Page last updated: 2024-10-29

avapro and Cardiac Remodeling, Ventricular

avapro has been researched along with Cardiac Remodeling, Ventricular in 20 studies

Irbesartan: A spiro compound, biphenyl and tetrazole derivative that acts as an angiotensin II type 1 receptor antagonist. It is used in the management of HYPERTENSION, and in the treatment of kidney disease.
irbesartan : A biphenylyltetrazole that is an angiotensin II receptor antagonist used mainly for the treatment of hypertension.

Research Excerpts

ExcerptRelevanceReference
"The aim of this study was to investigate the effect of canagliflozin (CANA) on ventricular remodeling in patients with preserved ejection fraction (HFpEF) heart failure and to further investigate its possible molecular mechanisms."8.31Canagliflozin Ameliorates Ventricular Remodeling through Apelin/Angiotensin-Converting Enzyme 2 Signaling in Heart Failure with Preserved Ejection Fraction Rats. ( Guo, Y; He, L; Ma, S; Wang, X; Wang, Y; Wang, Z; Zhai, J; Zhang, G; Zhang, T; Zuo, Q, 2023)
"To investigate the effects of carvedilol, irbesartan and their combination on myocardial collagen network remodeling after acute myocardial infarction (AMI) in rats."7.73[Experimental study of effect of carvedilol on myocardial collagen network remodeling after acute myocardial infarction in rats]. ( Bian, SY; Liu, HB; Wang, L; Yang, TS; Yang, X; Yi, J, 2005)
"The aim of this study was to investigate the effect of canagliflozin (CANA) on ventricular remodeling in patients with preserved ejection fraction (HFpEF) heart failure and to further investigate its possible molecular mechanisms."4.31Canagliflozin Ameliorates Ventricular Remodeling through Apelin/Angiotensin-Converting Enzyme 2 Signaling in Heart Failure with Preserved Ejection Fraction Rats. ( Guo, Y; He, L; Ma, S; Wang, X; Wang, Y; Wang, Z; Zhai, J; Zhang, G; Zhang, T; Zuo, Q, 2023)
" A rat model of thyrotoxicosis was established by daily intraperitoneal injections of L-thyroxine (T(4), 100 μg/kg) for 4 weeks."3.78Irbesartan prevents myocardial remodeling in experimental thyrotoxic cardiomyopathy. ( Cho, KI; Choi, BG; Jeon, YK; Kang, JH; Kim, BH; Kim, IJ; Kim, JY; Kim, SJ; Kim, SM; Kim, SS; Kim, YK, 2012)
"Irbesartan or emodin or 2 drugs together can inhibit myocardial remodeling in renovascular hypertension rats probably by reducing TGF-β1 and CTGF expression."3.78Irbesartan and emodin on myocardial remodeling in Goldblatt hypertensive rats. ( Chen, C; Chen, Q; Li, ZG; Liang, Z, 2012)
"To investigate the effects of carvedilol, irbesartan and their combination on myocardial collagen network remodeling after acute myocardial infarction (AMI) in rats."3.73[Experimental study of effect of carvedilol on myocardial collagen network remodeling after acute myocardial infarction in rats]. ( Bian, SY; Liu, HB; Wang, L; Yang, TS; Yang, X; Yi, J, 2005)
"CT-1 was assumed to take part in the ventricular remodeling."1.34[Expression of cardiotrophin-1 and effects of irbesartan in adriamycin induced cardiomyopathy in rats]. ( Chen, Y; Li, CC; Yao, JM; Zhuang, HP, 2007)
" Thus, AT(1) blockade with irbesartan, at an oral daily dosage that gave a slight but significant reduction of systolic blood pressure, largely counteracts the development of myocyte hypertrophy and associated functional alterations."1.32Treatment with irbesartan counteracts the functional remodeling of ventricular myocytes from hypertensive rats. ( Cerbai, E; De Paoli, P; Lonardo, G; Mugelli, A; Sartiani, L, 2003)

Research

Studies (20)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (5.00)18.2507
2000's14 (70.00)29.6817
2010's3 (15.00)24.3611
2020's2 (10.00)2.80

