based on AUC0-t for Ramipril. (NCT00828321)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Test (Ramipril)21310.07
Reference (Altace®)21406.11

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AUC0-t (Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)of Ramipril

Bioequivalence based on AUC0-t of Ramipril. (NCT00828321)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Test (Ramipril)20716.92
Reference (Altace®)20859.98

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Cmax (Maximum Observed Concentration of Drug Substance in Plasma)of Ramipril

Bioequivalence based on Cmax of Ramipril. (NCT00828321)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg/mL (Mean)
Test (Ramipril)24243.26
Reference (Altace®)25646.69

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Cmax (Maximum Observed Concentration of Drug Substance in Plasma)of Ramiprilat.

Informational comparison of Cmax values for the metabolite Ramiprilat. (NCT00828321)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg/mL (Mean)
Test (Ramipril)25892.38
Reference (Altace®)26154.13

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AUC0-inf (Area Under the Concentration-time Curve From Time Zero to Infinity) for Ramipril.

Bioequivalence based on AUC0-inf. (NCT00829452)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Test (Ramipril)18124.29
Reference (Altace®)18859.79

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AUC0-t (Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) for Ramipril.

Bioequivalence based on AUC0-t. (NCT00829452)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Test (Ramipril)17495.08
Reference (Altace®)18487.79

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Cmax (Maximum Observed Concentration of Drug Substance in Plasma)for Ramipril.

Bioequivalence based on Cmax. (NCT00829452)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg/mL (Mean)
Test (Ramipril)21887.1
Reference (Altace®)23640.37

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Cmax (Maximum Observed Concentration of Drug Substance in Plasma)for Ramiprilat.

Informational comparison of Cmax values for the metabolite Ramiprilat. (NCT00829452)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg/mL (Mean)
Test (Ramipril)20293.09
Reference (Altace®)19670.12

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AUC0-72 (Area Under the Concentration-time Curve From Time Zero to Time of 72 Hours) for Ramiprilat.

Informational comparison of AUc0-72 values for the metabolite Ramiprilat. (NCT00829452)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Test (Ramipril)164741.84
Reference (Altace®)168246.84

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Cmax (Maximum Observed Concentration of Drug Substance in Plasma)for Ramipril.

Bioequivalence based on Cmax. (NCT00829530)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg/mL (Mean)
Test (Ramipril)7590.97
Reference (Altace®)8490.5

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Cmax (Maximum Observed Concentration of Drug Substance in Plasma)for Ramiprilat.

Informational comparison of Cmax values for the metabolite Ramiprilat. (NCT00829530)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg/mL (Mean)
Test (Ramipril)14500.51
Reference (Altace®)14843.1

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AUC0-t (Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)for Ramipril.

Bioequivalence based on AUC0-t. (NCT00829530)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Test (Ramipril)20536.35
Reference (Altace®)21415.4

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AUC0-inf (Area Under the Concentration-time Curve From Time Zero to Infinity)for Ramipril.

Bioequivalence based on AUC0-inf. (NCT00829530)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Test (Ramipril)20879.45
Reference (Altace®)21732.68

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AUC0-72 (Area Under the Concentration-time Curve From Time Zero to Time of 72 Hours)for Ramiprilat.

Informational comparison of AUC0-72 values for the metabolite Ramiprilat. (NCT00829530)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Test (Ramipril)166857.53
Reference (Altace®)166439.69

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Pharmacokinetic of Aliskiren: The Area Under the Plasma Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUClast)

Blood samples (2 mL) for the determination of aliskiren concentration in plasma were collected using an indwelling cannula inserted in a forearm vein. Samples were collected at week 12 (day 84): pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10 and 24 hours post-dose. (NCT00923156)
Timeframe: 12 weeks

Interventionhr*ng/mL (Mean)
Aliskiren3041

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Pharmacokinetic of Aliskiren: The Area Under the Plasma Concentration-time Curve From Time Zero to the End of the Dosing Interval Tau(AUCtau)

Blood samples (2 mL) for the determination of aliskiren concentration in plasma were collected using an indwelling cannula inserted in a forearm vein. Samples were collected at week 12 (day 84): pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10 and 24 hours post-dose. (NCT00923156)
Timeframe: 12 weeks

Interventionhr*ng/mL (Mean)
Aliskiren1707

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Pharmacokinetic of Aliskiren: The Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUCinf)

Blood samples (2 mL) for the determination of aliskiren concentration in plasma were collected using an indwelling cannula inserted in a forearm vein. Samples were collected at week 12 (day 84): pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10 and 24 hours post-dose. (NCT00923156)
Timeframe: 12 weeks

Interventionhr*ng/mL (Mean)
Aliskiren3502

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Biomarker Urinary Aldosterone After 12 Weeks of Treatment

24 hour urine collections were performed. Geometric Mean Ratio to baseline at Week 12 for Urinary aldosterone was calculated 24 hours post-dose. (NCT00923156)
Timeframe: Baseline,12 weeks (Day 84 period 2)

Interventionratio (Geometric Mean)
Aliskiren0.83
Ramipril0.96
Aliskiren Plus Ramipril0.87

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Biomarker Plasma Renin Concentration (PRC)After 12 Weeks of Treatment

Peripheral venous blood was collected after 30 minutes of rest in the sitting position for analysis of biomarkers. Geometric Mean Ratio to baseline at 12 weeks for PRC was calculated at 0 hour pre-dose. (NCT00923156)
Timeframe: Baseline, 12 weeks (84 days, period 2)

Interventionratio (Geometric Mean)
Aliskiren2.48
Ramipril0.96
Aliskiren Plus Ramipril4.67

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Biomarker B-type Natriuretic Peptide (BNP) After 12 Weeks of Treatment

Peripheral venous blood was collected after 30 minutes of rest in the sitting position for analysis of biomarkers. Geometric Mean Ratio to baseline at Week 12 for BNP was calculated at 0 hours pre-dose. (NCT00923156)
Timeframe: Baseline, 12 weeks (Day 84 period 2)

Interventionratio (Geometric Mean)
Aliskiren0.96
Ramipril0.84
Aliskiren Plus Ramipril0.78

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Pharmacokinetic of Aliskiren: The Observed Maximum Plasma Concentration (Cmax) Following Drug Administration

Blood samples (2 mL) for the determination of aliskiren concentration in plasma were collected using an indwelling cannula inserted in a forearm vein. Samples were collected at week 12 (day 84): pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10 and 24 hours post-dose. (NCT00923156)
Timeframe: 12 weeks

Interventionng/mL (Mean)
Aliskiren257.2

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Pharmacokinetic of Aliskiren: The Terminal Elimination Half-life (T½)

Blood samples (2 mL) for the determination of aliskiren concentration in plasma were collected using an indwelling cannula inserted in a forearm vein. Samples were collected at week 12 (day 84): pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10 and 24 hours post-dose. (NCT00923156)
Timeframe: 12 weeks

Interventionhour (Mean)
Aliskiren31.02

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Biomarker Trapping Plasma Renin Activity (tPRA) After 12 Weeks of Treatment

