avapro has been researched along with Diabetic Angiopathies in 18 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.
Diabetic Angiopathies: VASCULAR DISEASES that are associated with DIABETES MELLITUS.
Excerpt | Relevance | Reference |
---|---|---|
"Compared with other angiotensin-receptor blockers, telmisartan and valsartan were both associated with a lower risk of admission to hospital for acute myocardial infarction, stroke or heart failure among older adults with diabetes and hypertension." | 3.79 | Comparative effectiveness of angiotensin-receptor blockers for preventing macrovascular disease in patients with diabetes: a population-based cohort study. ( Antoniou, T; Camacho, X; Gomes, T; Juurlink, DN; Mamdani, MM; Yao, Z, 2013) |
"2,628 adults with type 2 diabetes and nephropathy." | 2.80 | Serum Bicarbonate and Kidney Disease Progression and Cardiovascular Outcome in Patients With Diabetic Nephropathy: A Post Hoc Analysis of the RENAAL (Reduction of End Points in Non-Insulin-Dependent Diabetes With the Angiotensin II Antagonist Losartan) St ( Bakker, SJ; de Zeeuw, D; Gansevoort, RT; Lambers Heerspink, HJ; Lewis, JB; Lutgers, HL; Schutte, E; Umanath, K; Vart, P; Wolffenbuttel, BH, 2015) |
"Heart failure was reported by investigators to have a hypertensive aetiology in 64% of patients." | 2.73 | Heart failure with preserved ejection fraction: clinical characteristics of 4133 patients enrolled in the I-PRESERVE trial. ( Carson, PE; Donovan, JM; Komajda, M; Massie, BM; McKelvie, R; McMurray, JJ; Ptaszynska, A; Staiger, C; Zile, MR, 2008) |
"The primary outcomes of the Irbesartan Diabetic Nephropathy Trial were doubling of serum creatinine levels, end-stage renal disease, and death from any cause." | 2.71 | Cardiovascular outcomes in the Irbesartan Diabetic Nephropathy Trial of patients with type 2 diabetes and overt nephropathy. ( Berl, T; Drury, PL; Esmatjes, E; Goldhaber, SZ; Hricik, D; Hunsicker, LG; Lewis, EJ; Lewis, JB; Locatelli, F; Parikh, CR; Pfeffer, MA; Porush, JG; Raz, I; Rouleau, JL; Vanhille, P; Wiegmann, TB; Wolfe, BM, 2003) |
"During the Irbesartan Diabetic Nephropathy Trial, 1,387 participants with type 2 diabetes mellitus, hypertension, and nephropathy underwent serial electrocardiograms for the identification of Q-wave myocardial infarction (MI)." | 2.71 | Clinically unrecognized Q-wave myocardial infarction in patients with diabetes mellitus, systemic hypertension, and nephropathy. ( Aguilar, D; Berl, T; Gans, DJ; Goldhaber, SZ; Levey, AS; Lewis, EJ; Lewis, JB; Pfeffer, MA; Porush, JG; Rouleau, JL, 2004) |
"All participants had baseline diabetic nephropathy, overt proteinuria, and hypertension and were recruited between 1996 and 1999." | 2.71 | Total plasma homocysteine and arteriosclerotic outcomes in type 2 diabetes with nephropathy. ( Bostom, AG; Friedman, AN; Hunsicker, LG; Selhub, J, 2005) |
"Diabetes (particularly type 2 diabetes) represents a global health problem of epidemic proportions." | 2.43 | Blockade of the renin-angiotensin-aldosterone system: a key therapeutic strategy to reduce renal and cardiovascular events in patients with diabetes. ( Burnier, M; Zanchi, A, 2006) |
