Page last updated: 2024-10-29

avapro and Insulin Resistance

avapro has been researched along with Insulin Resistance in 21 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.

Insulin Resistance: Diminished effectiveness of INSULIN in lowering blood sugar levels: requiring the use of 200 units or more of insulin per day to prevent HYPERGLYCEMIA or KETOSIS.

Research Excerpts

ExcerptRelevanceReference
"Recent studies from our laboratory indicate that chlorthalidone triggers persistent activation of the sympathetic nervous system and promotes insulin resistance in hypertensive patients, independent of serum potassium."9.16Spironolactone prevents chlorthalidone-induced sympathetic activation and insulin resistance in hypertensive patients. ( Adams-Huet, B; Arbique, D; Auchus, RJ; Price, A; Raheja, P; Vongpatanasin, W; Wang, Z, 2012)
"Essential hypertension is frequently associated with insulin resistance of skeletal muscle glucose transport, and angiotensin II (ANGII) can contribute to the pathogenesis of both conditions."7.73Selective angiotensin II receptor antagonism enhances whole-body insulin sensitivity and muscle glucose transport in hypertensive TG(mREN2)27 rats. ( Diehl, CJ; Henriksen, EJ; Kim, JS; Saengsirisuwan, V; Sloniger, JA, 2005)
"Of the pleiotropic effect related parameters investigated, urinary 8-isoprostane, fasting serum insulin and homeostasis model assessment of insulin resistance index were more suppressed after 4 weeks treatment with irbesartan than after candesartan and valsartan therapy, respectively."5.17Relationship between the receptor occupancy profile and pleiotropic effects of angiotensin II receptor blockers. ( Ando, H; Fujimura, A; Hosohata, K; Saito, T; Ushijima, K, 2013)
"Recent studies from our laboratory indicate that chlorthalidone triggers persistent activation of the sympathetic nervous system and promotes insulin resistance in hypertensive patients, independent of serum potassium."5.16Spironolactone prevents chlorthalidone-induced sympathetic activation and insulin resistance in hypertensive patients. ( Adams-Huet, B; Arbique, D; Auchus, RJ; Price, A; Raheja, P; Vongpatanasin, W; Wang, Z, 2012)
"We examined the effects of ARB administration on hyperinsulinemia-associated capillary density by measuring baseline skin capillary density, capillary density during reactive hyperemia (hyperemic capillary recruitment), and capillary density during venous congestion in 17 hypertensive individuals in the basal state, during a hyperinsulinemic euglycemic clamp, and during a hyperinsulinemic clamp with acute ARB administration (600 mg irbesartan), acute calcium channel blockade (CCB; 10mg felodipine ER), as a control for the reduction in blood pressure, or placebo."5.15Acute angiotensin II receptor blockade improves insulin-induced microvascular function in hypertensive individuals. ( de Leeuw, PW; Houben, AJ; Jonk, AM; Schaper, NC; Serné, EH; Smulders, YM; Stehouwer, CD, 2011)
" In this study, thirteen-week-old spontaneously hypertensive (SHR)/NDmcr-cp rats, representing a genetic model of metabolic syndrome, were treated daily with placebo, irbesartan (30 mg/kg), valsartan (10 mg/kg), or pioglitazone (10 mg/kg) for 4 weeks."3.77Irbesartan prevents metabolic syndrome in rats via activation of peroxisome proliferator-activated receptor γ. ( Jin, D; Miyazaki, M; Takai, S, 2011)
"Essential hypertension is frequently associated with insulin resistance of skeletal muscle glucose transport, and angiotensin II (ANGII) can contribute to the pathogenesis of both conditions."3.73Selective angiotensin II receptor antagonism enhances whole-body insulin sensitivity and muscle glucose transport in hypertensive TG(mREN2)27 rats. ( Diehl, CJ; Henriksen, EJ; Kim, JS; Saengsirisuwan, V; Sloniger, JA, 2005)
"Angiotensin II (AII) has been shown to contribute to the pathogenesis of hypertension and insulin resistance."3.73Irbesartan restores the in-vivo insulin signaling pathway leading to Akt activation in obese Zucker rats. ( Argentino, DP; Dominici, FP; Muñoz, MC; Toblli, JE; Turyn, D, 2006)
"Impaired insulin sensitivity is common in patients with chronic systolic heart failure (CHF) and contributes to symptomatic status and impaired prognosis."2.77Improved insulin sensitivity by the angiotensin receptor antagonist irbesartan in patients with systolic heart failure: a randomized double-blinded placebo-controlled study. ( Anker, SD; Doehner, W; Kennecke, C; Lainscak, M; Rauchhaus, M; Sandek, A; Todorovic, J; Tschöpe, C; van Linthout, S; von Haehling, S, 2012)
"The potential benefit for treatment of the metabolic syndrome, cardiovascular protection, and prevention of related end-organ complications could be of immense clinical value."2.43Treating the metabolic syndrome using angiotensin receptor antagonists that selectively modulate peroxisome proliferator-activated receptor-gamma. ( Pershadsingh, HA, 2006)
"Telmisartan is an angiotensin Type 1 (AT(1))-receptor antagonist being used in the treatment of hypertension."2.42Telmisartan - killing two birds with one stone. ( Doggrell, SA, 2004)
" After chronic administration of irbesartan (21 days at 50 mg."1.31Selective angiotensin II receptor antagonism reduces insulin resistance in obese Zucker rats. ( Henriksen, EJ; Jacob, S; Kinnick, TR; Krekler, M; Teachey, MK, 2001)

