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hydrochlorothiazide and Glucose Intolerance

hydrochlorothiazide has been researched along with Glucose Intolerance in 5 studies

Hydrochlorothiazide: A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism.
hydrochlorothiazide : A benzothiadiazine that is 3,4-dihydro-2H-1,2,4-benzothiadiazine 1,1-dioxide substituted by a chloro group at position 6 and a sulfonamide at 7. It is diuretic used for the treatment of hypertension and congestive heart failure.

Glucose Intolerance: A pathological state in which BLOOD GLUCOSE level is less than approximately 140 mg/100 ml of PLASMA at fasting, and above approximately 200 mg/100 ml plasma at 30-, 60-, or 90-minute during a GLUCOSE TOLERANCE TEST. This condition is seen frequently in DIABETES MELLITUS, but also occurs with other diseases and MALNUTRITION.

Research Excerpts

ExcerptRelevanceReference
"The combination of amiloride with hydrochlorothiazide, at doses equipotent on blood pressure, prevents glucose intolerance and improves control of blood pressure compared with montherapy with either drug."5.22Effect of amiloride, or amiloride plus hydrochlorothiazide, versus hydrochlorothiazide on glucose tolerance and blood pressure (PATHWAY-3): a parallel-group, double-blind randomised phase 4 trial. ( Brown, MJ; Caulfield, MJ; Cruickshank, JK; Ford, I; MacDonald, TM; Mackenzie, IS; McInnes, G; Morant, SV; Padmanabhan, S; Salsbury, J; Sever, P; Webb, DJ; Williams, B, 2016)
" The authors investigated the effects of varying doses of hydrochlorothiazide (HCTZ) on arterial elasticity and metabolic parameters in patients with hypertension (HTN), HTN and impaired fasting glucose (HTN+IFG), and HTN and type 2 diabetes mellitus (HTN+DM)."3.74Treatment of hypertension with thiazides: benefit or damage-effect of low- and high-dose thiazide diuretics on arterial elasticity and metabolic parameters in hypertensive patients with and without glucose intolerance. ( Asherov, J; Boaz, M; Davidovitz, I; Gavish, D; Shargorodsky, M; Zimlichman, R, 2007)

Research

Studies (5)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (20.00)18.2507
2000's1 (20.00)29.6817
2010's3 (60.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Moore, MJ1
Gong, Y1
Hou, W1
Hall, K1
Schmidt, SO1
Curry, RW1
Beitelshees, AL1
Chapman, A1
Turner, ST1
Schwartz, GL1
Bailey, K1
Boerwinkle, E1
Gums, JG1
Cooper-DeHoff, RM1
Johnson, JA1
Brown, MJ2
Williams, B2
MacDonald, TM2
Caulfield, M1
Cruickshank, JK2
McInnes, G2
Sever, P2
Webb, DJ2
Salsbury, J2
Morant, S1
Ford, I2
Morant, SV1
Caulfield, MJ1
Mackenzie, IS1
Padmanabhan, S1
Shargorodsky, M1
Boaz, M1
Davidovitz, I1
Asherov, J1
Gavish, D1
Zimlichman, R1
Byington, RP1
Craven, TE1
Furberg, CD1
Pahor, M1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Pharmacogenomic Evaluation of Antihypertensive Responses (PEAR)[NCT00246519]Phase 41,701 participants (Actual)Interventional2005-10-31Completed
Comparison of Single and Combination Diuretics in Low-Renin Hypertension[NCT02351973]Phase 4423 participants (Actual)Interventional2009-11-30Active, not recruiting
A Randomized, 32 Week Double-blind, Parallel-group, Multicenter Study to Compare the Efficacy and Safety of Initiating Treatment With Combination (Aliskiren/Amlodipine) Therapy in Comparison With the Sequential add-on Treatment Strategies in Patients With[NCT00797862]Phase 31,254 participants (Actual)Interventional2008-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Blood Pressure Response (Delta BP (After 18 Weeks of Medication - Baseline)).

