Page last updated: 2024-10-24

candesartan and Hyperkalemia

candesartan has been researched along with Hyperkalemia in 7 studies

candesartan: a nonpeptide angiotensin II receptor antagonist
candesartan : A benzimidazolecarboxylic acid that is 1H-benzimidazole-7-carboxylic acid substituted by an ethoxy group at position 2 and a ({2'-(1H-tetrazol-5-yl)[1,1'-biphenyl]-4-yl}methyl) group at position 1. It is a angiotensin receptor antagonist used for the treatment of hypertension.

Hyperkalemia: Abnormally high potassium concentration in the blood, most often due to defective renal excretion. It is characterized clinically by electrocardiographic abnormalities (elevated T waves and depressed P waves, and eventually by atrial asystole). In severe cases, weakness and flaccid paralysis may occur. (Dorland, 27th ed)

Research Excerpts

ExcerptRelevanceReference
"To determine whether the angiotensin-receptor blocker candesartan compared with placebo affects microalbuminuria incidence or rate of change in albuminuria in type 1 and type 2 diabetes."9.14Effect of candesartan on microalbuminuria and albumin excretion rate in diabetes: three randomized trials. ( Bilous, R; Chaturvedi, N; Fuller, J; Klein, R; Orchard, T; Parving, HH; Porta, M; Sjølie, AK, 2009)
"We describe a hypertensive nephrosclerosis patient presenting with severe hyperkalemia due to a combination therapy of the angiotensin receptor blocker (ARB) candesartan and spironolactone despite mildly decreased renal function."7.73Life-threatening hyperkalemia during a combined therapy with the angiotensin receptor blocker candesartan and spironolactone. ( Fujii, H; Inenaga, T; Kawano, Y; Nakahama, H; Nakamura, S; Yoshihara, F, 2005)
"Candesartan cilexetil is a nonpeptide selective blocker of the angiotensin II receptor sub-type 1."6.43Candesartan in heart failure. ( Chonlahan, JS; Germany, RE; Ripley, TL, 2006)
"To determine whether the angiotensin-receptor blocker candesartan compared with placebo affects microalbuminuria incidence or rate of change in albuminuria in type 1 and type 2 diabetes."5.14Effect of candesartan on microalbuminuria and albumin excretion rate in diabetes: three randomized trials. ( Bilous, R; Chaturvedi, N; Fuller, J; Klein, R; Orchard, T; Parving, HH; Porta, M; Sjølie, AK, 2009)
"The addition of the angiotensin II type 1 receptor blocker (ARB) candesartan to a angiotensin-converting enzyme inhibitor (ACEI) has been associated with improved clinical outcomes in patients with heart failure."5.14Angiotensin receptor blocker therapy for heart failure patients: is combination treatment a feasible prospect? ( Dubrey, SW; Grocott-Mason, R; McDonagh, S; Mehta, PA; Phillips, J, 2009)
"Participants in the CHARM (Candesartan in Heart Failure-Assessment of Reduction in Mortality and Morbidity) (n = 7,599) Program were randomized to standard heart failure therapy plus candesartan or placebo, titrated as tolerated to a target of 32 mg once daily with recommended monitoring of serum potassium and creatinine."3.74Incidence and predictors of hyperkalemia in patients with heart failure: an analysis of the CHARM Program. ( Desai, AS; Dunlap, ME; Granger, CB; Hainer, JW; McMurray, JJ; Michelson, EL; Olofsson, B; Pfeffer, MA; Solomon, SD; Swedberg, K; Young, JB; Yusuf, S, 2007)
"We describe a hypertensive nephrosclerosis patient presenting with severe hyperkalemia due to a combination therapy of the angiotensin receptor blocker (ARB) candesartan and spironolactone despite mildly decreased renal function."3.73Life-threatening hyperkalemia during a combined therapy with the angiotensin receptor blocker candesartan and spironolactone. ( Fujii, H; Inenaga, T; Kawano, Y; Nakahama, H; Nakamura, S; Yoshihara, F, 2005)
"Candesartan cilexetil is a nonpeptide selective blocker of the angiotensin II receptor sub-type 1."2.43Candesartan in heart failure. ( Chonlahan, JS; Germany, RE; Ripley, TL, 2006)