Authors

AuthorsStudies
Zhang, T1
Wang, X2
Wang, Z1
Zhai, J1
He, L1
Wang, Y1
Zuo, Q1
Ma, S1
Zhang, G1
Guo, Y1
Zhang, J1
Yang, L1
Ding, Y1
Jing, L1
Li, WM1
Zhou, LJ1
Li, S1
Kou, JJ1
Song, J1
Kassiri, Z1
Zhong, J1
Guo, D1
Basu, R1
Liu, PP1
Scholey, JW1
Penninger, JM1
Oudit, GY1
Zile, MR1
Gottdiener, JS1
Hetzel, SJ1
McMurray, JJ1
Komajda, M1
McKelvie, R1
Baicu, CF1
Massie, BM1
Carson, PE1
Kim, BH1
Cho, KI1
Kim, SM1
Kim, JY1
Choi, BG1
Kang, JH1
Jeon, YK1
Kim, SS1
Kim, SJ1
Kim, YK1
Kim, IJ1
Chen, C1
Liang, Z1
Chen, Q1
Li, ZG1
Cerbai, E1
De Paoli, P1
Sartiani, L1
Lonardo, G1
Mugelli, A1
Nguyen, QT1
Colombo, F1
Clement, R1
Gosselin, H1
Rouleau, JL1
Calderone, A1
Huang, YS1
Sun, JH1
Li, XZ1
Lacour, C1
Roccon, A1
Galindo, G1
Canals, F1
Hogie, M1
Segondy, D1
Briand, D1
Roque, C1
Herbert, JM2
Nisato, D2
Jugdutt, BI1
Menon, V1
Fraccarollo, D1
Galuppo, P1
Schmidt, I1
Ertl, G1
Bauersachs, J1
Zhang, RY1
Huang, YL1
Sun, YH1
Liu, HB1
Bian, SY1
Yang, TS1
Wang, L1
Yi, J1
Yang, X1
Berthonneche, C1
Sulpice, T1
Tanguy, S1
O'Connor, S1
Janiak, P1
de Leiris, J1
Boucher, F1
Zhuang, HP1
Yao, JM1
Chen, Y1
Li, CC1
de Beer, VJ1
Sorop, O1
Pijnappels, DA1
Dekkers, DH1
Boomsma, F1
Lamers, JM1
Duncker, DJ1
Merkus, D1
Whaley-Connell, A1
Habibi, J1
Cooper, SA1
Demarco, VG1
Hayden, MR1
Stump, CS1
Link, D1
Ferrario, CM1
Sowers, JR1
Richer, C1
Fornes, P1
Cazaubon, C1
Domergue, V1
Giudicelli, JF1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
PRospectIve Study of Sacubitril/ValsarTan on MyocardIal OxygenatioN and Fibrosis in PatiEnts With Heart Failure and Preserved Ejection Fraction[NCT04128891]Phase 30 participants (Actual)Interventional2020-02-01Withdrawn (stopped due to Funding not approved)
Redefining the Phenotypic Spectrum of Heart Failure With Preserved Ejection Fraction (HFpEF) by Deep Phenotyping and Machine Learning Methods: The PACIFIC-PRESERVED Study (PhenomApping, ClassIFication, and Innovation for Cardiac Dysfunction - HF With PRES[NCT04189029]2,620 participants (Anticipated)Observational [Patient Registry]2019-12-09Recruiting
Irbesartan in Heart Failure With Preserved Systolic Function (I-Preserve)[NCT00095238]Phase 34,128 participants (Actual)Interventional2002-06-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline in B-Type Natriuretic Peptide (Pro-BNP) at Month 6 and Month 14

Adjusted ratio to baseline in geometric mean in Pro-BNP in the blood. Ratio to Baseline = On-therapy geometric mean divided by baseline geometric mean. A lower score signifies improvement. Change from baseline adjusted for baseline value and angiotensin converting enzyme inhibitor use at baseline. Analysis uses natural logarithms of excretion rate values. (NCT00095238)
Timeframe: Baseline, Month 6, Month 14

Interventionpg/mL (Geometric Mean)
Placebo - Month 60.98
Irbesartan - Month 60.93
Placebo - Month 141.00
Irbesartan - Month 141.01

Change From Baseline in the New York Heart Association (NYHA) Functional Class at Month 6, Month 10, Month 14, and Final Visit

NYHA functional classification=4-tiered system relating symptoms to everyday activities & quality of life. (See Reporting Groups for description of each class.) Change of NYHA functional class from baseline was grouped into 3 categories: improved, unchanged, or worsened (based on case report form [CRF] assessment). If a post-randomization CRF assessment was missing or participant died, was hospitalized for worsening heart failure or discontinued study medication for worsening heart failure, the participant was classified as Major Event. (NCT00095238)
Timeframe: Baseline, Month 6, Month 10, Month 14, Final Visit. The trial was designed to end after 1440 primary endpoint events, projected duration=6.0 ± 0.5 years.