Research

Studies (21)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's13 (61.90)29.6817
2010's8 (38.10)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Hayashi, M1
Takeshita, K1
Uchida, Y1
Yamamoto, K1
Kikuchi, R1
Nakayama, T1
Nomura, E1
Cheng, XW1
Matsushita, T1
Nakamura, S1
Murohara, T1
Russell, JC1
Kelly, SE1
Vine, DF1
Proctor, SD1
Muñoz, MC2
Giani, JF1
Dominici, FP2
Turyn, D2
Toblli, JE2
Parhofer, KG1
Birkeland, KI1
DeFronzo, R1
Del Prato, S1
Bhaumik, A1
Ptaszynska, A1
Kobayashi, T1
Akiyama, Y1
Akiyama, N1
Katoh, H1
Yamamoto, S1
Funatsuki, K1
Yanagimoto, T1
Notoya, M1
Asakura, K1
Shinosaki, T1
Hanasaki, K1
Jonk, AM1
Houben, AJ1
Schaper, NC1
de Leeuw, PW1
Serné, EH1
Smulders, YM1
Stehouwer, CD1
Takai, S1
Jin, D1
Miyazaki, M1
Doehner, W1
Todorovic, J1
Kennecke, C1
Rauchhaus, M1
Sandek, A1
Lainscak, M1
van Linthout, S1
Tschöpe, C1
von Haehling, S1
Anker, SD1
Ando, H2
Ushijima, K1
Hosohata, K1
Saito, T1
Fujimura, A2
Raheja, P1
Price, A1
Wang, Z1
Arbique, D1
Adams-Huet, B1
Auchus, RJ1
Vongpatanasin, W1
Schupp, M2
Janke, J1
Clasen, R2
Unger, T2
Kintscher, U2
Doggrell, SA1
Foryst-Ludwig, A1
Sprang, C1
Clemenz, M1
Krikov, M1
Thöne-Reineke, C1
Pershadsingh, HA1
Sloniger, JA1
Saengsirisuwan, V1
Diehl, CJ1
Kim, JS1
Henriksen, EJ2
Argentino, DP1
Rakugi, H1
Ogiwara, T1
Derosa, G1
Cicero, AF1
D'Angelo, A1
Ragonesi, PD1
Ciccarelli, L1
Piccinni, MN1
Pricolo, F1
Salvadeo, SA1
Ferrari, I1
Gravina, A1
Fogari, R1
Mayer, MA1
Höcht, C1
Gironacci, M1
Opezzo, JA1
Taira, CA1
Fernández, BE1
Puyó, AM1
Jacob, S1
Kinnick, TR1
Teachey, MK1
Krekler, M1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Irbesartan in the Treatment of Hypertensive Patients With Metabolic Syndrome[NCT00110422]Phase 4400 participants Interventional2005-11-30Completed
Effect of the Angiotensin II Receptor Antagonist Irbesartan on Insulin Sensitivity and Metabolic Profile in Patients With Chronic Heart Failure[NCT00347087]Phase 436 participants (Actual)Interventional2004-07-31Completed
Neural Mechanisms of Thiazide-induced Insulin Resistance[NCT00353652]Phase 4166 participants (Actual)Interventional2005-01-31Completed
Exploring the Health Benefits Associated With Daily Pulse Consumption in Individuals With Peripheral Arterial Disease[NCT00755677]Early Phase 126 participants (Actual)Interventional2007-03-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

24-hour Ambulatory Systolic Blood Pressure

(NCT00353652)
Timeframe: Measured at 3 months

InterventionmmHg (Mean)
Study#1: Chlorthalidone (CTD), Titrated Dose127.4
Study #1: Spironolactone (SP), Titrated Dose128.6
Study# 2 Chlorthalidone (CTD), Fixed Dose123.5
Study# 2 CTD Fixed Dose 25 mg/d Plus SP Fixed Dose121.6
Study# 2 CTD Fixed Dose 25 mg/d Plus IR Fixed Dose119.8