"Cumulative incidence of ESRD, time to onset of ESRD, life expectancy (LE), quality-adjusted life years (QALY) and costs were projected over 25 years for 1,000 simulated patients, from a third party payer perspective." | 1.33 | [Clinical and health economic implications of early treatment with irbesartan of patients with type 2 diabetes mellitus, hypertension and nephropathy]. ( Lehnert, H; Palmer, AJ; Ritz, E; Rodby, RA; Roze, S; Valentine, WJ, 2006) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 0 (0.00) | 18.2507 |
2000's | 14 (77.78) | 29.6817 |
2010's | 4 (22.22) | 24.3611 |
2020's | 0 (0.00) | 2.80 |
Authors | Studies |
---|---|
Antoniou, T | 1 |
Camacho, X | 1 |
Yao, Z | 1 |
Gomes, T | 1 |
Juurlink, DN | 1 |
Mamdani, MM | 1 |
Schutte, E | 1 |
Lambers Heerspink, HJ | 2 |
Lutgers, HL | 1 |
Bakker, SJ | 1 |
Vart, P | 1 |
Wolffenbuttel, BH | 1 |
Umanath, K | 1 |
Lewis, JB | 4 |
de Zeeuw, D | 4 |
Gansevoort, RT | 1 |
Wang, LP | 1 |
Jiang, Y | 1 |
Yang, H | 1 |
Peng, C | 1 |
Zhang, C | 1 |
Tao, X | 1 |
Xie, HH | 1 |
Holtkamp, FA | 1 |
de Graeff, PA | 1 |
Laverman, GD | 1 |
Berl, T | 3 |
Remuzzi, G | 1 |
Packham, D | 1 |
Parving, HH | 4 |
Sasso, FC | 1 |
Carbonara, O | 1 |
Persico, M | 1 |
Iafusco, D | 1 |
Salvatore, T | 1 |
D'Ambrosio, R | 1 |
Torella, R | 1 |
Cozzolino, D | 1 |
Hunsicker, LG | 3 |
Pfeffer, MA | 2 |
Porush, JG | 2 |
Rouleau, JL | 2 |
Drury, PL | 1 |
Esmatjes, E | 1 |
Hricik, D | 1 |
Parikh, CR | 1 |
Raz, I | 1 |
Vanhille, P | 1 |
Wiegmann, TB | 1 |
Wolfe, BM | 1 |
Locatelli, F | 1 |
Goldhaber, SZ | 2 |
Lewis, EJ | 3 |
Aguilar, D | 1 |
Gans, DJ | 1 |
Levey, AS | 1 |
Palmer, AJ | 3 |
Annemans, L | 2 |
Roze, S | 3 |
Lamotte, M | 1 |
Lapuerta, P | 2 |
Chen, R | 2 |
Gabriel, S | 2 |
Carita, P | 2 |
Rodby, RA | 4 |
Llewelyn, DE | 1 |
Garcia-Puig, J | 1 |
Chiarelli, F | 1 |
Di Marzio, D | 1 |
Santilli, F | 1 |
Mohn, A | 1 |
Blasetti, A | 1 |
Cipollone, F | 1 |
Mezzetti, A | 1 |
Verrotti, A | 1 |
Friedman, AN | 1 |
Selhub, J | 1 |
Bostom, AG | 1 |
Burnier, M | 1 |
Zanchi, A | 1 |
Valentine, WJ | 2 |
Ritz, E | 1 |
Lehnert, H | 2 |
Tucker, DM | 1 |
Ray, JA | 1 |
Laville, M | 1 |
McMurray, JJ | 1 |
Carson, PE | 1 |
Komajda, M | 1 |
McKelvie, R | 1 |
Zile, MR | 1 |
Ptaszynska, A | 1 |
Staiger, C | 1 |
Donovan, JM | 1 |
Massie, BM | 1 |
Brøchner-Mortensen, J | 1 |
Gomis, R | 1 |
Andersen, S | 1 |
Arner, P | 1 |
Studney, D | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
[NCT00021918] | 0 participants | Observational | 2001-04-30 | Completed | |||
Angiotensin Converting Enzyme Inhibitors & Angiotensin Receptor Blocker in the Treatment of Type 2 Diabetic Patients Adverse Drug Effects and Drug Interactions- a Survey in an Internal Medicine Department.[NCT00437775] | 300 participants | Observational | 2007-01-31 | Recruiting | |||
Irbesartan in Heart Failure With Preserved Systolic Function (I-Preserve)[NCT00095238] | Phase 3 | 4,128 participants (Actual) | Interventional | 2002-06-30 | Completed | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
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
Intervention | pg/mL (Geometric Mean) |
---|---|
Placebo - Month 6 | 0.98 |
Irbesartan - Month 6 | 0.93 |
Placebo - Month 14 | 1.00 |
Irbesartan - Month 14 | 1.01 |
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.