Peripheral venous blood was collected after 30 minutes of rest in the sitting position for analysis of biomarkers. Geometric Mean Ratio to baseline at Week 12 for tPRA was calculated at 0 hour pre-dose, 3 hour and 24 hour post-dose. (NCT00923156)
Timeframe: Baseline,12 weeks (84 days, Period 2)

,,
Interventionratio (Geometric Mean)
0 hour pre-dose (n=40,38,37)3 hour post-dose (n=40,38,38)24 hour post-dose (n=40,38,38)
Aliskiren0.140.070.12
Aliskiren Plus Ramipril0.250.150.16
Ramipril1.021.500.90

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Venous Angiotensin II Levels After 12 Weeks of Treatment

Peripheral venous blood was collected after 30 minutes of rest in the sitting position for analysis of biomarkers. Geometric mean ratio to baseline at Week 12 for Venous angiotensin II levels was calculated in patients with decompensated systolic heart failure (SHF) and left ventricular ejection fraction ≤40% at 0 hour pre-dose, 3 hours and 24 hours post-dose. (NCT00923156)
Timeframe: Baseline. 12 Weeks (Day 84, period 2)

,,
Interventionratio (Geometric Mean)
0 Hour pre-dose (n=40, 38, 37)3 hour post-dose (n=40, 38, 38)24 hour post-dose (n=40, 38, 38)
Aliskiren0.910.380.79
Aliskiren Plus Ramipril0.660.380.64
Ramipril1.080.440.97

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Pharmacokinetic of Aliskiren: Time to Reach the Maximum Concentration (Tmax) After Drug Administration

Blood samples (2 mL) for the determination of aliskiren concentration in plasma were collected using an indwelling cannula inserted in a forearm vein. Samples were collected at week 12 (day 84): pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10 and 24 hours post-dose. (NCT00923156)
Timeframe: 12 weeks

InterventionHour (Median)
Aliskiren1.50

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Change in Cerebrospinal Fluid (CSF) Amyloid Beta-42 (Aβ42) Levels Between Baseline and Month 4 in Subjects Taking Ramipril vs Subjects on Placebo

CSF Aβ42 levels will be measured from the cerebrospinal fluid taken from subjects on ramipril or placebo at the baseline visit and month 4 and will be measured by Dr. Henrik Zetterberg's laboratory. (NCT00980785)
Timeframe: Baseline to 4 months

Interventionpg/ml (Mean)
Placebo-22.5
Active-31.71

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Change in Augmentation Index (%) Between Baseline and Month 4 in Subjects Taking Ramipril vs Subjects on Placebo

Pulse wave velocity was measured using an AtCor SphymoCor Px tonometry system. A small pressure transducer was placed on the skin at the point the arterial pulsation of the right common carotid and right radial arteries. A Millar micromanometer is in the tip of the probe. Using a generalized transfer function, the distance between these pressure points, and the peripheral arterial waveforms, a central aortic pressure signal is derived, from which aortic augmentation index is determined. (NCT00980785)
Timeframe: Baseline to 4 months

InterventionPercentage change (Mean)
Placebo1.7
Active-1.8

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Change in Flow-mediated Vasodilation (FMD) Between Baseline and Month 4 in Subjects Taking Ramipril vs Subjects on Placebo

FMD is calculated as the ratio of brachial artery diameter after reactive hyperemia to baseline diameter, expressed as percentage change. FMD for each subject (ramipril v placebo) will be measured at baseline and month 4, observing any differences. (NCT00980785)
Timeframe: Baseline to 4 months

InterventionPercentage change (Mean)
Placebo-0.70
Active-0.29

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Change in CSF Angiotensin Converting Enzyme (ACE) Levels Between Baseline and Month 4 in Subjects Taking Ramipril vs Subjects on Placebo

CSF ACE levels will be measured from the cerebrospinal fluid taken from subjects on Ramipril or placebo at the baseline visit and month 4 and will be measured by ARUP® laboratories by spectrophotometric enzymatic assay. (NCT00980785)
Timeframe: Baseline to 4 months

InterventionU/L (Mean)
Placebo-0.10
Active-0.63

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The Difference in LDL Cholesterol Levels Between the Basal and the Final Visit of Each Treatment Period.

Change from baseline in LDL cholesterol level following each Treatment Period was defined as the difference between the measurements from the baseline visit (Visit 4, Day 1) and Visit 9 (Day 84) for Treatment Period 1, and between the Visit 11 (Day 126) and Visit 16 (Day 210) for Treatment Period 2. (NCT01004705)
Timeframe: Day 1 and Day 84 of the Period 1 and Day 126 and Day 210 of Period 2

Interventionmg/dL (Mean)
Combination Pill-34.24
Simvastatin-27.95

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The Difference in Mean Total Cholesterol Between the Basal and the Final Visit of Each Treatment Period.

Change from baseline in mean total cholesterol level following each Treatment Period was defined as the difference between the measurements from the baseline visit (Visit 4, Day 1) and Visit 9 (Day 84) for Treatment Period 1, and between the Visit 11 (Day 126) and Visit 16 (Day 210) for Treatment Period 2. (NCT01004705)
Timeframe: Day 1 and Day 84 of the Period 1 and Day 126 and Day 210 of Period 2

Interventionmg/dL (Mean)
Combination Pill-36.81
Simvastatin-29.81

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Difference in the Adjusted Mean 24-h Diastolic Pressure Results Between the Basal and the Final Visit of Each Treatment Period

Difference in the Adjusted Mean 24-h Diastolic Pressure Results (Using ABPM) Between the Basal and the Final Visit of Each Treatment Period (NCT01005290)
Timeframe: Days 7 and 36 of Period 1 and days 49 and 85 of Period 2

Interventionmm Hg (Mean)
Combination Pill-1.85
Ramipril-2.88

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Difference in the Adjusted Mean 24-h Systolic Pressure Results (Using ABPM) Between the Basal and the Final Visit of Each Treatment Period.

Difference in the adjusted mean 24-h systolic pressure results using ABPM (Ambulatory Blood Pressure Monitoring)in the PP population. (NCT01005290)
Timeframe: Days 7 and 36 of Period 1 and days 49 and 85 of Period 2

Interventionmm Hg (Mean)
Combination Pill-2.40
Ramipril-4.40

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Percentage of Patients With Controlled Blood Pressure

"The arm in which the highest sitting systolic blood pressure (SBP) was found at study entry was used for all subsequent readings. At each study visit, after leaving the patient to rest 5 minutes in a sitting position, the blood pressure (BP) was measured three times with an oscillometric device. The measurements were performed at 1-2 minute intervals. The mean BP was calculated from the 3 readings.~Controlled blood pressure (BP) is defined as mean office systolic BP/ diastolic BP < 140/90 mmHg." (NCT01042392)
Timeframe: At 4 and 8 weeks

,
InterventionPercentage (Number)
At week 4 (N= 218, 217)At week 8 (N= 213, 213)
Aliskiren40.132.4
Ramipril36.726.8

