Page last updated: 2024-10-24

candesartan and Pregnancy

candesartan has been researched along with Pregnancy in 20 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.

Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.

Research Excerpts

ExcerptRelevanceReference
" We report the experience from DIRECT (DIabetic REtinopathy and Candesartan Trials), three placebo-controlled studies designed to examine the effects of an ARB, candesartan, on diabetic retinopathy."9.15Exposure to candesartan during the first trimester of pregnancy in type 1 diabetes: experience from the placebo-controlled DIabetic REtinopathy Candesartan Trials. ( Bilous, R; Chaturvedi, N; Fuller, JH; Hainer, JW; Jansson, SO; Klein, R; Malm, A; Orchard, T; Parving, HH; Porta, M; Sjølie, AK, 2011)
"Schizophrenia is a severe mental disorder with complex etiopathogenesis."5.62Low-dose candesartan prevents schizophrenia-like behavioral alterations in a neurodevelopmental two-hit model of schizophrenia. ( da Silva, FER; de Lucena, DF; Dos Santos Júnior, MA; Lima, CNC; Macedo, DS; Medeiros, IDS; Monte, AS; Moreira Lima Neto, AB; Teixeira, AL; Vasconcelos, GS; Vasconcelos, SMM, 2021)
"Gestational hypertension was markedly improved by treatment of Candesartan compared with the control."5.48Candesartan targeting of angiotensin II type 1 receptor demonstrates benefits for hypertension in pregnancy via the NF‑κB signaling pathway. ( Wang, X; Zhao, X, 2018)
" We report the experience from DIRECT (DIabetic REtinopathy and Candesartan Trials), three placebo-controlled studies designed to examine the effects of an ARB, candesartan, on diabetic retinopathy."5.15Exposure to candesartan during the first trimester of pregnancy in type 1 diabetes: experience from the placebo-controlled DIabetic REtinopathy Candesartan Trials. ( Bilous, R; Chaturvedi, N; Fuller, JH; Hainer, JW; Jansson, SO; Klein, R; Malm, A; Orchard, T; Parving, HH; Porta, M; Sjølie, AK, 2011)
"Betamethasone is administered to accelerate lung development and improve survival of premature infants but may be associated with hypertension later in life."3.78Angiotensin-(1-7) deficiency and baroreflex impairment precede the antenatal Betamethasone exposure-induced elevation in blood pressure. ( Chappell, MC; Diz, DI; Rose, JC; Shaltout, HA, 2012)
"Schizophrenia is a severe mental disorder with complex etiopathogenesis."1.62Low-dose candesartan prevents schizophrenia-like behavioral alterations in a neurodevelopmental two-hit model of schizophrenia. ( da Silva, FER; de Lucena, DF; Dos Santos Júnior, MA; Lima, CNC; Macedo, DS; Medeiros, IDS; Monte, AS; Moreira Lima Neto, AB; Teixeira, AL; Vasconcelos, GS; Vasconcelos, SMM, 2021)
"Gestational hypertension was markedly improved by treatment of Candesartan compared with the control."1.48Candesartan targeting of angiotensin II type 1 receptor demonstrates benefits for hypertension in pregnancy via the NF‑κB signaling pathway. ( Wang, X; Zhao, X, 2018)
"A pregnant young woman with a severe migraine is prescribed candesartan, an angiotensin II type 1 receptor antagonist (AT II antagonists)."1.36Angiotensin II receptor antagonists against migraine in pregnancy: fatal outcome. ( Haaland, K, 2010)

Research

Studies (20)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's8 (40.00)29.6817
2010's9 (45.00)24.3611
2020's3 (15.00)2.80