,,,,,
Interventionparticipants (Number)
Month 6 - ImprovedMonth 6 - UnchangedMonth 6 - WorsenedMonth 6 - Major EventMonth 6 - No DataMonth 10 - ImprovedMonth 10 - UnchangedMonth 10 - WorsenedMonth 10 - Major EventMonth 10 - No DataMonth 14 - ImprovedMonth 14 - UnchangedMonth 14 - WorsenedMonth 14 - Major EventMonth 14 - No DataFinal Visit - ImprovedFinal Visit - UnchangedFinal Visit - WorsenedFinal Visit - Major EventFinal Visit - No Data
Irbesartan Baseline All Classes Combined9369664810107948911584110993386661751329286589732460
Irbesartan Baseline Class I or II5531041218442945310253828750222942230687511
Irbesartan Class III or IV88165678899046175318489557911531038864282924949
Placebo Baseline All Classes Combined88110165114989029397142106902890698011988269410732057
Placebo Baseline Class I or II47338472114231763914393126216164225478665
Placebo Class III or IV83467841287860622833928635787641038404402925452

Mean Change From Baseline in Glomerular Filtration Rate (GFR) at Month 6, Month 18, and Month 30

Based on the Cockcroft-Gault formula calculation, a commonly used surrogate marker to estimate creatinine clearance, which in turn is an approximate measure of GFR. It employs serum creatinine measurements and a patient's weight to predict the creatinine clearance. Adjusted for baseline GFR and angiotensin-converting enzyme inhibitor use at baseline (ACE-I). A decrease from baseline signifies worsening. The adjusted mean change from baseline value is from the model (calculated prior to rounding), whereas the other two points are the baseline mean and post mean. (NCT00095238)
Timeframe: Baseline, Month 6, Month 18, Month 30

,,,,,
InterventionmL/min/1.73m2 (Mean)
Baseline MeanPost-Baseline MeanAdjusted Mean Change
Irbesartan - Month 1873.4968.00-5.50
Irbesartan - Month 3074.3767.05-7.12
Irbesartan - Month 673.1369.21-3.91
Placebo - Month 1873.5870.88-2.69
Placebo - Month 3073.3469.51-4.02
Placebo - Month 673.0271.97-1.07

Mean Change From Baseline in Glomerular Filtration Rate (GFR)at Month 42, Month 54, Month 66

Based on the Cockcroft-Gault formula calculation, a commonly used surrogate marker to estimate creatinine clearance, which in turn is an approximate measure of GFR. It employs serum creatinine measurements and a patient's weight to predict the creatinine clearance. Adjusted for baseline GFR and angiotensin-converting enzyme inhibitor use at baseline (ACE-I). A decrease from baseline signifies worsening. The adjusted mean change from baseline value is from the model (calculated prior to rounding), whereas the other two points are the baseline mean and post mean. (NCT00095238)
Timeframe: Baseline, Month 42, Month 54, Month 66

,,,,,
InterventionmL/min/1.73m2 (Mean)
Baseline MeanPost-Baseline MeanAdjusted Mean Change
Irbesartan - Month 4274.9567.48-7.36
Irbesartan - Month 5475.1768.24-6.93
Irbesartan - Month 6671.8464.85-5.46
Placebo - Month 4274.3771.34-3.14
Placebo - Month 5475.2972.65-2.63
Placebo - Month 6663.4760.09-4.91

Minnesota Living With Heart Failure (MLwHF) Total Score (Sum of Questions 1-21) at Final Visit

Mean score at baseline and final visit in Minnesota Living with Heart Failure (MLWHF) questionnaire, a 21-item, patient-reported, 6-point (ranging from 0-5; higher score=poorer quality of life; highest possible score=105) measurement of quality of life in persons with heart failure. (NCT00095238)
Timeframe: Baseline, Final Visit=last scheduled visit specified in the protocol at conclusion of the entire study by the sponsor. The trial was designed to end after 1440 primary endpoint events, projected duration=6.0 ± 0.5 years.