HOMA-IR

assessment of insulin resistance calculated by multiplying fasting plasma insulin (mU/l) with fasting plasma glucose (mmol/l) divided by 22.5. (NCT00353652)
Timeframe: 3 months

InterventionmU/l*mmol/l (Median)
Study#1: Chlorthalidone (CTD), Titrated Dose1.91
Study #1: Spironolactone (SP), Titrated Dose1.33
Study# 2 Chlorthalidone (CTD), Fixed Dose1.87
Study# 2 CTD Fixed Dose 25 mg/d Plus SP Fixed Dose0.85
Study# 2 CTD Fixed Dose 25 mg/d Plus IR Fixed Dose1.42

Insulin

fasting plasma insulin (NCT00353652)
Timeframe: 3 months

InterventionmU/liter (Median)
Study#1: Chlorthalidone (CTD), Titrated Dose8.24
Study #1: Spironolactone (SP), Titrated Dose7.6
Study# 2 CTD Fixed Dose 25 mg/d7.6
Study# 2 CTD Fixed Dose 25 mg/d Plus SP Fixed Dose4.87
Study# 2 CTD Fixed Dose 25 mg/d Plus IR Fixed Dose6.8

Sympathetic Baroreflex Sensitivity

slope relating percent change in SNA (% change in total activity from baseline) to diastolic BP. (NCT00353652)
Timeframe: 3 months

Intervention% change from baseline per mmHg (Mean)
Study#1: Chlorthalidone (CTD), Titrated Dose-9.1
Drug: Study #1: Spironolactone (SP), Titrated Dose-15.2
Study# 2 Chlorthalidone (CTD), Fixed Dose-12.9
Study# 2 CTD Fixed Dose 25 mg/d Plus SP Fixed Dose-11.3
Study# 2 CTD Fixed Dose 25 mg/d Plus IR Fixed Dose-12.0

Sympathetic Nerve Activity

(NCT00353652)
Timeframe: Measured at 3 months

Interventionbursts/min (Mean)
Study#1: Chlorthalidone (CTD), Titrated Dose46
Study #1: Spironolactone (SP), Titrated Dose40
Study# 2 Chlorthalidone (CTD), Fixed Dose49
Study# 2 CTD Fixed Dose 25 mg/d Plus SP Fixed Dose42
Study# 2 CTD Fixed Dose 25 mg/d Plus IR Fixed Dose52

Reviews

3 reviews available for avapro and Insulin Resistance

ArticleYear
Telmisartan - killing two birds with one stone.
    Expert opinion on pharmacotherapy, 2004, Volume: 5, Issue:11

    Topics: 3T3-L1 Cells; Angiotensin II Type 1 Receptor Blockers; Animals; Benzimidazoles; Benzoates; Biphenyl

2004
Treating the metabolic syndrome using angiotensin receptor antagonists that selectively modulate peroxisome proliferator-activated receptor-gamma.
    The international journal of biochemistry & cell biology, 2006, Volume: 38, Issue:5-6

    Topics: Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Benzoates; Biphenyl Compounds; Clinical Tri

2006
[Renin-angiotensin system].
    Nihon rinsho. Japanese journal of clinical medicine, 2006, Volume: 64 Suppl 5

    Topics: Adipocytes; Amides; Angiotensin-Converting Enzyme 2; Antihypertensive Agents; Biphenyl Compounds; Fu

2006

Trials

6 trials available for avapro and Insulin Resistance

ArticleYear
Irbesartan has no short-term effect on insulin resistance in hypertensive patients with additional cardiometabolic risk factors (i-RESPOND).
    International journal of clinical practice, 2010, Volume: 64, Issue:2

    Topics: Adult; Aged; Analysis of Variance; Antihypertensive Agents; Biphenyl Compounds; Diabetes Mellitus, T

2010
Acute angiotensin II receptor blockade improves insulin-induced microvascular function in hypertensive individuals.
    Microvascular research, 2011, Volume: 82, Issue:1

    Topics: Angiotensin Receptor Antagonists; Biphenyl Compounds; Blood Glucose; Blood Pressure; Calcium Channel

2011
Improved insulin sensitivity by the angiotensin receptor antagonist irbesartan in patients with systolic heart failure: a randomized double-blinded placebo-controlled study.
    International journal of cardiology, 2012, Nov-29, Volume: 161, Issue:3

    Topics: Aged; Angiotensin Receptor Antagonists; Biphenyl Compounds; Double-Blind Method; Female; Heart Failu

2012
Relationship between the receptor occupancy profile and pleiotropic effects of angiotensin II receptor blockers.
    British journal of clinical pharmacology, 2013, Volume: 75, Issue:2

    Topics: Adult; Angiotensin II Type 1 Receptor Blockers; Antihypertensive Agents; Area Under Curve; Benzimida