Intervention | participants (Number) | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Month 6 - Improved | Month 6 - Unchanged | Month 6 - Worsened | Month 6 - Major Event | Month 6 - No Data | Month 10 - Improved | Month 10 - Unchanged | Month 10 - Worsened | Month 10 - Major Event | Month 10 - No Data | Month 14 - Improved | Month 14 - Unchanged | Month 14 - Worsened | Month 14 - Major Event | Month 14 - No Data | Final Visit - Improved | Final Visit - Unchanged | Final Visit - Worsened | Final Visit - Major Event | Final Visit - No Data | |
Irbesartan Baseline All Classes Combined | 936 | 966 | 48 | 10 | 107 | 948 | 911 | 58 | 41 | 109 | 933 | 866 | 61 | 75 | 132 | 928 | 658 | 97 | 324 | 60 |
Irbesartan Baseline Class I or II | 55 | 310 | 41 | 2 | 18 | 44 | 294 | 53 | 10 | 25 | 38 | 287 | 50 | 22 | 29 | 42 | 230 | 68 | 75 | 11 |
Irbesartan Class III or IV | 881 | 656 | 7 | 8 | 89 | 904 | 617 | 5 | 31 | 84 | 895 | 579 | 11 | 53 | 103 | 886 | 428 | 29 | 249 | 49 |
Placebo Baseline All Classes Combined | 881 | 1016 | 51 | 14 | 98 | 902 | 939 | 71 | 42 | 106 | 902 | 890 | 69 | 80 | 119 | 882 | 694 | 107 | 320 | 57 |
Placebo Baseline Class I or II | 47 | 338 | 47 | 2 | 11 | 42 | 317 | 63 | 9 | 14 | 39 | 312 | 62 | 16 | 16 | 42 | 254 | 78 | 66 | 5 |
Placebo Class III or IV | 834 | 678 | 4 | 12 | 87 | 860 | 622 | 8 | 33 | 92 | 863 | 578 | 7 | 64 | 103 | 840 | 440 | 29 | 254 | 52 |
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
Intervention | mL/min/1.73m2 (Mean) | ||
---|---|---|---|
Baseline Mean | Post-Baseline Mean | Adjusted Mean Change | |
Irbesartan - Month 18 | 73.49 | 68.00 | -5.50 |
Irbesartan - Month 30 | 74.37 | 67.05 | -7.12 |
Irbesartan - Month 6 | 73.13 | 69.21 | -3.91 |
Placebo - Month 18 | 73.58 | 70.88 | -2.69 |
Placebo - Month 30 | 73.34 | 69.51 | -4.02 |
Placebo - Month 6 | 73.02 | 71.97 | -1.07 |
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
Intervention | mL/min/1.73m2 (Mean) | ||
---|---|---|---|
Baseline Mean | Post-Baseline Mean | Adjusted Mean Change | |
Irbesartan - Month 42 | 74.95 | 67.48 | -7.36 |
Irbesartan - Month 54 | 75.17 | 68.24 | -6.93 |
Irbesartan - Month 66 | 71.84 | 64.85 | -5.46 |
Placebo - Month 42 | 74.37 | 71.34 | -3.14 |
Placebo - Month 54 | 75.29 | 72.65 | -2.63 |
Placebo - Month 66 | 63.47 | 60.09 | -4.91 |
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.
