losartan has been researched along with Chronic Lung Injury in 4 studies
Losartan: An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II.
losartan : A biphenylyltetrazole where a 1,1'-biphenyl group is attached at the 5-position and has an additional trisubstituted imidazol-1-ylmethyl group at the 4'-position
Excerpt | Relevance | Reference |
---|---|---|
"AII type 1 receptor blockade mitigates lung injury in preclinical models, although data in humans with COVID-19 remain mixed." | 3.11 | Efficacy of Losartan in Hospitalized Patients With COVID-19-Induced Lung Injury: A Randomized Clinical Trial. ( Benoit, JL; Biros, MH; Black, LP; Cherabuddi, K; Chipman, JG; Driver, BE; Farhat, J; Fletcher, CV; Guirgis, FW; Ingraham, NE; Jones, AE; Koopmeiners, JS; Lewandowski, C; Merck, LH; Murray, TA; Puskarich, MA; Schacker, TW; South, AM; Tignanelli, CJ; Voelker, HT; Wacker, DA, 2022) |
"Losartan attenuated lung injury by alleviation of the inflammation and cell apoptosis by inhibition of LOX-1 in LPS-induced lung injury." | 1.42 | Losartan attenuated lipopolysaccharide-induced lung injury by suppression of lectin-like oxidized low-density lipoprotein receptor-1. ( Deng, J; Deng, W; Deng, Y; Wang, DX; Zhang, T, 2015) |
"Treatment with LOS improved lung injury in an endotoxin shock model system by an anti-inflammatory action that inhibits reduction of ACE2." | 1.35 | Antagonist of the type-1 ANG II receptor prevents against LPS-induced septic shock in rats. ( Hagiwara, S; Hasegawa, A; Hidaka, S; Iwasaka, H; Koga, H; Noguchi, T, 2009) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 0 (0.00) | 18.2507 |
2000's | 2 (50.00) | 29.6817 |
2010's | 1 (25.00) | 24.3611 |
2020's | 1 (25.00) | 2.80 |
Authors | Studies |
---|---|
Puskarich, MA | 1 |
Ingraham, NE | 1 |
Merck, LH | 1 |
Driver, BE | 1 |
Wacker, DA | 1 |
Black, LP | 1 |
Jones, AE | 1 |
Fletcher, CV | 1 |
South, AM | 1 |
Murray, TA | 1 |
Lewandowski, C | 1 |
Farhat, J | 1 |
Benoit, JL | 1 |
Biros, MH | 1 |
Cherabuddi, K | 1 |
Chipman, JG | 1 |
Schacker, TW | 1 |
Guirgis, FW | 1 |
Voelker, HT | 1 |
Koopmeiners, JS | 1 |
Tignanelli, CJ | 1 |
Deng, W | 1 |
Deng, Y | 1 |
Deng, J | 1 |
Wang, DX | 1 |
Zhang, T | 1 |
Zhuang, JJ | 1 |
Li, XP | 1 |
Uhal, BD | 1 |
Yian, KR | 1 |
Hagiwara, S | 1 |
Iwasaka, H | 1 |
Hidaka, S | 1 |
Hasegawa, A | 1 |
Koga, H | 1 |
Noguchi, T | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
Randomized Controlled Trial of Losartan for Patients With COVID-19 Requiring Hospitalization[NCT04312009] | Phase 2 | 205 participants (Actual) | Interventional | 2020-04-13 | Completed | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
Outcome reported as the number of participants who have expired at 28 days post enrollment. (NCT04312009)
Timeframe: 28 days
Intervention | proportion of participants (Number) |
---|---|
Placebo | 0.087 |
Losartan | 0.11 |
Outcome reported as the number of participants who have expired at 90 days post enrollment. (NCT04312009)
Timeframe: 90 days
Intervention | proportion of participants (Number) |
---|---|
Placebo | 0.106 |
Losartan | 0.11 |
Nasopharyngeal swabs will be collected at baseline and day 15. Viral load is measured as number of viral genetic copies per mL. (NCT04312009)
Timeframe: 15 days
Intervention | log10 copies/mL (Mean) |
---|---|
Placebo | -4.2 |
Losartan | -4.8 |
Outcome reported as the mean number of daily hypotensive episodes (MAP < 65 mmHg) prompting intervention (indicated by a fluid bolus >=500 mL) per participant in each arm. (NCT04312009)
Timeframe: 10 days
Intervention | episodes per day (Mean) |