Authors

AuthorsStudies
Neuper, L1
Kummer, D1
Forstner, D2
Guettler, J1
Ghaffari-Tabrizi-Wizsy, N1
Fischer, C2
Juch, H1
Nonn, O2
Gauster, M2
Geisberger, S1
El-Heliebi, A1
Kroneis, T1
Desoye, G1
Staff, AC1
Sugulle, M1
Dechend, R1
Pecks, U1
Kollmann, M1
Stern, C1
Cartwright, JE1
Whitley, GS1
Thilaganathan, B1
Wadsack, C1
Huppertz, B1
Herse, F1
Vasconcelos, GS1
Dos Santos Júnior, MA1
Monte, AS1
da Silva, FER1
Lima, CNC1
Moreira Lima Neto, AB1
Medeiros, IDS1
Teixeira, AL1
de Lucena, DF1
Vasconcelos, SMM1
Macedo, DS1
Zhao, X1
Wang, X1
Ishii, M1
Hattori, A1
Numaguchi, Y1
Ma, X1
Nagasaka, T1
Tsujimoto, M1
Murohara, T1
Kobayashi, H1
Mizutani, S1
Borthen, C1
Oglaend, B1
Eggebøe, T1
Ellingsen, CL1
Schjøtt, J1
Haaland, K1
Contag, SA1
Bi, J1
Chappell, MC3
Rose, JC3
Munk, PS1
von Brandis, P1
Larsen, AI1
Shaltout, HA2
Figueroa, JP1
Diz, DI2
Averill, DB1
Porta, M1
Hainer, JW1
Jansson, SO1
Malm, A1
Bilous, R1
Chaturvedi, N1
Fuller, JH1
Klein, R1
Orchard, T1
Parving, HH1
Sjølie, AK1
Hünseler, C1
Paneitz, A1
Friedrich, D1
Lindner, U1
Oberthuer, A1
Körber, F1
Schmitt, K1
Welzing, L1
Müller, A1
Herkenrath, P1
Hoppe, B1
Gortner, L1
Roth, B1
Kattner, E1
Schaible, T1
Schlaich, MP1
Cox, RM1
Anderson, JM1
Cox, P1
Cairns, MJ1
Burns, P1
Di Nicolantonio, R1
McKinley, MJ1
Mathai, ML1
Bald, M1
Holder, M1
Zieger, M1
Vochem, M1
Leichter, HE1
Simonetti, GD1
Baumann, T1
Pachlopnik, JM1
von Vigier, RO1
Bianchetti, MG1
Payen, V1
Chemin, A1
Jonville-Béra, AP1
Saliba, E1
Cantagrel, S1
Hinsberger, A1
Wingen, AM1
Hoyer, PF1

Clinical Trials (5)

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
Pediatric Hypertension and the Renin-Angiotensin SystEm (PHRASE): The Role of Angiotensin-(1-7) in Hypertension and Hypertension-Induced Heart and Kidney Damage[NCT04752293]125 participants (Anticipated)Observational2021-05-19Recruiting
The Role of the Renin-Angiotensin System in Pediatric Primary Hypertension (PHRAS)[NCT03310684]160 participants (Anticipated)Observational2018-12-03Active, not recruiting
[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 Pregnancy

ArticleYear
[Fetal toxicity of angiotensin-II receptor antagonists].
    Journal de gynecologie, obstetrique et biologie de la reproduction, 2006, Volume: 35, Issue:7

    Topics: Acute Kidney Injury; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compounds; Fe

2006

Trials

1 trial available for candesartan and Pregnancy

ArticleYear
Exposure to candesartan during the first trimester of pregnancy in type 1 diabetes: experience from the placebo-controlled DIabetic REtinopathy Candesartan Trials.
    Diabetologia, 2011, Volume: 54, Issue:6

    Topics: Abnormalities, Drug-Induced; Adolescent; Adult; Angiotensin Receptor Antagonists; Benzimidazoles; Bi

2011
Exposure to candesartan during the first trimester of pregnancy in type 1 diabetes: experience from the placebo-controlled DIabetic REtinopathy Candesartan Trials.
    Diabetologia, 2011, Volume: 54, Issue:6

    Topics: Abnormalities, Drug-Induced; Adolescent; Adult; Angiotensin Receptor Antagonists; Benzimidazoles; Bi

2011
Exposure to candesartan during the first trimester of pregnancy in type 1 diabetes: experience from the placebo-controlled DIabetic REtinopathy Candesartan Trials.
    Diabetologia, 2011, Volume: 54, Issue:6

    Topics: Abnormalities, Drug-Induced; Adolescent; Adult; Angiotensin Receptor Antagonists; Benzimidazoles; Bi

2011
Exposure to candesartan during the first trimester of pregnancy in type 1 diabetes: experience from the placebo-controlled DIabetic REtinopathy Candesartan Trials.
    Diabetologia, 2011, Volume: 54, Issue:6

    Topics: Abnormalities, Drug-Induced; Adolescent; Adult; Angiotensin Receptor Antagonists; Benzimidazoles; Bi

2011
Exposure to candesartan during the first trimester of pregnancy in type 1 diabetes: experience from the placebo-controlled DIabetic REtinopathy Candesartan Trials.
    Diabetologia, 2011, Volume: 54, Issue:6