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Difference Between the Maximal and the Minimal Mean-hour SPB Measured Between 1 and 8 am at Week 8

Ambulatory blood pressure measurement (ABPM) over 24 hours was performed for all patients on the eve of visit 4 (week 8), the device attached to the ambulatory blood pressure non-dominant arm of the patient. The difference between mean-hour maximum SBP mean-hour minimum SBP between 1 am and 8 am was measured. (NCT01042392)
Timeframe: At week 8

InterventionmmHg (Mean)
Ramipril33.6
Aliskiren35.5

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Change From Baseline in Mean Sitting Diastolic Blood Pressure (msDBP)

The arm in which the highest sitting systolic blood pressure (SBP) was found at study entry was used for all subsequent readings. At each study visit, after leaving the patient to rest 5 minutes in a sitting position, the blood pressure (BP) was measured three times with an oscillometric device. The measurements were performed at 1-2 minute intervals. The mean BP was calculated from the 3 readings. The analysis of variance included treatment factor and baseline value of mean sitting DBP as covariable. (NCT01042392)
Timeframe: Baseline to 8 weeks

InterventionmmHg (Least Squares Mean)
Ramipril-5.23
Aliskiren-6.39

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Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP)

The arm in which the highest sitting systolic blood pressure (SBP) was found at study entry was used for all subsequent readings. At each study visit, after leaving the patient to rest 5 minutes in a sitting position, the blood pressure (BP) was measured three times with an oscillometric device. The measurements were performed at 1-2 minute intervals. The mean BP was calculated from the 3 readings. The analysis of covariance included treatment factor and baseline mean sitting SBP as covariable. (NCT01042392)
Timeframe: Baseline to 8 weeks

InterventionmmHg (Least Squares Mean)
Ramipril-18.80
Aliskiren-20.78

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Number of the Participants With More Than 55 mmHg Difference Between the Mean SBP Measured at the Morning Surge and the Mean Minimal SBP Measured During the Night

Ambulatory blood pressure measurement (ABPM) over 24 hours was performed for all patients on the day before visit 4, the device attached to the ambulatory blood pressure non-dominant arm of the patient. The BP morning surge was defined as the average of the measurements taken during the first 2 hours after waking the patient. The minimal night blood pressure was defined as the average of the two lowest BP measures (the lowest hourly average) recorded during night time. (NCT01042392)
Timeframe: After 8 weeks

InterventionParticipants (Number)
Ramipril3
Aliskiren9

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Change in Mean Sitting DBP and SBP in Specified Sub-groups From Visit 2 (Baseline) to Visit 4 (at 8 Weeks)

"The sub-groups were: Riser = patients with >= 55 mmHg difference between the mean SPB measured at the morning surge and the mean minimal SBP measured during the night. The Non-risers in whom the difference is <55 mmHg. Patients called dippers in whom there was a decrease in average nocturnal SBP ≥ 10% compared with average daytime SBP, in contrast to patients non-dippers in whom this difference was <10%." (NCT01042392)
Timeframe: Baseline to 8 weeks

,
InterventionmmHg (Mean)
Change in msSBP: Risers (n= 3, 9)Change in msSBP: Non-risers (n=109, 103)Change in msSBP: Dippers (n= 80, 94)Change in msSBP: Non-dippers (n= 93, 92)Change in msDBP: Risers (n= 3, 9)Change in msDBP: Non-risers(n=109, 103)Change in msDBP: Dippers (n= 80, 94)Change in msDBP: Non-dippers (n= 93, 92)
Aliskiren-16.9-20.5-19.8-21.1-6.6-5.7-6.3-6.5
Ramipril-19.7-19.2-18.1-19.2-7.3-4.2-5.5-5.3

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Change in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP) From Last Active Dose Taken to After a One-day Missed-dose

The change in blood pressure was measured between visit 4 (end of the period of double-blind active treatment which was at week 8) and visit 5 (48 hours after the last active dose taken) in the group of patients who received aliskiren or placebo and those who received ramipril or placebo. The analysis of covariance included treatment factor and baseline mean sitting SBP and mean sitting DBP as covariables. (NCT01042392)
Timeframe: From 8 weeks to 48 hours after week 8

,,,
InterventionmmHg (Least Squares Mean)
Change in msSBPChange in msDBP
Aliskiren0.52-0.40
Placebo to Aliskiren3.270.97
Placebo to Ramipril-1.280.32
Ramipril-0.500.76

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Change in msSBP and msDBP From Visit 2 (Baseline) to Visit 3 (at 4 Weeks)

The arm in which the highest sitting systolic blood pressure (SBP) was found at study entry was used for all subsequent readings. At each study visit, after leaving the patient to rest 5 minutes in a sitting position, the blood pressure (BP) was measured three times with an oscillometric device. The measurements were performed at 1-2 minute intervals. The mean BP was calculated from the 3 readings. The analysis of covariance included treatment factor and baseline mean sitting SBP and mean sitting DBP as covariables. (NCT01042392)
Timeframe: Baseline to 4 weeks

,
InterventionmmHg (Least Squares Mean)
Change in msSBPChange in msDBP
Aliskiren-19.75-5.60
Ramipril-19.42-5.37

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Number Patients Reported With Adverse Events (AEs), Serious Adverse Events (SAE) and Death (Period II and Period III)

Adverse events are defined as any unfavorable and unintended diagnosis, symptom, sign (including an abnormal laboratory finding), syndrome or disease which either occurs during study, having been absent at baseline, or, if present at baseline, appears to worsen. Serious adverse events are any untoward medical occurrences that result in death, are life threatening, require (or prolong) hospitalization, cause persistent or significant disability/incapacity, result in congenital anomalies or birth defects, or are other conditions which in judgment of investigators represent significant hazards. (NCT01042392)
Timeframe: 8 weeks + 1 day

,
InterventionParticipants (Number)
Patients with at least 1 AEPatients with at least 1 SAEDeath
Aliskiren4310
Ramipril5530

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Left Ventricular End Diastolic Volume Indexed to Body Surface Area (LVEDV/BSA)

LVEDV/BSA: As an indicator of heart size, the blood volume of the heart is related to the body size. The relation of heart blood volume to body size is more accurate in determining pathology because larger people require a larger heart blood volume. The values that are too high or too low indicate a diseased myocardium. This is a measure of LV Diastolic Function. Since some visits did not occur at the scheduled 6 month intervals, the results have been divided into 3-month visit intervals. (NCT01052272)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,,,
Interventionml/m^2 (Mean)
Month 0 (n=17,17,18,18)Month 6(n=14,11,11,12)Month 9(n=1,2,0,0)Month12(n=12,11,11,11)Month 15(n=3,2,1,1)Month 18(n=10,12,8,8)Month 21(n=3,0,0,1)Month 24 (n=11,9,8,10)Month 27 (n=1,1,0,1)
Candesartan Cilexetil78.0678.6093.5785.4490.2082.74NA84.2876.65
Candesartan Cilexetil and Allopurinol79.0378.01NA79.7563.184.9575.2779.7275.05
Ramipril73.0374.1073.2375.3481.1975.2871.9970.4648.68
Ramipril and Allopurinol78.5286.13NA83.95108.2567.96NA71.63NA

