Page last updated: 2024-10-29

avapro and Diabetic Angiopathies

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.

Research Excerpts

ExcerptRelevanceReference
"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."3.79Comparative 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."2.80Serum 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."2.73Heart 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."2.71Cardiovascular 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)."2.71Clinically 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."2.71Total 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."2.43Blockade 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)

Research

Studies (18)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's14 (77.78)29.6817
2010's4 (22.22)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Antoniou, T1
Camacho, X1
Yao, Z1
Gomes, T1
Juurlink, DN1
Mamdani, MM1
Schutte, E1
Lambers Heerspink, HJ2
Lutgers, HL1
Bakker, SJ1
Vart, P1
Wolffenbuttel, BH1
Umanath, K1
Lewis, JB4
de Zeeuw, D4
Gansevoort, RT1
Wang, LP1
Jiang, Y1
Yang, H1
Peng, C1
Zhang, C1
Tao, X1
Xie, HH1
Holtkamp, FA1
de Graeff, PA1
Laverman, GD1
Berl, T3
Remuzzi, G1
Packham, D1
Parving, HH4
Sasso, FC1
Carbonara, O1
Persico, M1
Iafusco, D1
Salvatore, T1
D'Ambrosio, R1
Torella, R1
Cozzolino, D1
Hunsicker, LG3
Pfeffer, MA2
Porush, JG2
Rouleau, JL2
Drury, PL1
Esmatjes, E1
Hricik, D1
Parikh, CR1
Raz, I1
Vanhille, P1
Wiegmann, TB1
Wolfe, BM1
Locatelli, F1
Goldhaber, SZ2
Lewis, EJ3
Aguilar, D1
Gans, DJ1
Levey, AS1
Palmer, AJ3
Annemans, L2
Roze, S3
Lamotte, M1
Lapuerta, P2
Chen, R2
Gabriel, S2
Carita, P2
Rodby, RA4
Llewelyn, DE1
Garcia-Puig, J1
Chiarelli, F1
Di Marzio, D1
Santilli, F1
Mohn, A1
Blasetti, A1
Cipollone, F1
Mezzetti, A1
Verrotti, A1
Friedman, AN1
Selhub, J1
Bostom, AG1
Burnier, M1
Zanchi, A1
Valentine, WJ2
Ritz, E1
Lehnert, H2
Tucker, DM1
Ray, JA1
Laville, M1
McMurray, JJ1
Carson, PE1
Komajda, M1
McKelvie, R1
Zile, MR1
Ptaszynska, A1
Staiger, C1
Donovan, JM1
Massie, BM1
Brøchner-Mortensen, J1
Gomis, R1
Andersen, S1
Arner, P1
Studney, D1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
[NCT00021918]0 participants Observational2001-04-30Completed
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 Observational2007-01-31Recruiting
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

Reviews

3 reviews available for avapro and Diabetic Angiopathies

ArticleYear
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.
    European heart journal, 2011, Volume: 32, Issue:12

    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.
    Journal of hypertension, 2006, Volume: 24, Issue:1

    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.
    The Canadian journal of cardiology, 2002, Volume: 18 Suppl A

    Topics: Albuminuria; Amlodipine; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors;

2002

Trials

10 trials available for avapro and Diabetic Angiopathies

ArticleYear
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
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 2015, Volume: 66, Issue:3

    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.
    Diabetes care, 2002, Volume: 25, Issue:11

    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.
    Annals of internal medicine, 2003, Apr-01, Volume: 138, Issue:7

    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.
    The American journal of cardiology, 2004, Aug-01, Volume: 94, Issue:3

    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.
    Journal of the renin-angiotensin-aldosterone system : JRAAS, 2004, Volume: 5, Issue:3

    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.
    Diabetes care, 2005, Volume: 28, Issue:7

    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.
    Journal of the American Society of Nephrology : JASN, 2005, Volume: 16, Issue:11

    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.
    European journal of heart failure, 2008, Volume: 10, Issue:2

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Atrial Fibrillation; Biphenyl Compounds; Body Mass In

2008
A clinical trial in type 2 diabetic nephropathy.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 2001, Volume: 38, Issue:4 Suppl 1

    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].
    Ugeskrift for laeger, 2001, Oct-01, Volume: 163, Issue:40

    Topics: Adult; Aged; Albuminuria; Angiotensin II; Antihypertensive Agents; Biphenyl Compounds; Cardiovascula

2001

Other Studies

5 other studies available for avapro and Diabetic Angiopathies

ArticleYear
Comparative effectiveness of angiotensin-receptor blockers for preventing macrovascular disease in patients with diabetes: a population-based cohort study.
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2013, Sep-03, Volume: 185, Issue:12

    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.
    Cellular physiology and biochemistry : international journal of experimental cellular physiology, biochemistry, and pharmacology, 2016, Volume: 38, Issue:6

    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
    Diabetes care, 2004, Volume: 27, Issue:8

    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].
    Deutsche medizinische Wochenschrift (1946), 2006, Aug-04, Volume: 131, Issue:31-32

    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.
    Current medical research and opinion, 2006, Volume: 22, Issue:11

    Topics: Albuminuria; Angiotensin II Type 1 Receptor Blockers; Biphenyl Compounds; Cost-Benefit Analysis; Dia

2006