    Topics: Abnormalities, Drug-Induced; Adolescent; Adult; Angiotensin Receptor Antagonists; Benzimidazoles; Bi

2011
Exposure to candesartan during the first trimester of pregnancy in type 1 diabetes: experience from the placebo-controlled DIabetic REtinopathy Candesartan Trials.
    Diabetologia, 2011, Volume: 54, Issue:6

    Topics: Abnormalities, Drug-Induced; Adolescent; Adult; Angiotensin Receptor Antagonists; Benzimidazoles; Bi

2011
Exposure to candesartan during the first trimester of pregnancy in type 1 diabetes: experience from the placebo-controlled DIabetic REtinopathy Candesartan Trials.
    Diabetologia, 2011, Volume: 54, Issue:6

    Topics: Abnormalities, Drug-Induced; Adolescent; Adult; Angiotensin Receptor Antagonists; Benzimidazoles; Bi

2011
Exposure to candesartan during the first trimester of pregnancy in type 1 diabetes: experience from the placebo-controlled DIabetic REtinopathy Candesartan Trials.
    Diabetologia, 2011, Volume: 54, Issue:6

    Topics: Abnormalities, Drug-Induced; Adolescent; Adult; Angiotensin Receptor Antagonists; Benzimidazoles; Bi

2011
Exposure to candesartan during the first trimester of pregnancy in type 1 diabetes: experience from the placebo-controlled DIabetic REtinopathy Candesartan Trials.
    Diabetologia, 2011, Volume: 54, Issue:6

    Topics: Abnormalities, Drug-Induced; Adolescent; Adult; Angiotensin Receptor Antagonists; Benzimidazoles; Bi

2011

Other Studies

18 other studies available for candesartan and Pregnancy

ArticleYear
Candesartan Does Not Activate PPARγ and Its Target Genes in Early Gestation Trophoblasts.
    International journal of molecular sciences, 2022, Oct-14, Volume: 23, Issue:20

    Topics: Angiotensin II; Female; Humans; Placenta; Placentation; PPAR gamma; Pregnancy; Receptor, Angiotensin

2022
Maternal Angiotensin Increases Placental Leptin in Early Gestation via an Alternative Renin-Angiotensin System Pathway: Suggesting a Link to Preeclampsia.
    Hypertension (Dallas, Tex. : 1979), 2021, 05-05, Volume: 77, Issue:5

    Topics: Angiotensin II; Angiotensin II Type 1 Receptor Blockers; Angiotensins; Benzimidazoles; Biphenyl Comp

2021
Low-dose candesartan prevents schizophrenia-like behavioral alterations in a neurodevelopmental two-hit model of schizophrenia.
    Progress in neuro-psychopharmacology & biological psychiatry, 2021, 12-20, Volume: 111

    Topics: Angiotensin II Type 1 Receptor Blockers; Animals; Benzimidazoles; Biphenyl Compounds; Disease Models

2021
Candesartan targeting of angiotensin II type 1 receptor demonstrates benefits for hypertension in pregnancy via the NF‑κB signaling pathway.
    Molecular medicine reports, 2018, Volume: 18, Issue:1

    Topics: Animals; Benzimidazoles; Biphenyl Compounds; Endothelial Cells; Female; Humans; Hypertension, Pregna

2018
The effect of recombinant aminopeptidase A (APA) on hypertension in pregnant spontaneously hypertensive rats (SHRs).
    Early human development, 2009, Volume: 85, Issue:9

    Topics: Angiotensin Receptor Antagonists; Animals; Antihypertensive Agents; Benzimidazoles; Biphenyl Compoun

2009
Warnings against candesartan in pregnancy are not implemented in physicians' practice.
    European journal of obstetrics, gynecology, and reproductive biology, 2009, Volume: 146, Issue:2

    Topics: Adult; Angiotensin II Type 1 Receptor Blockers; Antihypertensive Agents; Benzimidazoles; Biphenyl Co

2009
Angiotensin II receptor antagonists against migraine in pregnancy: fatal outcome.
    The journal of headache and pain, 2010, Volume: 11, Issue:2

    Topics: Abnormalities, Drug-Induced; Adult; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting

2010
Developmental effect of antenatal exposure to betamethasone on renal angiotensin II activity in the young adult sheep.
    American journal of physiology. Renal physiology, 2010, Volume: 298, Issue:4

    Topics: Angiotensin II; Angiotensin II Type 1 Receptor Blockers; Angiotensin II Type 2 Receptor Blockers; An