,
Interventionunits on a scale (Mean)
Baseline MeanFinal Visit Mean
Irbesartan - Final Visit38.938.3
Placebo - Final Visit42.542.6

Minnesota Living With Heart Failure (MLwHF) Total Score (Sum of Questions 1-21) at Month 6 and Month 14

Mean score and adjusted mean change from baseline in Minnesota Living with Heart Failure (MLWHF) questionnaire, a 21-item, patient-reported, 6-point (ranging from 0-5; higher score=poorer quality of life; highest possible score=105) measurement of quality of life in persons with heart failure. (NCT00095238)
Timeframe: Baseline, Month 6, Month 14

,,,
Interventionunits on a scale (Mean)
Baseline Mean ScoreMean Score at TimepointAdjusted Mean Change from Baseline
Irbesartan - Month 1442.832.1-10.6
Irbesartan - Month 643.033.2-9.8
Placebo - Month 1442.731.6-11.2
Placebo - Month 642.732.9-10.0

Number of Participants With New Onset Atrial Fibrillation (AF) Among Those With No Prior AF History or Evidence of AF on Baseline Electrocardiograph (ECG)

Frequency of new onset AF in participants with no prior AF history or evidence of AF on baseline ECG. Stratified by use of angiotensin-converting enzyme (ACE) inhibitors and measured by adverse events reporting and final ECG recording read by the investigator. (NCT00095238)
Timeframe: Baseline, Final Visit

,,,
Interventionparticipants (Number)
No prior AF history or Evidence on Baseline ECGParticipants with New Onset Atrial Fibrillation
Irbesartan + ACE-I Use36635
Irbesartan no ACE-I Use1089103
Placebo + ACE-I Use34429
Placebo no ACE-I Use110299

Participant Assessment of Dyspnea at Month 6, Month 14, and Final Visit Compared With Baseline

Assessments are directly based on the Case Report Form (CRF). If the post-randomization CRF assessment was missing and the subject died, was hospitalized for worsening heart failure, or discontinued study medication for worsening heart failure, the subject was considered as having a Major Event. Participants who are summarized under Major Events are categorized as Worsened Markedly. (NCT00095238)
Timeframe: Baseline, Month 6, Month 14, Final Visit. The trial was designed to end after 1440 primary endpoint events, projected duration=6.0 ± 0.5 years.

,
InterventionParticipants (Number)
Month 6 - Improved MarkedlyMonth 6 - Improved ModeratelyMonth 6 - Improved SlightlyMonth 6 - UnchangedMonth 6 - Worsened SlightlyMonth 6 - Worsened ModeratelyMonth 6 - Worsened MarkedlyMonth 6 - Major EventMonth 6 - No DataMonth 14 - Improved MarkedlyMonth 14 - Improved ModeratelyMonth 14 - Improved SlightlyMonth 14 - UnchangedMonth 14 - Worsened SlightlyMonth 14 - Worsened ModeratelyMonth 14 - Worsened MarkedlyMonth 14 - Major EventMonth 14 - No DataFinal Visit - Improved MarkedlyFinal Visit - Improved ModeratelyFinal Visit - Improved SlightlyFinal Visit - UnchangedFinal Visit - Worsened SlightlyFinal Visit - Worsened ModeratelyFinal Visit - Worsened MarkedlyFinal Visit - Major EventFinal Visit - No Data
Irbesartan255549512508832298121247519460476103281368153213382328460114643539576
Placebo276536501510832210711623253143050990391074146212339335461145753238478

Participant Assessment of Fatigue at Month 6, Month 14, and Final Visit Compared With Baseline

Assessments are directly based on the Case Report Form (CRF). If the post-randomization CRF assessment was missing and the subject died, was hospitalized for worsening heart failure, or discontinued study medication for worsening heart failure, the subject was considered as having a Major Event. Participants who are summarized under Major Events are categorized as Worsened Markedly. (NCT00095238)
Timeframe: Baseline, Month 6, Month 14, Final Visit. The trial was designed to end after 1440 primary endpoint events, projected duration=6.0 ± 0.5 years.

,
InterventionParticipants (Number)
Month 6 - Improved MarkedlyMonth 6 - Improved ModeratelyMonth 6 - Improved SlightlyMonth 6 - UnchangedMonth 6 - Worsened SlightlyMonth 6 - Worsened ModeratelyMonth 6 - Worsened MarkedlyMonth 6 - Major EventMonth 6 - No DataMonth 14 - Improved MarkedlyMonth 14 - Improved ModeratelyMonth 14 - Improved SlightlyMonth 14 - UnchangedMonth 14 - Worsened SlightlyMonth 14 - Worsened ModeratelyMonth 14 - Worsened MarkedlyMonth 14 - Major EventMonth 14 - No DataFinal Visit - Improved MarkedlyFinal Visit - Improved ModeratelyFinal Visit - Improved SlightlyFinal Visit - UnchangedFinal Visit - Worsened SlightlyFinal Visit - Worsened ModeratelyFinal Visit - Worsened MarkedlyFinal Visit - Major EventFinal Visit - No Data
Irbesartan1935235045799728138122195513439525115481168153157361319479166803439576
Placebo20051947159610138137116182489443559109431674146178300337477176904238378

Participant Assessment of Heart Failure Status at Month 6, Month 14, and Final Visit Compared With Baseline

Assessments are directly based on the Case Report Form (CRF). If the post-randomization CRF assessment was missing and the subject died, was hospitalized for worsening heart failure, or discontinued study medication for worsening heart failure, the subject was considered as having a Major Event. Participants who are summarized under Major Events are categorized as Worsened Markedly. (NCT00095238)
Timeframe: Baseline, Month 6, Month 14, Final Visit. The trial was designed to end after 1440 primary endpoint events, projected duration=6.0 ± 0.5 years.