Research

Studies (7)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's7 (100.00)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Bilous, R1
Chaturvedi, N1
Sjølie, AK1
Fuller, J1
Klein, R1
Orchard, T1
Porta, M1
Parving, HH1
Mehta, PA1
McDonagh, S1
Phillips, J1
Grocott-Mason, R1
Dubrey, SW1
Phakdeekitcharoen, B1
Leelasa-nguan, P1
Fujii, H1
Nakahama, H1
Yoshihara, F1
Nakamura, S1
Inenaga, T1
Kawano, Y1
Desai, AS1
Swedberg, K2
McMurray, JJ2
Granger, CB2
Yusuf, S2
Young, JB1
Dunlap, ME1
Solomon, SD2
Hainer, JW1
Olofsson, B2
Michelson, EL2
Pfeffer, MA2
Ripley, TL1
Chonlahan, JS1
Germany, RE1
Weir, RA1
Puu, M1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effects of Candesartan Cilexetil (Candesartan) on Diabetic Retinopathy in Type 1 Diabetic Patients Without Retinopathy.[NCT00252733]Phase 35,238 participants (Actual)Interventional2001-06-30Completed
Effects of Candesartan Cilexetil (Candesartan) on Diabetic Retinopathy in Type 2 Diabetic Patients With Retinopathy.[NCT00252694]Phase 34,717 participants (Actual)Interventional2001-08-31Completed
DIRECT: DIabetic Retinopathy Candesartan Trials. Effects of Candesartan Cilexetil (Candesartan) on Diabetic Retinopathy in Type 1 Diabetic Patients With Retinopathy.[NCT00252720]Phase 31,850 participants (Actual)Interventional2001-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participants With a 2-step or Greater Increase in Early Treatment Diabetic Retinopathy Study (ETDRS) Severity Scale.

Two steps were defined as either a 1-step change in each eye or as a 2-step change in one eye only. ETDRS is a scale with 11 steps (1-11, where a score of 1 represents no retinopathy and a score of 11 represents proliferative retinopathy). A generalized log-rank test was used to test difference between treatments. (NCT00252733)
Timeframe: From baseline to end of study, i.e. 5 years, with visits after a half year, one year and thereafter one visit per year.

InterventionParticipants (Number)
Candesartan178
Placebo217

Rate of Change in Urinary Albumin Excretion Rate (UAER).

An estimate of the slope from fitting a linear regression of log(UAER) over time for each patient. (NCT00252733)
Timeframe: From baseline to end of study, i.e. 5 years.

Interventionlog (µg/min)/year (Least Squares Mean)
Candesartan0.510
Placebo0.543

Number of Participants With a 3-step or Greater Increase in Early Treatment of Diabetic Retinopathy Study (EDTRS) Severity Scale

3 steps were defined as either a 1-step change in one eye and a 2-step change in the other eye or as a 3-step change in one eye only. EDRTS is a scale with 11 steps (1-11). A generlized log-rank test was used to test difference between treatments. (NCT00252694)
Timeframe: From baseline to end of study, i.e. 5 years, with visits after a half year, one year and thereafter one visit per year.

InterventionParticipants (Number)
Candesartan161
Placebo182

Number of Participants With at Least a 3 Step Improvement or a Persistent 2-step Improvement in the ETDRS Severity Scale.

3 steps were defined as either a 1-step change in one eye and a 2-step change in the other eye or as a 3-step change in one eye only. EDRTS is a scale with 11 steps (1-11). (NCT00252694)
Timeframe: From baseline to end of study, i.e. 5 years.

InterventionParticipants (Number)
Candesartan180
Placebo136

Number of Participants With Incident Clinically Significant Macular Edema (CSME) and/or Proliferative Diabetic Retinopathy (PDR).

Clinically Significant Macular Edema (CSME) and Proliferative Diabetic Retinopathy (PDR) are diagnosed via retinal photographs. (NCT00252694)
Timeframe: From baseline to end of study, i.e. 5 years.

InterventionParticipants (Number)
Candesartan192
Placebo193

Rate of Change in Urinary Albumin Excretion Rate (UAER).

An estimate of the slope from fitting a linear regression of log(UAER) over time (post-randomisation, yearly assessments) for each patient. (NCT00252694)
Timeframe: From Baseline to end of study, i.e. 5 years.

Interventionlog (µg/min)/1000 year (Least Squares Mean)
Candesartan656
Placebo718

Number of Participants With a 3-step or Greater Increase in Early Treatment of Diabetic Retinopathy Study (EDTRS) Severity Scale

Retinopathy progression was defined as the first occurrence of at least a 3-step increase in the ETDRS severity scale. 3 steps were defined as either a 1-step change in one eye and a 2-step change in the other eye or as a 3-step change in one eye only. EDRTS is a scale with 11 steps (1-11). A generlized log-rank test was used to test difference between treatments. (NCT00252720)
Timeframe: From baseline to end of study, i.e. 5 years, with visits after a half year, one year and thereafter one visit per year.

InterventionParticipants (Number)
Candesartan127
Placebo124

Number of Participants With a Regression of Diabetic Retinopathy.

Regression of diabetic retinopathy was defined as at least a 3 step improvement or a persistent 2-step improvement (confirmed in 2 consecutive photography sets) in the Early Treatment of Diabetic Retinopathy Study (ETDRS) severity scale. 3 steps were defined as either a 1-step change in one eye and a 2-step change in the other eye or as a 3-step change in one eye only. EDRTS is a scale with 11 steps (1-11). (NCT00252720)
Timeframe: From baseline to the end of the study, i.e., 5 years

InterventionParticipants (Number)
Candesartan140
Placebo139

Number of Participants With Incident Clinically Significant Macular Edema (CSME) and/or Proliferative Diabetic Retinopathy (PDR).