2013
Spironolactone prevents chlorthalidone-induced sympathetic activation and insulin resistance in hypertensive patients.
    Hypertension (Dallas, Tex. : 1979), 2012, Volume: 60, Issue:2

    Topics: Action Potentials; Angiotensin II Type 1 Receptor Blockers; Biphenyl Compounds; Chlorthalidone; Cros

2012
Telmisartan and irbesartan therapy in type 2 diabetic patients treated with rosiglitazone: effects on insulin-resistance, leptin and tumor necrosis factor-alpha.
    Hypertension research : official journal of the Japanese Society of Hypertension, 2006, Volume: 29, Issue:11

    Topics: Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Benzoates; Biphenyl Compounds; Blood Glucos

2006

Other Studies

12 other studies available for avapro and Insulin Resistance

ArticleYear
Angiotensin II receptor blocker ameliorates stress-induced adipose tissue inflammation and insulin resistance.
    PloS one, 2014, Volume: 9, Issue:12

    Topics: Adipokines; Adipose Tissue, White; Angiotensin II Type 1 Receptor Blockers; Angiotensinogen; Animals

2014
Irbesartan-mediated reduction of renal and cardiac damage in insulin resistant JCR : LA-cp rats.
    British journal of pharmacology, 2009, Volume: 158, Issue:6

    Topics: Angiotensin II Type 1 Receptor Blockers; Animals; Biphenyl Compounds; Cardiovascular Diseases; Infla

2009
Long-term treatment with an angiotensin II receptor blocker decreases adipocyte size and improves insulin signaling in obese Zucker rats.
    Journal of hypertension, 2009, Volume: 27, Issue:12

    Topics: Adipocytes; Angiotensin II Type 1 Receptor Blockers; Animals; Biphenyl Compounds; Blood Glucose; Blo

2009
Irbesartan enhances GLUT4 translocation and glucose transport in skeletal muscle cells.
    European journal of pharmacology, 2010, Dec-15, Volume: 649, Issue:1-3

    Topics: Angiotensin II Type 1 Receptor Blockers; Animals; Biological Transport; Biphenyl Compounds; Body Wei

2010
Irbesartan prevents metabolic syndrome in rats via activation of peroxisome proliferator-activated receptor γ.
    Journal of pharmacological sciences, 2011, Volume: 116, Issue:3

    Topics: Adiponectin; Adipose Tissue; Angiotensin Receptor Antagonists; Animals; Antihypertensive Agents; Bip

2011
Angiotensin type 1 receptor blockers induce peroxisome proliferator-activated receptor-gamma activity.
    Circulation, 2004, May-04, Volume: 109, Issue:17

    Topics: 3T3 Cells; Acrylates; Adipocytes; Angiotensin II Type 1 Receptor Blockers; Animals; Benzimidazoles;

2004
PPARgamma-activating angiotensin type-1 receptor blockers induce adiponectin.
    Hypertension (Dallas, Tex. : 1979), 2005, Volume: 46, Issue:1

    Topics: 3T3-L1 Cells; Adipocytes; Angiotensin II; Angiotensin II Type 1 Receptor Blockers; Animals; Benzimid

2005
Selective angiotensin II receptor antagonism enhances whole-body insulin sensitivity and muscle glucose transport in hypertensive TG(mREN2)27 rats.
    Metabolism: clinical and experimental, 2005, Volume: 54, Issue:12

    Topics: Angiotensin II; Angiotensin II Type 1 Receptor Blockers; Animals; Biological Transport; Biphenyl Com

2005
Irbesartan restores the in-vivo insulin signaling pathway leading to Akt activation in obese Zucker rats.
    Journal of hypertension, 2006, Volume: 24, Issue:8

    Topics: Adaptor Proteins, Signal Transducing; Analysis of Variance; Angiotensin II; Angiotensin II Type 1 Re

2006
[PPARgamma-activating properties of angiotensin receptor blockers].
    Nihon rinsho. Japanese journal of clinical medicine, 2006, Volume: 64 Suppl 5

    Topics: Angiotensin II Type 1 Receptor Blockers; Animals; Antihypertensive Agents; Arteriosclerosis; Benzimi

2006
Hypothalamic angiotensinergic-noradrenergic systems interaction in fructose induced hypertension.
    Regulatory peptides, 2008, Feb-07, Volume: 146, Issue:1-3

    Topics: Animals; Antihypertensive Agents; Biphenyl Compounds; Fructose; Hypertension; Hypothalamus; Insulin

2008
Selective angiotensin II receptor antagonism reduces insulin resistance in obese Zucker rats.
    Hypertension (Dallas, Tex. : 1979), 2001, Volume: 38, Issue:4

    Topics: Angiotensin Receptor Antagonists; Animals; Area Under Curve; Biological Transport; Biphenyl Compound

2001