,
InterventionParticipants (Number)
Month 6 - Improved MarkedlyMonth 6 - Improved ModeratelyMonth 6 - Improved SlightlyMonth 6 - UnchangedMonth 6 - Worsened SlightlyMonth 6 - Worsened ModeratelyMonth 6 - Worsened MarkedlyMonth 6 - Major EventMonth 6 - No DataMonth 14 - Improved MarkedlyMonth 14 - Improved ModeratelyMonth 14 - Improved SlightlyMonth 14 - UnchangedMonth 14 - Worsened SlightlyMonth 14 - Worsened ModeratelyMonth 14 - Worsened MarkedlyMonth 14 - Major EventMonth 14 - No DataFinal Visit - Improved MarkedlyFinal Visit - Improved ModeratelyFinal Visit - Improved SlightlyFinal Visit - UnchangedFinal Visit - Worsened SlightlyFinal Visit - Worsened ModeratelyFinal Visit - Worsened MarkedlyFinal Visit - Major EventFinal Event - No Data
Irbesartan2355525295376313881222345324615037830868153207378332480121522539676
Placebo2305635195296920871162065344505278235774146201339352495109762838378

Percentage of Participants Experiencing All-cause Death at Given Time Points

Treatment comparisons for time to all-cause death (NCT00095238)
Timeframe: Year 1, Year 2, Year 3, Year 4, Year 5

,
Interventionpercentage of participants (Number)
Percentage at 1 YearPercentage at 2 YearsPercentage at 3 YearsPercentage at 4 YearsPercentage at 5 Years
Irbesartan4.18.112.817.925.0
Placebo3.88.613.818.523.6

Percentage of Participants Experiencing Cardiovascular Death at Given Timepoints

Treatment comparisons for time to cardiovascular death (NCT00095238)
Timeframe: Year 1, Year 2, Year 3, Year 4, Year 5

,
Interventionpercentage of participants (Number)
Percentage 1 YearPercentage 2 YearsPercentage 3 YearsPercentage at 4 YearsPercentage at 5 Years
Irbesartan3.36.29.613.018.0
Placebo3.06.510.013.117.1

Percentage of Participants Experiencing CV Death or CV Hospitalization at Given Timepoints

Treatment comparisons for time to CV death or CV hospitalization. Protocol-specified CV hospitalizations include hospitalizations ≥24 hrs or involve a calendar date change for a primary cause of worsening heart failure, unstable angina, myocardial infarction, ventricular dysrhythmia, atrial dysrhythmia or stroke that also requires intravenous or intramuscular therapy or a related procedure or significant augmentation of oral therapy. Protocol specified CV hospitalizations also include myocardial infarction or stroke occurring during any hospitalization. (NCT00095238)
Timeframe: Year 1, Year 2, Year 3, Year 4, Year 5

,
Interventionpercentage of participants (Number)
Percentage at 1 YearPercentage at 2 YearsPercentage at 3 YearsPercentage at 4 YearsPercentage at 5 Years
Irbesartan11.619.224.230.035.0
Placebo11.420.025.830.935.8

Percentage of Participants Experiencing CV Death, Non-Fatal Myocardial Infarction (MI), or Non-Fatal Stroke at Given Timepoints

Treatment comparisons for time to cardiovascular death, non-fatal MI, or non-fatal stroke. (NCT00095238)
Timeframe: Year 1, Year 2, Year 3, Year 4, Year 5

,
Interventionpercentage of participants (Number)
Percentage at 1 YearPercentage at 2 YearsPercentage at 3 YearsPercentage at 4 YearsPercentage at 5 Years
Irbesartan5.28.712.917.223.0
Placebo4.29.313.617.622.4

Percentage of Participants Experiencing Heart Failure Mortality or Heart Failure Hospitalization at Given Time Points

Treatment comparisons for time to heart failure mortality or heart failure hospitalization (NCT00095238)
Timeframe: Year 1, Year 2, Year 3, Year 4, Year 5