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Left Ventricular End-Diastolic Radius to Wall Thickness (LVED Radius/Wall Thickness)

LVED Radius/Wall thickness As an indicator of heart muscle mass and heart volume chamber diameter, the end-diastolic radius indexed to end diastolic wall thickness determines whether there is an adequate amount of heart muscle to pump the heart blood volume obtained from a two-dimensional analysis. The values that are too high or too low indicate a diseased myocardium. This is a measure of LV Geometry. Since some visits did not occur at the scheduled 6 month intervals, the results have been divided into 3-month visit intervals for reporting purposes. (NCT01052272)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,,,
Interventionunitless (Mean)
Month 0 (n=17,17,18,18)Month 6(n=14,11,11,12)Month 9(n=1,2,0,0)Month 12(n=12,11,11,11)Month 15(n=3,2,1,1)Month 18(n=10,12,8,8)Month 21(n=3,0,0,1)Month 24 (n=11,9,8,10)Month 27 (n=1,1,0,1)
Candesartan Cilexetil3.143.394.143.684.103.71NA3.584.04
Candesartan Cilexetil and Allopurinol3.453.63NA3.423.903.564.243.564.29
Ramipril3.233.323.423.433.443.602.923.463.12
Ramipril and Allopurinol3.574.04NA4.014.573.60NA3.61NA

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Left Ventricular End-diastolic Mass Indexed to Left Ventricular End-diastolic Volume (LVED Mass/LVEDV)

LVED Mass/LVEDV: As an indicator of heart muscle mass and heart blood volume, the mass indexed to end diastolic volume determines whether there is an adequate amount of heart muscle to pump the heart blood volume obtained from a three-dimensional analysis. The values that are too high or too low indicate a diseased myocardium. This is a measure of LV Geometry. Since some visits did not occur at the scheduled 6 month intervals, the results have been divided into 3-month visit intervals for reporting purposes. (NCT01052272)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,,,
Interventiong/ml (Mean)
Month 0 (n=17,17,18,18)Month 6(n=14,11,11,12)Month 9(n=1,2,0,0)Month 12(n=12,11,11,11)Month 15(n=3,2,1,1)Month 18(n=10,12,8,8)Month 21(n=3,0,0,1)Month 24 (n=11,9,8,10)Month 27 (n=1,1,0,1)
Candesartan Cilexetil0.950.830.670.780.700.79NA0.800.64
Candesartan Cilexetil and Allopurinol0.870.82NA0.860.680.800.690.820.69
Ramipril0.920.870.750.840.810.790.950.840.93
Ramipril and Allopurinol0.860.71NA0.720.570.83NA0.80NA

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Left Ventricular End Systolic Volume Indexed to Body Surface Area (LVESV/BSA)

LVESV/BSA: The end systolic volume is the blood volume of the heart at the end of contraction and is an index of the pump function of the heart. This relation to body size is more accurate in determining pathology because larger people require a larger heart blood volume. The values that are too high or too low indicate a diseased myocardium. This is a measure of LV Systolic Function. Since some visits did not occur at the scheduled 6 month intervals, the results have been divided into 3-month visit intervals. (NCT01052272)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,,,
Interventionml/m^2 (Mean)
Month 0 (n=17,17,18,18)Month 6(n=14,11,11,12)Month 9(n=1,2,0,0)Month 12(n=12,11,11,11)Month 15(n=3,2,1,1)Month 18(n=10,12,8,8)Month 21(n=3,0,0,1)Month 24 (n=11,9,8,10)Month 27 (n=1,1,0,1)
Candesartan Cilexetil35.2635.2653.8742.2754.0437.76NA41.7235.13
Candesartan Cilexetil and Allopurinol39.4934.15NA36.0728.7437.1832.9935.9934.22
Ramipril36.2034.7725.6436.8239.4235.3035.2331.1723.98
Ramipril and Allopurinol37.9142.88NA42.3470.4830.39NA31.56NA

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Left Ventricular Ejection Fraction (LVEF)

LVEF is a calculation of heart pump function determined from the volume after complete filling minus the volume after complete contraction divided by the volume after complete filling. A value of 55% or greater is normal. This is a measure of LV Systolic Function. Since some visits did not occur at the scheduled 6 month intervals, the results have been divided into 3-month visit intervals for reporting purposes (NCT01052272)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,,,
Interventionpercent (Mean)
Month 0 (n=17,17,18,18)Month 6(n=14,11,11,12)Month 9(n=1,2,0,0)Month 12(n=12,11,11,11)Month 15(n=3,2,1,1)Month 18(n=10,12,8,8)Month 21(n=3,0,0,1)Month 24 (n=11,9,8,10)Month 27 (n=1,1,0,1)
Candesartan Cilexetil56.3656.8242.6252.3739.8856.33NA51.7054.17
Candesartan Cilexetil and Allopurinol52.6857.28NA56.1154.4657.8256.1755.7954.40
Ramipril52.1954.2064.9852.7652.1355.0251.2757.1850.73
Ramipril and Allopurinol53.3752.80NA51.7434.8954.05NA55.59NA

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Peak Early Filling Rate Normalized to EDV

The Peak Early Filling Rate Normalized to EDV is calculated from the slope of the volume during the early filling of the heart with respect to time. The higher values indicate a very healthy heart muscle and lower values are indicative of a very stiff muscle. This is a measure of LV Diastolic Function. Since some visits did not occur at the scheduled 6 month intervals, the results have been divided into 3-month visit intervals for reporting purposes. (NCT01052272)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,,,
Intervention1/sec (Mean)
Month 0 (n=17,17,18,18)Month 6(n=14,11,11,12)Month 9(n=1,2,0,0)Month 12(n=12,11,11,11)Month 15(n=3,2,1,1)Month 18(n=10,12,8,8)Month 21(n=3,0,0,1)Month 24 (n=11,9,8,10)Month 27 (n=1,1,0,1)
Candesartan Cilexetil2.012.021.131.901.481.93NA1.651.10
Candesartan Cilexetil and Allopurinol2.01.98NA1.772.282.052.501.822.15
Ramipril1.931.742.501.802.021.911.692.051.34
Ramipril and Allopurinol2.112.03NA1.931.561.89NA1.88NA

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LV End Systolic Maximum Shortening (LVES Max Shortening)