(NCT00246519)
Timeframe: baseline to 18 weeks of treatment

InterventionmmHg (Mean)
Atenolol +HCTZ Arm-12.06
HCTZ + Atenolol-13.33

Change From Baseline in Mean Sitting Diastolic Blood Pressure (msDBP) at Week 24

Diastolic Blood pressure was measured in a sitting position using a validated automated blood pressure monitor (the Omron device) according to Guidelines of the British Hypertension Society, at Baseline and 24 weeks of study treatment. Analysis used a repeated measures ANCOVA model with treatment, visit and region, as factors, treatment by visit interaction and baseline msDBP as a covariate. (NCT00797862)
Timeframe: Baseline to 24 weeks

InterventionmmHg (Least Squares Mean)
Aliskiren+Amlodipine-13.64
Aliskiren Start-Amlodipine Add On-13.22
Amlodipine Start-Aliskiren Add On-12.25

Change From Baseline in Mean Sitting Diastolic Blood Pressure (msDBP) at Week 32

Diastolic Blood Pressure was measured in a sitting position using a validated automated blood pressure monitor (the Omron device) according to Guidelines of the British Hypertension Society, at Baseline and 32 weeks of study treatment. Change at Week 32 used a separate repeated measures ANCOVA model containing Week 8, 16, 24 and 32 data. Treatment, visit and region were factors in the model, treatment by visit interaction and baseline msDBP a covariate. (NCT00797862)
Timeframe: Baseline to 32 weeks

InterventionmmHg (Least Squares Mean)
Aliskiren+Amlodipine-12.96
Aliskiren Start-Amlodipine Add On-12.96
Amlodipine Start-Aliskiren Add On-11.62

Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP) at Week 24

Systolic Blood pressure was measured in a sitting position using a validated automated blood pressure monitor (the Omron device) according to Guidelines of the British Hypertension Society, at Baseline and 24 weeks of study treatment. Analysis used a repeated measures ANCOVA model with treatment, visit and region as factors, treatment by visit interaction and baseline msSBP as a covariate. (NCT00797862)
Timeframe: Baseline to 24 weeks

InterventionmmHg (Least Squares Mean)
Aliskiren+Amlodipine-27.37
Aliskiren Start-Amlodipine Add On-26.34
Amlodipine Start-Aliskiren Add On-25.52

Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP) at Week 32

Systolic Blood pressure was measured in a sitting position using a validated automated blood pressure monitor (the Omron device) according to Guidelines of the British Hypertension Society, at Baseline and 32 weeks of study treatment. Change at week 32 used a separate repeated measures ANCOVA model containing Week 8, 16, 24 & 32 data. Treatment, visit and region were factors in the model, treatment by visit interaction and baseline msSBP was a covariate. (NCT00797862)
Timeframe: Baseline to 32 weeks

InterventionmmHg (Least Squares Mean)
Aliskiren+Amlodipine-26.42
Aliskiren Start-Amlodipine Add On-25.75
Amlodipine Start-Aliskiren Add On-24.32

Overall Mean Change From Baseline in Mean Sitting Diastolic Blood Pressure (msDBP) Over 8, 16, and 24 Weeks

Diastolic Blood pressure was measured in a sitting position using a validated automated blood pressure monitor (the Omron device) according to Guidelines of the British Hypertension Society, at Baseline and over 8, 16 and 24 weeks of study treatment. The overall mean change in msDBP from baseline was estimated over three time points: Week 8, Week 16, and Week 24. Analysis used a repeated measures ANCOVA model with treatment, visit and regions as factors, treatment by visit interaction and baseline msDBP as a covariate. (NCT00797862)
Timeframe: Baseline, 8 weeks, 16 weeks and 24 weeks

InterventionmmHg (Least Squares Mean)
Aliskiren+Amlodipine-12.39
Aliskiren Start-Amlodipine Add On-8.37
Amlodipine Start-Aliskiren Add On-9.02