Intervention | units on a scale (Mean) | |
---|---|---|
Baseline Mean | Final Visit Mean | |
Irbesartan - Final Visit | 38.9 | 38.3 |
Placebo - Final Visit | 42.5 | 42.6 |
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
Intervention | units on a scale (Mean) | ||
---|---|---|---|
Baseline Mean Score | Mean Score at Timepoint | Adjusted Mean Change from Baseline | |
Irbesartan - Month 14 | 42.8 | 32.1 | -10.6 |
Irbesartan - Month 6 | 43.0 | 33.2 | -9.8 |
Placebo - Month 14 | 42.7 | 31.6 | -11.2 |
Placebo - Month 6 | 42.7 | 32.9 | -10.0 |
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
Intervention | participants (Number) | |
---|---|---|
No prior AF history or Evidence on Baseline ECG | Participants with New Onset Atrial Fibrillation | |
Irbesartan + ACE-I Use | 366 | 35 |
Irbesartan no ACE-I Use | 1089 | 103 |
Placebo + ACE-I Use | 344 | 29 |
Placebo no ACE-I Use | 1102 | 99 |
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.
Intervention | Participants (Number) | ||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Month 6 - Improved Markedly | Month 6 - Improved Moderately | Month 6 - Improved Slightly | Month 6 - Unchanged | Month 6 - Worsened Slightly | Month 6 - Worsened Moderately | Month 6 - Worsened Markedly | Month 6 - Major Event | Month 6 - No Data | Month 14 - Improved Markedly | Month 14 - Improved Moderately | Month 14 - Improved Slightly | Month 14 - Unchanged | Month 14 - Worsened Slightly | Month 14 - Worsened Moderately | Month 14 - Worsened Markedly | Month 14 - Major Event | Month 14 - No Data | Final Visit - Improved Markedly | Final Visit - Improved Moderately | Final Visit - Improved Slightly | Final Visit - Unchanged | Final Visit - Worsened Slightly | Final Visit - Worsened Moderately | Final Visit - Worsened Markedly | Final Visit - Major Event | Final Visit - No Data | |
Irbesartan | 255 | 549 | 512 | 508 | 83 | 22 | 9 | 8 | 121 | 247 | 519 | 460 | 476 | 103 | 28 | 13 | 68 | 153 | 213 | 382 | 328 | 460 | 114 | 64 | 35 | 395 | 76 |
Placebo | 276 | 536 | 501 | 510 | 83 | 22 | 10 | 7 | 116 | 232 | 531 | 430 | 509 | 90 | 39 | 10 | 74 | 146 | 212 | 339 | 335 | 461 | 145 | 75 | 32 | 384 | 78 |
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.
Intervention | Participants (Number) | ||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Month 6 - Improved Markedly | Month 6 - Improved Moderately | Month 6 - Improved Slightly | Month 6 - Unchanged | Month 6 - Worsened Slightly | Month 6 - Worsened Moderately | Month 6 - Worsened Markedly | Month 6 - Major Event | Month 6 - No Data | Month 14 - Improved Markedly | Month 14 - Improved Moderately | Month 14 - Improved Slightly | Month 14 - Unchanged | Month 14 - Worsened Slightly | Month 14 - Worsened Moderately | Month 14 - Worsened Markedly | Month 14 - Major Event | Month 14 - No Data | Final Visit - Improved Markedly | Final Visit - Improved Moderately | Final Visit - Improved Slightly | Final Visit - Unchanged | Final Visit - Worsened Slightly | Final Visit - Worsened Moderately | Final Visit - Worsened Markedly | Final Visit - Major Event | Final Visit - No Data | |
Irbesartan | 193 | 523 | 504 | 579 | 97 | 28 | 13 | 8 | 122 | 195 | 513 | 439 | 525 | 115 | 48 | 11 | 68 | 153 | 157 | 361 | 319 | 479 | 166 | 80 | 34 | 395 | 76 |
Placebo | 200 | 519 | 471 | 596 | 101 | 38 | 13 | 7 | 116 | 182 | 489 | 443 | 559 | 109 | 43 | 16 | 74 | 146 | 178 | 300 | 337 | 477 | 176 | 90 | 42 | 383 | 78 |
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.