By identifying three points in three different planes in the heart muscle, the maximum shortening is the average of the difference between the distance between these three points at the end of filling of the heart and the end of contraction divided by the length at the end of filling times 100. The maximum shortening is a three dimensional analysis. The higher values indicate a healthy heart. This is a measure of LV Systolic Function. Since some visits did not occur at the scheduled 6 month intervals, the results have been divided into 3-month visit intervals for reporting purposes. (NCT01052272)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,,,
Interventionpercent of length at end of filling (Mean)
Month 0 (n=17,17,17,18)Month 6(n=14,11,10,12)Month 9(n=1,2,0,0)Month 12(n=11,11,10,10)Month 15(n=3,2,1,1)Month 18(n=10,12,7,8)Month 21(n=3,0,0,1)Month 24 (n=11,9,8,10)Month 27 (n=1,1,0,1)
Candesartan Cilexetil16.6817.5019.0817.1316.2817.55NA16.6220.38
Candesartan Cilexetil and Allopurinol16.0018.50NA18.5116.3617.5217.8917.8516.59
Ramipril15.8116.8818.4314.5717.0617.2616.6815.6713.70
Ramipril and Allopurinol15.8418.72NA17.9614.2217.46NA17.52NA

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ADMA Level at One Year Post Transplant

asymmetric dimethylarginine (ADMA), is an inhibitor of endothelial nitric oxide synthase which is a primary regulator of endothelial function. (NCT01078363)
Timeframe: 1 year post Transplant

Interventionmicromole (Mean)
Ramipril.54
Placebo.55

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Cardiac Allograft Vasculopathy(CAV) Defined as Change in IVUS-assessed Plaque Volume From Baseline to One Year

also called transplant coronary artery disease or cardiac transplant vasculopathy defined as coronary artery stenosis(narrowing) ranging from 30 to 70 percent by coronary angiography. Measured in this study as change in IVUS-assessed Plaque Volume from baseline to one year. (NCT01078363)
Timeframe: Baseline and 1 Year

Interventionmm3/mm (Mean)
Ramipril3.39
Placebo3.65

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Fractional Flow Reserve (FFR) at One Year Post Transplant

FFR is a technique used in coronary catheterization to measure pressure differences across a coronary artery stenosis (narrowing, usually due to atherosclerosis) to determine the likelihood that the stenosis impedes oxygen delivery to the heart muscle (myocardial ischemia). It is defined as the ratio of the distal coronary pressure to the proximal coronary pressure. (NCT01078363)
Timeframe: at one year post Transplant

InterventionRatio (Mean)
Ramipril.88
Placebo.90

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The Percentage of Endothelial Progenitor Cells ( EPC) in Peripheral Blood in Patients One Year After Transplant

The determination of the percentage of EPC in peripheral blood involved surface staining peripheral blood mononuclear cells (PBMCs) with appropriate fluorescently-labeled antibodies to delineate EPCs from other blood cells, followed by analysis by conventional flow cytometry. (NCT01078363)
Timeframe: at one year

Interventionpercentage of EPC (Mean)
Ramipril.104
Placebo.098

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Percentage of Participants With ≥20% Coronary Artery Diameter Reduction After Acetylcholine

The percent change in diameter of the left anterior descending artery was measured by quantitative angiography after acetylcholine and compared to baseline angiography. The percentage of participants who had ≥20% coronary artery diameter reduction after acetylcholine at one year is presented. (NCT01078363)
Timeframe: At Baseline and 1 Year

Interventionpercentage of participants (Number)
Ramipril9.4
Placebo4.8

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Index of Microcirculatory Resistance at One Year Post Heart Transplant

The index of microcirculatory resistance (IMR) is a pressure-temperature sensor guidewire-based measurement, performed during cardiac catheterization, of the minimum microcirculatory resistance in a specific coronary artery. The IMR provides a quantitative measure of coronary microvasculature status. (NCT01078363)
Timeframe: one year

InterventionmmHg x seconds (Mean)
Ramipril14.4
Placebo21.5

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Changes in Ang1-7 Levels Among Patients After ACE-I/ARB Treatment Measured in Picogram/Milliliter

(NCT01234922)
Timeframe: 7 days post-baseline

InterventionPicogram/milliliter (Mean)
Arm I13.25
Arm II33.67
Arm III6.685
Arm IV5.045

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Ramiprilat: Predose Concentration Prior to Administration of the Nth Dose (Cpre,N)

"Predose concentration of the analyte in plasma prior to administration of the Nth dose, of ramiprilat.~Note, predose concentrations for ramipril were all below the limit of quantification (BLQ) and therefore the predose concentration of the analyte in plasma prior to administration of the Nth dose, of ramipril was not analysed." (NCT01284621)
Timeframe: 0 hours (h), 20 minutes (min), 40 min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 36h, 48h and 72h after drug administration on day 5. In addition pre-dose samples, 5 minutes predose, were collected on days 1 to 4

,
Interventionng/mL (Geometric Mean)
Cpre,2Cpre,3Cpre,4Cpre,5
Empa + Ramipril1.021.311.371.44
Ramipril Alone1.031.331.391.45

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Terminal Half-life (T 1/2,ss)

Terminal half-life of the analyte in plasma at steady-state. (NCT01284621)
Timeframe: 0 hours (h), 20 minutes (min), 40 min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 36h, 48h and 72h after drug administration on day 5. In addition pre-dose samples, 5 minutes predose, were collected on days 1 to 4

,,
Interventionhours (Geometric Mean)
Total empaTotal ramiprilTotal ramiprilat
Empa + Ramipril13.92.3276.2
Empa Alone12.7NANA
Ramipril AloneNA2.6673.2

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Terminal Rate Constant (λz,ss)

Terminal rate constant in plasma at steady-state (NCT01284621)
Timeframe: 0 hours (h), 20 minutes (min), 40 min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 36h, 48h and 72h after drug administration on day 5. In addition pre-dose samples, 5 minutes predose, were collected on days 1 to 4

,,
Intervention1/h (Geometric Mean)
Total empaTotal ramiprilTotal ramiprilat
Empa + Ramipril0.0500.2980.0091
Empa Alone0.055NANA
Ramipril AloneNA0.2610.0095

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Total Ramipril: Area Under the Curve at Steady-state Over a Uniform Dosing Interval (AUCτ,ss).

Area under the concentration-time curve of the analyte in plasma at steady-state over a uniform dosing interval τ, of ramipril. (NCT01284621)
Timeframe: 0 hours (h), 20 minutes (min), 40 min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 36h, 48h and 72h after drug administration on day 5. In addition pre-dose samples, 5 minutes predose, were collected on days 1 to 4

Interventionng*h/mL (Geometric Mean)
Ramipril Alone6.59
Empa + Ramipril7.27

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Clinically Relevant Abnormalities for Physical Examination, Vital Signs, ECG, Blood Chemistry and Tolerability

Clinically relevant abnormalities for physical examination, vital signs, ECG, blood chemistry and assessment tolerability by the investigator. New abnormal findings or worsening of baseline conditions were reported as adverse events. (NCT01284621)
Timeframe: From drug administration until end of washout period (36 days)

Interventionparticipants (Number)
Empa Alone0
Ramipril Alone0
Empa + Ramipril0

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Time From Last Dosing to the Maximum Measured Concentration (Tmax,ss)

Time from last dosing to the maximum measured concentration of the analyte in plasma at steady state. (NCT01284621)
Timeframe: 0 hours (h), 20 minutes (min), 40 min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 36h, 48h and 72h after drug administration on day 5. In addition pre-dose samples, 5 minutes predose, were collected on days 1 to 4