Clinically Significant Macular Edema (CSME) and Proliferative Diabetic Retinopathy (PDR) are diagnosed via retinal photographs. (NCT00252720)
Timeframe: From baseline to end of study, i.e. 5 years.

InterventionParticipants (Number)
Candesartan110
Placebo107

Rate of Change in Urinary Albumin Excretion Rate (UAER).

An estimate of the slope from fitting a linear regression of log (UAER) over time (post-randimisation, yearly assessments) for each patient (NCT00252720)
Timeframe: From baseline to end of study, i.e. 5 years.

Interventionlog (µg/min)/year (Least Squares Mean)
Candesartan0.569
Placebo0.642

Reviews

1 review available for candesartan and Hyperkalemia

ArticleYear
Candesartan in heart failure.
    Clinical interventions in aging, 2006, Volume: 1, Issue:4

    Topics: Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compounds; Death, Sudden; Heart Fa

2006

Trials

4 trials available for candesartan and Hyperkalemia

ArticleYear
Effect of candesartan on microalbuminuria and albumin excretion rate in diabetes: three randomized trials.
    Annals of internal medicine, 2009, Jul-07, Volume: 151, Issue:1

    Topics: Adult; Aged; Albuminuria; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compound

2009
Effect of candesartan on microalbuminuria and albumin excretion rate in diabetes: three randomized trials.
    Annals of internal medicine, 2009, Jul-07, Volume: 151, Issue:1

    Topics: Adult; Aged; Albuminuria; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compound

2009
Effect of candesartan on microalbuminuria and albumin excretion rate in diabetes: three randomized trials.
    Annals of internal medicine, 2009, Jul-07, Volume: 151, Issue:1

    Topics: Adult; Aged; Albuminuria; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compound

2009
Effect of candesartan on microalbuminuria and albumin excretion rate in diabetes: three randomized trials.
    Annals of internal medicine, 2009, Jul-07, Volume: 151, Issue:1

    Topics: Adult; Aged; Albuminuria; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compound

2009
Effect of candesartan on microalbuminuria and albumin excretion rate in diabetes: three randomized trials.
    Annals of internal medicine, 2009, Jul-07, Volume: 151, Issue:1

    Topics: Adult; Aged; Albuminuria; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compound

2009
Effect of candesartan on microalbuminuria and albumin excretion rate in diabetes: three randomized trials.
    Annals of internal medicine, 2009, Jul-07, Volume: 151, Issue:1

    Topics: Adult; Aged; Albuminuria; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compound

2009
Effect of candesartan on microalbuminuria and albumin excretion rate in diabetes: three randomized trials.
    Annals of internal medicine, 2009, Jul-07, Volume: 151, Issue:1

    Topics: Adult; Aged; Albuminuria; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compound

2009
Effect of candesartan on microalbuminuria and albumin excretion rate in diabetes: three randomized trials.
    Annals of internal medicine, 2009, Jul-07, Volume: 151, Issue:1

    Topics: Adult; Aged; Albuminuria; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compound

2009
Effect of candesartan on microalbuminuria and albumin excretion rate in diabetes: three randomized trials.
    Annals of internal medicine, 2009, Jul-07, Volume: 151, Issue:1

    Topics: Adult; Aged; Albuminuria; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compound

2009
Angiotensin receptor blocker therapy for heart failure patients: is combination treatment a feasible prospect?
    Clinical cardiology, 2009, Volume: 32, Issue:9

    Topics: Adult; Aged; Aged, 80 and over; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzy

2009
Effects of an ACE inhibitor or angiotensin receptor blocker on potassium in CAPD patients.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 2004, Volume: 44, Issue:4

    Topics: Adult; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitors; Benzimidaz

2004
Efficacy and tolerability of adding an angiotensin receptor blocker in patients with heart failure already receiving an angiotensin-converting inhibitor plus aldosterone antagonist, with or without a beta blocker. Findings from the Candesartan in Heart fa
    European journal of heart failure, 2008, Volume: 10, Issue:2

    Topics: Adrenergic beta-Antagonists; Aged; Angiotensin-Converting Enzyme Inhibitors; Benzimidazoles; Bipheny

2008

Other Studies

2 other studies available for candesartan and Hyperkalemia

ArticleYear
Life-threatening hyperkalemia during a combined therapy with the angiotensin receptor blocker candesartan and spironolactone.
    The Kobe journal of medical sciences, 2005, Volume: 51, Issue:1-2

    Topics: Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compounds; Diuretics; Drug Therapy

2005
Incidence and predictors of hyperkalemia in patients with heart failure: an analysis of the CHARM Program.
    Journal of the American College of Cardiology, 2007, Nov-13, Volume: 50, Issue:20

    Topics: Aged; Aged, 80 and over; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compounds

2007