,
Interventionpercentage of participants (Number)
Percentage at 1 YearPercentage at 2 YearsPercentage at 3 YearsPercentage at 4 YearsPercentage at 5 Years
Irbesartan7.912.915.719.823.6
Placebo8.213.717.220.323.8

Percentage of Participants Experiencing Protocol-specified Cardiovascular (CV) Hospitalization at Given Timepoints

Treatment comparisons for time to protocol-specified CV hospitalization. Protocol-specified CV hospitalizations include hospitalizations ≥24 hrs or involve a calendar date change for a primary cause of worsening heart failure, unstable angina, myocardial infarction, ventricular dysrhythmia, atrial dysrhythmia or stroke that also requires intravenous or intramuscular therapy or a related procedure or significant augmentation of oral therapy. Protocol specified CV hospitalizations also include myocardial infarction or stroke occurring during any hospitalization. (NCT00095238)
Timeframe: Year 1, Year 2, Year 3, Year 4, Year 5

,
Interventionpercentage of participants (Number)
Percentage at 1 YearPercentage at 2 YearsPercentage at 3 YearsPercentage at 4 YearsPercentage at 5 Years
Irbesartan9.716.320.524.828.5
Placebo9.817.121.725.929.0

Percentage of Participants With First Occurrence of the Composite Outcome of Death (All Cause) or Protocol-Specified Cardiovascular (CV) Hospitalization at Given Timepoints

Treatment comparisons for time to first occurrence of composite outcome of all-cause death (composite outcome of death) or protocol-specified CV hospitalization. Protocol-specified CV hospitalizations include those ≥24 hrs or involving a calendar date change for a primary cause of worsening heart failure, unstable angina, myocardial infarction, ventricular or atrial dysrhythmia, or stroke, that also require intravenous or intramuscular therapy or a related procedure or significant augmentation of oral therapy. In addition, MI or stroke during any hospitalization are included. (NCT00095238)
Timeframe: Year 1, Year 2, Year 3, Year 4, Year 5

,
Interventionpercentage of participants (Number)
Percentage at 1 YearPercentage at 2 YearsPercentage at 3 YearsPercentage at 4 YearsPercentage at 5 Years
Irbesartan12.320.726.432.939.2
Placebo12.121.328.434.239.5

Percentage of Participants With New Onset of Diabetes Among Subjects With No Prior Diabetes History at Given Timepoints

Treatment comparisons for time to new onset of diabetes (from adverse event reporting) among subjects with no prior history of diabetes. (NCT00095238)
Timeframe: Year 1, Year 2, Year 3, Year 4, Year 5

,
Interventionpercentage of participants (Number)
Percentage at 1 YearPercentage at 2 YearsPercentage at 3 YearsPercentage at 4 YearsPercentage at 5 Years
Irbesartan0.72.13.14.65.2
Placebo1.22.83.95.46.2

Physician Assessment of Heart Failure Status at Month 6, Month 14, and Final Visit Compared With Baseline

This was an assessment of the change in overall physician opinion of change from baseline status. Assessments are directly based on the Case Report Form (CRF). If the post-randomization CRF assessment was missing and the subject died, was hospitalized for worsening heart failure, or discontinued study medication for worsening heart failure, the subject was considered as having a Major Event. Participants who are summarized under Major Events are categorized as Worsened Markedly. (NCT00095238)
Timeframe: Baseline, Month 6, Month 14, Final Visit. The trial was designed to end after 1440 primary endpoint events, projected duration=6.0 ± 0.5 years.

,
Interventionparticipants (Number)
Month 6 - Improved MarkedlyMonth 6 - Improved ModeratelyMonth 6 - Improved SlightlyMonth 6 - UnchangedMonth 6 - Worsened SlightlyMonth 6 - Worsened ModeratelyMonth 6 - Worsened MarkedlyMonth 6 - Major EventMonth 6 - No DataMonth 14 - Improved MarkedlyMonth 14 - Improved ModeratelyMonth 14 - Improved SlightlyMonth 14 - UnchangedMonth 14 - Worsened SlightlyMonth 14 - Worsened ModeratelyMonth 14 - Worsened MarkedlyMonth 14 - Major EventMonth 14 - No DataFinal Visit - Improved MarkedlyFinal Visit - Improved ModeratelyFinal Visit - Improved SlightlyFinal Visit - UnchangedFinal Visit - Worsened SlightlyFinal Visit - Worsened ModeratelyFinal Visit - Worsened MarkedlyFinal Visit - Major EventFinal Visit - No Data
Irbesartan2305625335286017081292145464425077221575185180430344477117412336491
Placebo1985755295415816481321955374355487319679169186367361504117562835092