,,
Interventionhours (Median)
Total empaTotal ramiprilTotal ramiprilat
Empa + Ramipril1.500.3332.00
Empa Alone1.02NANA
Ramipril AloneNA0.3332.00

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Mean Residence Time (MRTpo,ss)

Mean residence time of the analyte in the body after oral administration at steady-state. (NCT01284621)
Timeframe: 0 hours (h), 20 minutes (min), 40 min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 36h, 48h and 72h after drug administration on day 5. In addition pre-dose samples, 5 minutes predose, were collected on days 1 to 4

,,
Interventionhours (Geometric Mean)
Total empaTotal ramiprilTotal ramiprilat
Empa + Ramipril9.681.4247.1
Empa Alone9.95NANA
Ramipril AloneNA1.2944.7

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Empa: Predose Concentration Prior to Administration of the Nth Dose (Cpre,N)

Predose concentration of the analyte in plasma prior to administration of the Nth dose, of empagliflozin. (NCT01284621)
Timeframe: 0 hours (h), 20 minutes (min), 40 min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 36h, 48h and 72h after drug administration on day 5. In addition pre-dose samples, 5 minutes predose, were collected on days 1 to 4

,
Interventionnmol/L (Geometric Mean)
Cpre,2Cpre,3Cpre,4Cpre,5
Empa + Ramipril38.645.146.448.3
Empa Alone40.345.849.247.8

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Apparent Volume of Distribution During the Terminal Phase (Vz/Fss)

Apparent volume of distribution at steady-state during the terminal phase λz following an extravascular dose. (NCT01284621)
Timeframe: 0 hours (h), 20 minutes (min), 40 min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 36h, 48h and 72h after drug administration on day 5. In addition pre-dose samples, 5 minutes predose, were collected on days 1 to 4

,,
InterventionL (Geometric Mean)
Total empaTotal ramiprilTotal ramiprilat
Empa + Ramipril19623106460
Empa Alone174NANA
Ramipril AloneNA29106050

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Apparent Clearance After Extravascular Administration (CL/Fss)

Apparent clearance of the analyte in plasma after extravascular administration at steady-state. (NCT01284621)
Timeframe: 0 hours (h), 20 minutes (min), 40 min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 36h, 48h and 72h after drug administration on day 5. In addition pre-dose samples, 5 minutes predose, were collected on days 1 to 4

,,
InterventionmL/min (Geometric Mean)
Total empaTotal ramiprilTotal ramiprilat
Empa + Ramipril16311500979
Empa Alone158NANA
Ramipril AloneNA12600955

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Total Ramiprilat: Maximum Measured Concentration (Cmax,ss)

Maximum measured concentration of the analyte in plasma at steady-state over a uniform dosing interval, τ, of ramiprilat. (NCT01284621)
Timeframe: 0 hours (h), 20 minutes (min), 40 min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 36h, 48h and 72h after drug administration on day 5. In addition pre-dose samples, 5 minutes predose, were collected on days 1 to 4

Interventionng/mL (Geometric Mean)
Ramipril Alone11.2
Empa + Ramipril10.5

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Total Ramiprilat: Area Under the Curve at Steady-state Over a Uniform Dosing Interval (AUCτ,ss).

Area under the concentration-time curve of the analyte in plasma at steady-state over a uniform dosing interval τ, of ramiprilat (active metabolite of ramipril). (NCT01284621)
Timeframe: 0 hours (h), 20 minutes (min), 40 min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 36h, 48h and 72h after drug administration on day 5. In addition pre-dose samples, 5 minutes predose, were collected on days 1 to 4

Interventionng*h/mL (Geometric Mean)
Ramipril Alone87.2
Empa + Ramipril85.1

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Total Ramipril: Maximum Measured Concentration (Cmax,ss)

Maximum measured concentration of the analyte in plasma at steady-state over a uniform dosing interval, τ, of ramipril. (NCT01284621)
Timeframe: 0 hours (h), 20 minutes (min), 40 min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 36h, 48h and 72h after drug administration on day 5. In addition pre-dose samples, 5 minutes predose, were collected on days 1 to 4

Interventionng/mL (Geometric Mean)
Ramipril Alone8.42
Empa + Ramipril8.97

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Total Empa: Maximum Measured Concentration (Cmax,ss)

Maximum measured concentration of the analyte in plasma at steady-state over a uniform dosing interval, τ, of empagliflozin (empa). (NCT01284621)
Timeframe: 0 hours (h), 20 minutes (min), 40 min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 36h, 48h and 72h after drug administration on day 5. In addition pre-dose samples, 5 minutes predose, were collected on days 1 to 4

Interventionnmol/L (Geometric Mean)
Empa Alone874
Empa + Ramipril911

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Total Empa: Area Under the Curve at Steady-state Over a Uniform Dosing Interval (AUCτ,ss)

Area under the concentration-time curve of the analyte in plasma at steady-state over a uniform dosing interval τ, of empagliflozin (empa). (NCT01284621)
Timeframe: 0 hours (h), 20 minutes (min), 40 min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 36h, 48h and 72h after drug administration on day 5. In addition pre-dose samples, 5 minutes predose, were collected on days 1 to 4

Interventionnmol*h/L (Geometric Mean)
Empa Alone5850
Empa + Ramipril5680

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Number of Participants With Adverse Events, Serious Adverse Events and Death as Assessment of Safety and Tolerability of Aliskiren Added to Ramipril

(NCT01302899)
Timeframe: 26 weeks

,,,
InterventionParticipants (Number)
patients with adverse eventspatients with serious adverse eventspatients with death
Ramipril400
Ramipril +HCTZ700
Ramipril+Aliskiren300
Ramipril+Aliskiren + HCTZ500

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Postoperative Hypotension

Any systolic blood pressure less than 90 mmHg (NCT01669434)
Timeframe: Arrival in PACU to hospital discharge, an expected average of 4 days.

InterventionParticipants (Count of Participants)
ACEI Omission15
ACEI Continuation31

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Acute Renal Failure

Creatinine increase of more than 0.3 mg/dl or more than 50% from preoperative level (NCT01669434)
Timeframe: Arrival in post-anesthesia care unit (PACU) to hospital discharge, an expected average of 4 days.

InterventionParticipants (Count of Participants)
ACEI Omission6
ACEI Continuation10

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Number of Participants With Interoperative Hypotension

Number of Participants with Interoperative Hypotension (systolic blood pressure under 80 mmHg) (NCT01669434)
Timeframe: During anesthesia, an expected average of 3 hours.

InterventionParticipants (Count of Participants)
ACEI Omission76
ACEI Continuation95

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Older Age Subgroup

Only patients above the age of 64 will be included in this analysis. The outcome is the same as the primary outcome: Intraoperative Systolic Blood Pressure under 80 mmHg (NCT01669434)
Timeframe: During anesthesia, an expected average of 3 hours.