Intervention | Participants (Number) | ||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Month 6 - Improved Markedly | Month 6 - Improved Moderately | Month 6 - Improved Slightly | Month 6 - Unchanged | Month 6 - Worsened Slightly | Month 6 - Worsened Moderately | Month 6 - Worsened Markedly | Month 6 - Major Event | Month 6 - No Data | Month 14 - Improved Markedly | Month 14 - Improved Moderately | Month 14 - Improved Slightly | Month 14 - Unchanged | Month 14 - Worsened Slightly | Month 14 - Worsened Moderately | Month 14 - Worsened Markedly | Month 14 - Major Event | Month 14 - No Data | Final Visit - Improved Markedly | Final Visit - Improved Moderately | Final Visit - Improved Slightly | Final Visit - Unchanged | Final Visit - Worsened Slightly | Final Visit - Worsened Moderately | Final Visit - Worsened Markedly | Final Visit - Major Event | Final Event - No Data | |
Irbesartan | 235 | 552 | 529 | 537 | 63 | 13 | 8 | 8 | 122 | 234 | 532 | 461 | 503 | 78 | 30 | 8 | 68 | 153 | 207 | 378 | 332 | 480 | 121 | 52 | 25 | 396 | 76 |
Placebo | 230 | 563 | 519 | 529 | 69 | 20 | 8 | 7 | 116 | 206 | 534 | 450 | 527 | 82 | 35 | 7 | 74 | 146 | 201 | 339 | 352 | 495 | 109 | 76 | 28 | 383 | 78 |
Treatment comparisons for time to all-cause death (NCT00095238)
Timeframe: Year 1, Year 2, Year 3, Year 4, Year 5
Intervention | percentage of participants (Number) | ||||
---|---|---|---|---|---|
Percentage at 1 Year | Percentage at 2 Years | Percentage at 3 Years | Percentage at 4 Years | Percentage at 5 Years | |
Irbesartan | 4.1 | 8.1 | 12.8 | 17.9 | 25.0 |
Placebo | 3.8 | 8.6 | 13.8 | 18.5 | 23.6 |
Treatment comparisons for time to cardiovascular death (NCT00095238)
Timeframe: Year 1, Year 2, Year 3, Year 4, Year 5
Intervention | percentage of participants (Number) | ||||
---|---|---|---|---|---|
Percentage 1 Year | Percentage 2 Years | Percentage 3 Years | Percentage at 4 Years | Percentage at 5 Years | |
Irbesartan | 3.3 | 6.2 | 9.6 | 13.0 | 18.0 |
Placebo | 3.0 | 6.5 | 10.0 | 13.1 | 17.1 |
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
Intervention | percentage of participants (Number) | ||||
---|---|---|---|---|---|
Percentage at 1 Year | Percentage at 2 Years | Percentage at 3 Years | Percentage at 4 Years | Percentage at 5 Years | |
Irbesartan | 11.6 | 19.2 | 24.2 | 30.0 | 35.0 |
Placebo | 11.4 | 20.0 | 25.8 | 30.9 | 35.8 |
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
Intervention | percentage of participants (Number) | ||||
---|---|---|---|---|---|
Percentage at 1 Year | Percentage at 2 Years | Percentage at 3 Years | Percentage at 4 Years | Percentage at 5 Years | |
Irbesartan | 5.2 | 8.7 | 12.9 | 17.2 | 23.0 |
Placebo | 4.2 | 9.3 | 13.6 | 17.6 | 22.4 |
Treatment comparisons for time to heart failure mortality or heart failure hospitalization (NCT00095238)
Timeframe: Year 1, Year 2, Year 3, Year 4, Year 5
Intervention | percentage of participants (Number) | ||||
---|---|---|---|---|---|
Percentage at 1 Year | Percentage at 2 Years | Percentage at 3 Years | Percentage at 4 Years | Percentage at 5 Years | |
Irbesartan | 7.9 | 12.9 | 15.7 | 19.8 | 23.6 |
Placebo | 8.2 | 13.7 | 17.2 | 20.3 | 23.8 |
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
Intervention | percentage of participants (Number) | ||||
---|---|---|---|---|---|
Percentage at 1 Year | Percentage at 2 Years | Percentage at 3 Years | Percentage at 4 Years | Percentage at 5 Years | |
Irbesartan | 9.7 | 16.3 | 20.5 | 24.8 | 28.5 |
Placebo | 9.8 | 17.1 | 21.7 | 25.9 | 29.0 |
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
Intervention | percentage of participants (Number) | ||||
---|---|---|---|---|---|
Percentage at 1 Year | Percentage at 2 Years | Percentage at 3 Years | Percentage at 4 Years | Percentage at 5 Years | |
Irbesartan | 12.3 | 20.7 | 26.4 | 32.9 | 39.2 |
Placebo | 12.1 | 21.3 | 28.4 | 34.2 | 39.5 |
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
Intervention | percentage of participants (Number) | ||||
---|---|---|---|---|---|
Percentage at 1 Year | Percentage at 2 Years | Percentage at 3 Years | Percentage at 4 Years | Percentage at 5 Years | |
Irbesartan | 0.7 | 2.1 | 3.1 | 4.6 | 5.2 |
Placebo | 1.2 | 2.8 | 3.9 | 5.4 | 6.2 |
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.