Trials

2 trials available for avapro and Cardiac Remodeling, Ventricular

ArticleYear
Prevalence and significance of alterations in cardiac structure and function in patients with heart failure and a preserved ejection fraction.
    Circulation, 2011, Dec-06, Volume: 124, Issue:23

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Biphenyl Compounds; Cohort Studies; Diastole; Echocar

2011
Prevalence and significance of alterations in cardiac structure and function in patients with heart failure and a preserved ejection fraction.
    Circulation, 2011, Dec-06, Volume: 124, Issue:23

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Biphenyl Compounds; Cohort Studies; Diastole; Echocar

2011
Prevalence and significance of alterations in cardiac structure and function in patients with heart failure and a preserved ejection fraction.
    Circulation, 2011, Dec-06, Volume: 124, Issue:23

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Biphenyl Compounds; Cohort Studies; Diastole; Echocar

2011
Prevalence and significance of alterations in cardiac structure and function in patients with heart failure and a preserved ejection fraction.
    Circulation, 2011, Dec-06, Volume: 124, Issue:23

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Biphenyl Compounds; Cohort Studies; Diastole; Echocar

2011
Prevalence and significance of alterations in cardiac structure and function in patients with heart failure and a preserved ejection fraction.
    Circulation, 2011, Dec-06, Volume: 124, Issue:23

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Biphenyl Compounds; Cohort Studies; Diastole; Echocar

2011
Prevalence and significance of alterations in cardiac structure and function in patients with heart failure and a preserved ejection fraction.
    Circulation, 2011, Dec-06, Volume: 124, Issue:23

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Biphenyl Compounds; Cohort Studies; Diastole; Echocar

2011
Prevalence and significance of alterations in cardiac structure and function in patients with heart failure and a preserved ejection fraction.
    Circulation, 2011, Dec-06, Volume: 124, Issue:23

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Biphenyl Compounds; Cohort Studies; Diastole; Echocar

2011
Prevalence and significance of alterations in cardiac structure and function in patients with heart failure and a preserved ejection fraction.
    Circulation, 2011, Dec-06, Volume: 124, Issue:23

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Biphenyl Compounds; Cohort Studies; Diastole; Echocar

2011
Prevalence and significance of alterations in cardiac structure and function in patients with heart failure and a preserved ejection fraction.
    Circulation, 2011, Dec-06, Volume: 124, Issue:23

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Biphenyl Compounds; Cohort Studies; Diastole; Echocar

2011
[Effects of irbesartan on remodeling of the left ventricular following acute myocardial infarction].
    Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue, 2003, Volume: 15, Issue:8

    Topics: Angiotensin II Type 1 Receptor Blockers; Biphenyl Compounds; Heart Ventricles; Humans; Irbesartan; M

2003

Other Studies

18 other studies available for avapro and Cardiac Remodeling, Ventricular

ArticleYear
Canagliflozin Ameliorates Ventricular Remodeling through Apelin/Angiotensin-Converting Enzyme 2 Signaling in Heart Failure with Preserved Ejection Fraction Rats.
    Pharmacology, 2023, Volume: 108, Issue:5

    Topics: Angiotensin-Converting Enzyme 2; Animals; Apelin; Canagliflozin; Fibrosis; Heart Failure; Humans; Ir

2023
Effects of irbesartan on phenotypic alterations in monocytes and the inflammatory status of hypertensive patients with left ventricular hypertrophy.
    BMC cardiovascular disorders, 2021, 04-20, Volume: 21, Issue:1

    Topics: Aged; Anti-Inflammatory Agents; Antigens, CD; Antigens, Differentiation, Myelomonocytic; Antihyperte

2021
Expression of renin-angiotensin system and peroxisome proliferator-activated receptors in alcoholic cardiomyopathy.
    Alcoholism, clinical and experimental research, 2008, Volume: 32, Issue:11

    Topics: Angiotensin I; Angiotensin II; Angiotensin II Type 1 Receptor Blockers; Angiotensinogen; Animals; Bi

2008
Loss of angiotensin-converting enzyme 2 accelerates maladaptive left ventricular remodeling in response to myocardial infarction.
    Circulation. Heart failure, 2009, Volume: 2, Issue:5

    Topics: Adaptation, Physiological; Angiotensin I; Angiotensin II; Angiotensin II Type 1 Receptor Blockers; A

2009
Irbesartan prevents myocardial remodeling in experimental thyrotoxic cardiomyopathy.
    Endocrine journal, 2012, Volume: 59, Issue:10