2010
Reversible fetal renal failure after maternal treatment with Candesartan: a case report.
    Reproductive toxicology (Elmsford, N.Y.), 2010, Volume: 29, Issue:3

    Topics: Adult; Amniotic Fluid; Antihypertensive Agents; Benzimidazoles; Biphenyl Compounds; Creatinine; Fema

2010
Acute AT(1)-receptor blockade reverses the hemodynamic and baroreflex impairment in adult sheep exposed to antenatal betamethasone.
    American journal of physiology. Heart and circulatory physiology, 2010, Volume: 299, Issue:2

    Topics: Age Factors; Angiotensin II Type 1 Receptor Blockers; Animals; Antihypertensive Agents; Baroreflex;

2010
Angiotensin II receptor blocker induced fetopathy: 7 cases.
    Klinische Padiatrie, 2011, Volume: 223, Issue:1

    Topics: Abnormalities, Drug-Induced; Adult; Angiotensin II Type 1 Receptor Blockers; Antihypertensive Agents

2011
Angiotensin receptor blockade in diabetic women of childbearing potential: an acceptable risk?
    Diabetologia, 2011, Volume: 54, Issue:6

    Topics: Abnormalities, Drug-Induced; Angiotensin Receptor Antagonists; Benzimidazoles; Biphenyl Compounds; D

2011
Angiotensin-(1-7) deficiency and baroreflex impairment precede the antenatal Betamethasone exposure-induced elevation in blood pressure.
    Hypertension (Dallas, Tex. : 1979), 2012, Volume: 59, Issue:2

    Topics: Angiotensin I; Angiotensin II Type 1 Receptor Blockers; Animals; Animals, Newborn; Baroreflex; Benzi

2012
Angiotensin-(1-7) deficiency and baroreflex impairment precede the antenatal Betamethasone exposure-induced elevation in blood pressure.
    Hypertension (Dallas, Tex. : 1979), 2012, Volume: 59, Issue:2

    Topics: Angiotensin I; Angiotensin II Type 1 Receptor Blockers; Animals; Animals, Newborn; Baroreflex; Benzi

2012
Angiotensin-(1-7) deficiency and baroreflex impairment precede the antenatal Betamethasone exposure-induced elevation in blood pressure.
    Hypertension (Dallas, Tex. : 1979), 2012, Volume: 59, Issue:2

    Topics: Angiotensin I; Angiotensin II Type 1 Receptor Blockers; Animals; Animals, Newborn; Baroreflex; Benzi

2012
Angiotensin-(1-7) deficiency and baroreflex impairment precede the antenatal Betamethasone exposure-induced elevation in blood pressure.
    Hypertension (Dallas, Tex. : 1979), 2012, Volume: 59, Issue:2

    Topics: Angiotensin I; Angiotensin II Type 1 Receptor Blockers; Animals; Animals, Newborn; Baroreflex; Benzi

2012
Defective embryogenesis with angiotensin II receptor antagonists in pregnancy.
    BJOG : an international journal of obstetrics and gynaecology, 2003, Volume: 110, Issue:11

    Topics: Abnormalities, Drug-Induced; Abnormalities, Multiple; Adult; Angiotensin Receptor Antagonists; Antih

2003
Influence of brain angiotensin on thermoregulation and hydromineral balance during pregnancy in rats.
    Journal of applied physiology (Bethesda, Md. : 1985), 2005, Volume: 98, Issue:5

    Topics: Angiotensins; Animals; Benzimidazoles; Biphenyl Compounds; Body Fluid Compartments; Body Temperature

2005
Increased renal echogenicity in a preterm neonate. Kidneys with tubular dysplasia due to exposure to candesartan during pregnancy.
    Pediatric nephrology (Berlin, Germany), 2005, Volume: 20, Issue:11

    Topics: Angiotensin II Type 1 Receptor Blockers; Antihypertensive Agents; Benzimidazoles; Biphenyl Compounds

2005
Non-lethal fetal toxicity of the angiotensin receptor blocker candesartan.
    Pediatric nephrology (Berlin, Germany), 2006, Volume: 21, Issue:9

    Topics: Adult; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compounds; Child, Preschool

2006
Angiotensin-II-receptor inhibitors in pregnancy.
    Lancet (London, England), 2001, May-19, Volume: 357, Issue:9268

    Topics: Abnormalities, Drug-Induced; Acute Kidney Injury; Adult; Antihypertensive Agents; Benzimidazoles; Bi

2001