Intervention | participants (Number) | ||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Month 6 - Improved Markedly | Month 6 - Improved Moderately | Month 6 - Improved Slightly | Month 6 - Unchanged | Month 6 - Worsened Slightly | Month 6 - Worsened Moderately | Month 6 - Worsened Markedly | Month 6 - Major Event | Month 6 - No Data | Month 14 - Improved Markedly | Month 14 - Improved Moderately | Month 14 - Improved Slightly | Month 14 - Unchanged | Month 14 - Worsened Slightly | Month 14 - Worsened Moderately | Month 14 - Worsened Markedly | Month 14 - Major Event | Month 14 - No Data | Final Visit - Improved Markedly | Final Visit - Improved Moderately | Final Visit - Improved Slightly | Final Visit - Unchanged | Final Visit - Worsened Slightly | Final Visit - Worsened Moderately | Final Visit - Worsened Markedly | Final Visit - Major Event | Final Visit - No Data | |
Irbesartan | 230 | 562 | 533 | 528 | 60 | 17 | 0 | 8 | 129 | 214 | 546 | 442 | 507 | 72 | 21 | 5 | 75 | 185 | 180 | 430 | 344 | 477 | 117 | 41 | 23 | 364 | 91 |
Placebo | 198 | 575 | 529 | 541 | 58 | 16 | 4 | 8 | 132 | 195 | 537 | 435 | 548 | 73 | 19 | 6 | 79 | 169 | 186 | 367 | 361 | 504 | 117 | 56 | 28 | 350 | 92 |
3 reviews available for avapro and Diabetic Angiopathies
Article | Year |
---|---|
Albuminuria and blood pressure, independent targets for cardioprotective therapy in patients with diabetes and nephropathy: a post hoc analysis of the combined RENAAL and IDNT trials.
Topics: Aged; Albuminuria; Amlodipine; Angiotensin Receptor Antagonists; Biphenyl Compounds; Blood Pressure; | 2011 |
Blockade of the renin-angiotensin-aldosterone system: a key therapeutic strategy to reduce renal and cardiovascular events in patients with diabetes.
Topics: Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitors; Biphenyl Compound | 2006 |
Angiotensin blockade in type 2 diabetes: what the new evidence tells us about renal and cardiac complications.
Topics: Albuminuria; Amlodipine; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; | 2002 |
10 trials available for avapro and Diabetic Angiopathies
Article | Year |
---|---|
Serum Bicarbonate and Kidney Disease Progression and Cardiovascular Outcome in Patients With Diabetic Nephropathy: A Post Hoc Analysis of the RENAAL (Reduction of End Points in Non-Insulin-Dependent Diabetes With the Angiotensin II Antagonist Losartan) St
Topics: Adult; Aged; Angiotensin II Type 1 Receptor Blockers; Bicarbonates; Biphenyl Compounds; Diabetes Mel | 2015 |
Irbesartan reduces the albumin excretion rate in microalbuminuric type 2 diabetic patients independently of hypertension: a randomized double-blind placebo-controlled crossover study.