    Topics: Angiotensin II Type 1 Receptor Blockers; Animals; Biphenyl Compounds; Cardiomyopathies; Echocardiogr

2012
Irbesartan and emodin on myocardial remodeling in Goldblatt hypertensive rats.
    Journal of cardiovascular pharmacology, 2012, Volume: 60, Issue:4

    Topics: Angiotensin II; Angiotensin-Converting Enzyme Inhibitors; Animals; Antihypertensive Agents; Biphenyl

2012
Treatment with irbesartan counteracts the functional remodeling of ventricular myocytes from hypertensive rats.
    Journal of cardiovascular pharmacology, 2003, Volume: 41, Issue:5

    Topics: Action Potentials; Angiotensin Receptor Antagonists; Animals; Biphenyl Compounds; Cardiomegaly; Cell

2003
AT1 receptor antagonist therapy preferentially ameliorated right ventricular function and phenotype during the early phase of remodeling post-MI.
    British journal of pharmacology, 2003, Volume: 138, Issue:8

    Topics: Angiotensin II Type 1 Receptor Blockers; Animals; Biphenyl Compounds; Irbesartan; Male; Myocardial I

2003
Effects of differential blockade of the renin-angiotensin system in postinfarcted rats.
    Fundamental & clinical pharmacology, 2004, Volume: 18, Issue:3

    Topics: Aldosterone; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitors; Anim

2004
AT1 receptor blockade limits myocardial injury and upregulates AT2 receptors during reperfused myocardial infarction.
    Molecular and cellular biochemistry, 2004, Volume: 260, Issue:1-2

    Topics: Angiotensin II Type 1 Receptor Blockers; Animals; Biphenyl Compounds; Blood Pressure; Dogs; Heart Ra

2004
Additive amelioration of left ventricular remodeling and molecular alterations by combined aldosterone and angiotensin receptor blockade after myocardial infarction.
    Cardiovascular research, 2005, Jul-01, Volume: 67, Issue:1

    Topics: Angiotensin II Type 1 Receptor Blockers; Animals; Biphenyl Compounds; Blotting, Western; Collagen Ty

2005
[Effects of combination therapy with angiotensin I-converting enzyme inhibitor and angiotensin 1 receptor antagonist on ventricular remodeling and expression of endothelial nitric oxide synthase].
    Zhonghua yi xue za zhi, 2005, Apr-20, Volume: 85, Issue:15

    Topics: Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitors; Animals; Biphenyl

2005
[Experimental study of effect of carvedilol on myocardial collagen network remodeling after acute myocardial infarction in rats].
    Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue, 2005, Volume: 17, Issue:9

    Topics: Animals; Biphenyl Compounds; Carbazoles; Carvedilol; Collagen; Disease Models, Animal; Hemodynamics;

2005
AT1 receptor blockade prevents cardiac dysfunction after myocardial infarction in rats.
    Cardiovascular drugs and therapy, 2005, Volume: 19, Issue:4

    Topics: Angiotensin II Type 1 Receptor Blockers; Animals; Biphenyl Compounds; Blood Pressure; Heart Rate; Ir

2005
[Expression of cardiotrophin-1 and effects of irbesartan in adriamycin induced cardiomyopathy in rats].
    Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences, 2007, Volume: 32, Issue:4

    Topics: Angiotensin II Type 1 Receptor Blockers; Animals; Biphenyl Compounds; Cardiomyopathies; Cytokines; D

2007
Integrative control of coronary resistance vessel tone by endothelin and angiotensin II is altered in swine with a recent myocardial infarction.
    American journal of physiology. Heart and circulatory physiology, 2008, Volume: 294, Issue:5

    Topics: Angiotensin II; Angiotensin II Type 1 Receptor Blockers; Animals; Biphenyl Compounds; Coronary Circu

2008
Effect of renin inhibition and AT1R blockade on myocardial remodeling in the transgenic Ren2 rat.
    American journal of physiology. Endocrinology and metabolism, 2008, Volume: 295, Issue:1

    Topics: Amides; Angiotensin II Type 1 Receptor Blockers; Animals; Animals, Genetically Modified; Antihyperte

2008
Effects of long-term angiotensin II AT1 receptor blockade on survival, hemodynamics and cardiac remodeling in chronic heart failure in rats.
    Cardiovascular research, 1999, Volume: 41, Issue:1

    Topics: Analysis of Variance; Angiotensin II; Angiotensin Receptor Antagonists; Animals; Antihypertensive Ag

1999