Overall Mean Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP) Over 8, 16 and 24 Weeks

Systolic Blood Pressure was measured in a sitting position using a validated automated blood pressure monitor (the Omron device) according to Guidelines of the British Hypertension Society, at Baseline and over 8, 16 and 24 weeks of study treatment. The overall mean change in msSBP from baseline was estimated over three time points: Week 8, Week 16, and Week 24. Analysis used a repeated measures Analysis of Covariance (ANCOVA) model with treatment, visit, and region as factors, treatment by visit interaction and baseline msSBP as a covariate. (NCT00797862)
Timeframe: Baseline, 8 weeks, 16 weeks, and 24 weeks

InterventionmmHg (Least Squares Mean)
Aliskiren+Amlodipine-25.34
Aliskiren Start-Amlodipine Add On-17.94
Amlodipine Start-Aliskiren Add On-19.81

Percentage of Participants Achieving Overall Blood Pressure Control at 8, 16, 24 and 32 Weeks Endpoints

Systolic & Diastolic Blood Pressure were measured in a sitting position using a validated automated blood pressure monitor (the Omron device) according to Guidelines of the British Hypertension Society, at Baseline and after 8, 16 , 24 and 32 weeks. Outcome is reported as percentage of participants achieving overall blood pressure control (msSBP <140 mmHg and msDBP <90 mmHg) at weeks 8, 16, 24 & 32 endpoints. (NCT00797862)
Timeframe: Baseline to week 8, 16, 24 and 32 endpoints

,,
InterventionPercentage of Participants (Number)
Week 8 endpointWeek 16 endpointWeek 24 endpointWeek 32 endpoint
Aliskiren Start-Amlodipine Add On22.833.362.859.0
Aliskiren+Amlodipine46.565.963.461.6
Amlodipine Start-Aliskiren Add On25.240.957.853.4

Trials

4 trials available for hydrochlorothiazide and Glucose Intolerance

ArticleYear
Predictors for glucose change in hypertensive participants following short-term treatment with atenolol or hydrochlorothiazide.
    Pharmacotherapy, 2014, Volume: 34, Issue:11

    Topics: Adrenergic beta-1 Receptor Antagonists; Adult; Antihypertensive Agents; Atenolol; Blood Glucose; Coh

2014
Comparison of single and combination diuretics on glucose tolerance (PATHWAY-3): protocol for a randomised double-blind trial in patients with essential hypertension.
    BMJ open, 2015, Aug-07, Volume: 5, Issue:8

    Topics: Adolescent; Adult; Aged; Amiloride; Blood Glucose; Blood Pressure; Clinical Protocols; Diuretics; Do

2015
Effect of amiloride, or amiloride plus hydrochlorothiazide, versus hydrochlorothiazide on glucose tolerance and blood pressure (PATHWAY-3): a parallel-group, double-blind randomised phase 4 trial.
    The lancet. Diabetes & endocrinology, 2016, Volume: 4, Issue:2

    Topics: Aged; Amiloride; Diuretics; Double-Blind Method; Female; Glucose Intolerance; Humans; Hydrochlorothi

2016
Isradipine, raised glycosylated haemoglobin, and risk of cardiovascular events.
    Lancet (London, England), 1997, Oct-11, Volume: 350, Issue:9084

    Topics: Arteriosclerosis; Blood Glucose; Calcium Channel Blockers; Cardiovascular Diseases; Carotid Artery D

1997

Other Studies

1 other study available for hydrochlorothiazide and Glucose Intolerance

ArticleYear
Treatment of hypertension with thiazides: benefit or damage-effect of low- and high-dose thiazide diuretics on arterial elasticity and metabolic parameters in hypertensive patients with and without glucose intolerance.
    Journal of the cardiometabolic syndrome, 2007,Winter, Volume: 2, Issue:1

    Topics: Arteries; Blood Pressure; Diabetes Mellitus, Type 2; Diuretics; Elasticity; Female; Glucose Intolera

2007