InterventionParticipants (Count of Participants)
ACEI Omission48
ACEI Continuation49

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Postoperative Hypertension

Any systolic blood pressure greater than 180 mmHg. (NCT01669434)
Timeframe: Arrival in PACU to hospital discharge, an expected average of 4 days.

InterventionParticipants (Count of Participants)
ACEI Omission33
ACEI Continuation17

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Low Blood Pressure Subgroup

Only patients with systolic blood pressure less than 110 at preoperative evaluation will be included in this analysis. The outcome is the same as the primary outcome: Intraoperative Systolic Blood Pressure under 80 mmHg. (NCT01669434)
Timeframe: During anesthesia, an expected average of 3 hours.

InterventionParticipants (Count of Participants)
ACEI Omission4
ACEI Continuation2

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Glomerular Filtration Rate (GFR) Under Euglycaemic Conditions After 4 Weeks of Treatment With Either Empagliflozin Added to Ramipril or Placebo Added to Ramipril.

"Glomerular filtration rate (GFR) under euglycaemic conditions after 4 weeks of treatment with either empagliflozin added to ramipril or placebo added to ramipril.~The pre-specified statistical analysis was not conducted, because data are too sparse in the subgroup of hyperfilterers." (NCT02632747)
Timeframe: At week 4 and at week 12

Interventionmilliliter (mL) /minutes (min) /1.73m² (Mean)
25 mg Empagliflozin124.0
Placebo132.5

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Total Number of Confirmed Composite Endpoints

A confirmed composite endpoint includes cardiovascular death, heart failure hospitalization, non-fatal spontaneous MI hospitalization, and non-fatal stroke hospitalization (NCT02924727)
Timeframe: Time from randomization to end of study (approximately up to 43 months)

InterventionEvents (Number)
LCZ696 (Sacubitril/Valsartan)416
Ramipril455

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All Collected Deaths

"Pre-treatment deaths were collected from randomization to the day before first dose of study medication, for a maximum duration of 5 days.~On-treatment and post-treatment safety follow-up deaths were collected from first dose of study medication to 30 days after the last dose of study medication.~All deaths refer to the sum of pre-treatment, on-treatment and post-treatment safety follow-up deaths." (NCT02924727)
Timeframe: Pre-treatment: Up to 5 days before Day 1. On-treatment and post-treatment safety follow up: up to 4 years

,
InterventionParticipants (Number)
pre-treatment deathsOn-treatment deaths and extended safety follow-upAll deaths
LCZ696 (Sacubitril/Valsartan)1220221
Ramipril3244247

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Number of Participants With First CEC (Clinical Endpoint Committee) Confirmed Primary Composite Endpoint

A confirmed composite endpoint includes cardiovascular (CV) death, heart failure (HF) hospitalization, or outpatient heart failure (NCT02924727)
Timeframe: From randomization to first occurrence (up to approximately 43 months)

,
InterventionCount of Participants (Number)
Primary CompositeCardiovascular (CV) DeathFirst Heart Failure (HF) HospitalizationFirst Outpatient Heart Failure (HF)
LCZ696 (Sacubitril/Valsartan)33816817039
Ramipril37319119557

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Number of Participants With a Confirmed Composite of CV Death or HF Hospitalization

A confirmed composite endpoint for this outcome measure includes cardiovascular death or heart failure hospitalization. (NCT02924727)
Timeframe: Time from randomization to first occurrence (up to approximately 43 months)

InterventionParticipants (Number)
LCZ696 (Sacubitril/Valsartan)308
Ramipril335

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All-cause Mortality for Full Analysis Set (FAS)

All-cause mortality defined as deaths related to Cardiovascular (CV) and non-CV events for patients in the Full Analysis Set up to a cut-off date of 31-Dec-2020. (NCT02924727)
Timeframe: Time from randomization to death (approximately up to 43 months)

InterventionParticipants (Number)
LCZ696 (Sacubitril/Valsartan)213
Ramipril242

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Number of Participants With a Confirmed Composite of CV Death, Non-fatal Spontaneous Myocardial Infarction or Non-fatal Stroke

A confirmed composite endpoint for this outcome measure includes cardiovascular death, non-fatal spontaneous myocardial infarction or non-fatal stroke (NCT02924727)
Timeframe: Time from randomization to first occurrence (approximately up to 43 months)

InterventionParticipants (Number)
LCZ696 (Sacubitril/Valsartan)315
Ramipril349

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Number of Participants With a Confirmed Composite of HF Hospitalization or Outpatient HF

A confirmed composite endpoint includes first occurrence of heart failure hospitalization or outpatient heart failure (NCT02924727)
Timeframe: Time from randomization to first occurrence (approximately up to 43 months)

InterventionParticipants (Number)
LCZ696 (Sacubitril/Valsartan)201
Ramipril237

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Safety and Tolerability 1

Liver injury: mean values of ALT (NCT03011775)
Timeframe: Baseline, 6 month and 1 year

,
Interventionunits per liter (U/L) (Mean)
BaselineMean values of ALT in 6 monthsMean values of ALT in 1 year
Pioglitazone + Standard Care23.427.419.9
Standard Care26.926.123.9

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Systemic Inflammation Level

Number of Participants with C-reactive protein level above 3 mg/L (NCT03011775)
Timeframe: Baseline and 1 year

,
InterventionParticipants (Count of Participants)
BaselineIn 1 year
Pioglitazone + Standard Care1012
Standard Care713

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Thickness of the Intima-media Complex

Mean thickness of carotid intima-media complex (NCT03011775)
Timeframe: Baseline, 6 month and 1 year

,
Interventioncm (Mean)
Mean thickness of the right carotid intima-media baselineMean thickness of the right carotid intima-media in 6 monthMean thickness of the right carotid intima-media in 1 yearMean thickness of the left carotid intima-media baselineMean thickness of the left carotid intima-media in 6 monthMean thickness of the left carotid intima-media in 1 year
Pioglitazone + Standard Care1.081.051.011.11.061.02
Standard Care0.980.971.011.01.000.97

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Lipid Metabolism 3

Lipoproteine fractions:mean values of high-density lipoproteins and low density lipoproteins (NCT03011775)
Timeframe: Baseline and 1 year

,
Interventionmmol/L (Mean)
Mean values of high-density lipoproteins in men baselineMean values of high-density lipoproteins in men in 1 yearMean values of high-density lipoproteins in women baselineMean values of high-density lipoproteins in women in 1 yearMean values of low density lipoproteins in men baselineMean values of low density lipoproteins in men in 1 yearMean values of low density lipoproteins in women baselineMean values of low density lipoproteins in women in 1 year
Pioglitazone + Standard Care0.81.10.91.23.92.94.53.3
Standard Care0.91.01.11.04.43.03.52.7

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Percutaneous Coronary Intervention [Coronary Revascularization]

Number of Participants with incidence of percutaneous coronary intervention. (NCT03011775)
Timeframe: Baseline and 1 year

,
InterventionParticipants (Count of Participants)
Baseline1 year
Pioglitazone + Standard Care00
Standard Care00