Topics: Adult; Albuminuria; Antihypertensive Agents; Biphenyl Compounds; Cross-Over Studies; Diabetes Mellit | 2002 |
Cardiovascular outcomes in the Irbesartan Diabetic Nephropathy Trial of patients with type 2 diabetes and overt nephropathy.
Topics: Amlodipine; Angiotensin II; Angiotensin Receptor Antagonists; Antihypertensive Agents; Biphenyl Comp | 2003 |
Clinically unrecognized Q-wave myocardial infarction in patients with diabetes mellitus, systemic hypertension, and nephropathy.
Topics: Adult; Aged; Biphenyl Compounds; Diabetes Mellitus, Type 2; Diabetic Angiopathies; Diabetic Nephropa | 2004 |
How different urinary albumin excretion rates can predict progression to nephropathy and the effect of treatment in hypertensive diabetics.
Topics: Adult; Aged; Albuminuria; Antihypertensive Agents; Biphenyl Compounds; Diabetic Angiopathies; Diabet | 2004 |
Effects of irbesartan on intracellular antioxidant enzyme expression and activity in adolescents and young adults with early diabetic angiopathy.
Topics: Adolescent; Adult; Albuminuria; Antihypertensive Agents; Biphenyl Compounds; Blood Pressure; Case-Co | 2005 |
Total plasma homocysteine and arteriosclerotic outcomes in type 2 diabetes with nephropathy.
Topics: Aged; Amlodipine; Antihypertensive Agents; Arteriosclerosis; Biphenyl Compounds; Cardiovascular Syst | 2005 |
Heart failure with preserved ejection fraction: clinical characteristics of 4133 patients enrolled in the I-PRESERVE trial.
Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Atrial Fibrillation; Biphenyl Compounds; Body Mass In | 2008 |
A clinical trial in type 2 diabetic nephropathy.
Topics: Adult; Aged; Amlodipine; Angiotensin Receptor Antagonists; Biphenyl Compounds; Calcium Channel Block | 2001 |
[Effect of irbesartan on the development of diabetic nephropathy in patients with type 2 diabetes].
Topics: Adult; Aged; Albuminuria; Angiotensin II; Antihypertensive Agents; Biphenyl Compounds; Cardiovascula | 2001 |
5 other studies available for avapro and Diabetic Angiopathies
Article | Year |
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Comparative effectiveness of angiotensin-receptor blockers for preventing macrovascular disease in patients with diabetes: a population-based cohort study.
Topics: Aged; Aged, 80 and over; Angiotensin Receptor Antagonists; Benzimidazoles; Benzoates; Biphenyl Compo | 2013 |
Combination Therapy of Nifedipine and Sulphonylureas Exhibits a Mutual Antagonistic Effect on the Endothelial Cell Dysfunction Induced by Hyperglycemia Linked to Vascular Disease.
Topics: Antihypertensive Agents; Biphenyl Compounds; Cell Movement; Diabetic Angiopathies; Drug Synergism; E | 2016 |
Cost-effectiveness of early irbesartan treatment versus control (standard antihypertensive medications excluding ACE inhibitors, other angiotensin-2 receptor antagonists, and dihydropyridine calcium channel blockers) or late irbesartan treatment in patien
Topics: Angiotensin-Converting Enzyme Inhibitors; Antihypertensive Agents; Biphenyl Compounds; Calcium Chann | 2004 |
[Clinical and health economic implications of early treatment with irbesartan of patients with type 2 diabetes mellitus, hypertension and nephropathy].
Topics: Antihypertensive Agents; Biphenyl Compounds; Blood Pressure; Computer Simulation; Costs and Cost Ana | 2006 |
A French cost-consequence analysis of the renoprotective benefits of irbesartan in patients with type 2 diabetes and hypertension.
Topics: Albuminuria; Angiotensin II Type 1 Receptor Blockers; Biphenyl Compounds; Cost-Benefit Analysis; Dia | 2006 |