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Safety and Tolerability 2

Liver injury: mean levels of total bilirubin (NCT03011775)
Timeframe: Baseline, 6 month and 1 year

,
Interventionμmol/l (Mean)
BaselineMean values of total bilirubin in 6 monthMean values of total bilirubin in 1 year
Pioglitazone + Standard Care12.312.415.7
Standard Care10.812.715.0

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Safety and Tolerability 3

Kidney injury: mean values of the microalbuminuria (NCT03011775)
Timeframe: Baseline and 1 year

,
Interventionmg/mol (Mean)
Baseline1 year
Pioglitazone + Standard Care31.4431.10
Standard Care41.137.70

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Safety and Tolerability 4

Kidneys injury: mean values of creatinine (NCT03011775)
Timeframe: Baseline and 1 year

,
Interventionμmol/l (Mean)
Mean values of creatinine in men baselineMean values of creatinine in men in 1 yearMean values of creatinine in women baselineMean values of creatinine in women in 1 year
Pioglitazone + Standard Care105.685.066.872.5
Standard Care102.382.088.277.5

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Сardiovascular Death

Number of Participants with cardiovascular death (NCT03011775)
Timeframe: Baseline and 1 year

,
InterventionParticipants (Count of Participants)
Baseline1 year
Pioglitazone + Standard Care00
Standard Care00

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Lipid Metabolism 2

Mean values of the triglyceride levels (NCT03011775)
Timeframe: Baseline, 6 month and 1 year

,
Intervention1 mmol/L (Mean)
Mean values of triglyceride baselineMean values of triglyceride in 6 monthMean values of triglyceride in 1 year
Pioglitazone + Standard Care0.690.720.9
Standard Care0.610.730.7

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Lipid Metabolism 1

Mean levels of total serum cholesterol (NCT03011775)
Timeframe: Baseline, 6 month and 1 year

,
Interventionmmol / l (Mean)
Mean values of the total cholesterol level baselineMean values of the total cholesterol level in 6 monthMean values of the total cholesterol level in 1 year
Pioglitazone + Standard Care5.274.54.5
Standard Care5.284.34.3

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Level of Insulin Resistance 2

Mean levels of blood glucose (NCT03011775)
Timeframe: Baseline and 6 months

,
Interventionmmol/L (Mean)
BaselineIn 6 month
Pioglitazone + Standard Care6.05.97
Standard Care5.95.60

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Level of Insulin Resistance 1

Oral glucose tolerance test: number of Participants with impaired glucose tolerance (NCT03011775)
Timeframe: 6 months

,
InterventionParticipants (Count of Participants)
Number of Participants with glucose level in the range of 7.8 to 11 mmol/L baselineNumber of Participants with glucose level in the range of 7.8 to 11 mmol/L in 6 monthNumber of Participants with glucose level above 11 mmol/L baselineNumber of Participants with glucose level above 11 mmol/L in 6 month
Pioglitazone + Standard Care713105
Standard Care141643

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Diameter of Stenosis [Carotic Atherosclerotic Lesions]

Mean diameters of the stenosis of the right and left common carotid arteries (NCT03011775)
Timeframe: Baseline and 1 year

,
Interventionmm (Mean)
Mean diameter of the stenosis of the right common carotid artery baselineMean diameter of the stenosis of the right common carotid artery in 1 yearMean diameter of the stenosis of the left common carotid artery baselineMean diameter of the stenosis of the left common carotid artery in 1 year
Pioglitazone + Standard Care9.85.011.64.1
Standard Care8.74.810.15.6

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Coronary Artery Bypass [Coronary Revascularization]

Number of Participants with revascularization coronary procedures (coronary artery bypass grafting) (NCT03011775)
Timeframe: Baseline and 1 year

,
InterventionParticipants (Count of Participants)
Baseline1 year
Pioglitazone + Standard Care00
Standard Care00

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Carotic Atherosclerotic Lesions

Number of Participants with presence of atherosclerotic plaque of the intima media of common carotid artery greater than 1.4 mm (NCT03011775)
Timeframe: Baseline and 1 year

,
InterventionParticipants (Count of Participants)
Baseline1 year
Pioglitazone + Standard Care00
Standard Care00

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Cardiovascular Hospitalization

Number of Participants with acute coronary syndrome (ACS) or unstable angina (UA) (NCT03011775)
Timeframe: Baseline and 1 year

,
InterventionParticipants (Count of Participants)
Baseline1 year
Pioglitazone + Standard Care00
Standard Care00

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Major Cardiac Event (MACE): Combined Clinical Endpoint of Cardiovascular Death, MI, and Cardiac Hospitalization

Comparison of the effects of BID administration of firibastat and ramipril on major cardiac event (MACE) over 84 days (NCT03715998)
Timeframe: 84 days

InterventionEvent (Number)
Group 1: Firibastat 100 mg10
Group 2: Firibastat 500 mg8
Group 3: Ramipril 5 mg6

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Left Ventricular Ejection Fraction Assessed by Cardiac Magnetic Resonance Imaging (CMRI)

Comparison of the effects of BID oral administration of 2 doses of firibastat to those of BID oral administration of ramipril on the change from Baseline in LVEF on Day 84 (NCT03715998)
Timeframe: 84 days

Interventionpercentage of left ventricular volumes (Mean)
Group 1: Firibastat 100 mg5.6
Group 2: Firibastat 500 mg5.3
Group 3: Ramipril 5 mg5.7

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Left-ventricle End-diastolic Volume Assessed by CMRI

Comparison of the effects of BID administration of firibastat and ramipril on the change from Baseline to Day 84 in left-ventricle end-diastolic volume (NCT03715998)
Timeframe: 84 days

InterventionmL (Mean)
Group 1: Firibastat 100 mg14.2
Group 2: Firibastat 500 mg12.7
Group 3: Ramipril 5 mg9.4

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Left-ventricle End-systolic Volume Assessed by CMRI

Comparison of the effects of BID administration of firibastat and ramipril on the change from Baseline to Day 84 in left-ventricle end-systolic volume (NCT03715998)
Timeframe: 84 days

InterventionmL (Mean)
Group 1: Firibastat 100 mg-0.5
Group 2: Firibastat 500 mg-0.4
Group 3: Ramipril 5 mg-3.1

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N-terminal Pro B-type Natriuretic Peptide (NT proBNP)

Comparison of the effects of BID administration of firibastat and ramipril on the change from Baseline to Day 84 in N-terminal pro b-type natriuretic peptide (NT proBNP) (NCT03715998)
Timeframe: 84 days

Interventionpg/ml (Mean)
Group 1: Firibastat 100 mg-1618.7
Group 2: Firibastat 500 mg-1596.4
Group 3: Ramipril 5 mg-1735.6

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Composite of Mortality or Need for ICU Admission or Ventilator Use

The major primary outcome to be evaluated is improving a composite outcome of mortality or need for ICU admission or ventilator use within a 14-day window. (NCT04366050)
Timeframe: 14 days

InterventionParticipants (Count of Participants)
Ramipril 2.5mg Orally Daily2
Placebo0

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