---|---|
Placebo | 0.048 |
Losartan | 0.119 |
Outcome calculated from the partial pressure of oxygen or peripheral saturation of oxygen by pulse oximetry divided by the fraction of inspired oxygen (PaO2 or SaO2 : FiO2 ratio). PaO2 is preferentially used if available. A correction is applied for endotracheal intubation and/or positive end-expiratory pressure. Patients discharged prior to day 7 will have a home pulse oximeter send home for measurement of the day 7 value, and will be adjusted for home O2 use, if applicable. Patients who died will be applied a penalty with a P/F ratio of 0. (NCT04312009)
Timeframe: 7 days
Intervention | ratio (Mean) |
---|---|
Placebo | 281.4 |
Losartan | 260.9 |
Outcome reported as the number of participants in each arm who fall into each of 7 categories. Lower scores indicate greater condition severity. The ordinal scale is an assessment of the clinical status at the first assessment of a given study day. The scale is as follows: 1) Death; 2) Hospitalized, on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO); 3) Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4) Hospitalized, requiring supplemental oxygen; 5) Hospitalized, not requiring supplemental oxygen; 6) Not hospitalized, limitation on activities; 7) Not hospitalized, no limitations on activities. (NCT04312009)
Timeframe: 28 days
Intervention | score (Mean) |
---|---|
Placebo | 4.3 |
Losartan | 4.2 |
Outcome reported as the number of participants in each arm who require admission to the Intensive Care Unit (ICU). (NCT04312009)
Timeframe: 10 days
Intervention | proportion of participants (Number) |
---|---|
Placebo | 0.272 |
Losartan | 0.36 |
Outcome reported as the mean length of in-patient hospital stay (in days) for participants in each arm. (NCT04312009)
Timeframe: 90 days
Intervention | days (Median) |
---|---|
Placebo | 5.9 |
Losartan | 7.1 |
Outcome reported as the mean number of days participants in each arm did not require therapeutic oxygen usage during an in-patient hospital admission. (NCT04312009)
Timeframe: 28 days
Intervention | days (Mean) |
---|---|
Placebo | 24.6 |
Losartan | 23.6 |
Outcome reported as the mean number of days participants in each arm did not require vasopressor usage during an in-patient hospital admission. (NCT04312009)
Timeframe: 10 days
Intervention | days (Mean) |
---|---|
Placebo | 9.4 |
Losartan | 8.7 |
Outcome reported as the mean number of days participants in each arm did not require mechanical ventilation during an in-patient hospital admission. (NCT04312009)
Timeframe: 28 days
Intervention | days (Mean) |
---|---|
Placebo | 18.4 |
Losartan | 18.1 |
Oxygen saturation (percent) is measured by pulse oximeter. Fraction of inspired oxygen (FiO2) (unitless) is the volumetric fraction of oxygen to other gases in respiratory support. The S/F ratio is unitless. (NCT04312009)
Timeframe: 7 days
Intervention | n/a (ratio) (Mean) |
---|---|
Placebo | 357.4 |
Losartan | 331.5 |
"Outcome reported as the number of participants in each arm who experience acute kidney injury as defined by the Kidney Disease Improving Global Outcomes (KDIGO) guidelines:~Increase in serum creatinine by 0.3mg/dL or more within 48 hours OR Increase in serum creatinine to 1.5 times baseline or more within the last 7 days OR Urine output less than 0.5 mL/kg/h for 6 hours." (NCT04312009)
Timeframe: 10 days
Intervention | proportion of participants (Number) |
---|---|
Placebo | 0.106 |
Losartan | 0.119 |
Outcome reported as the number of participants in each arm requiring the use of vasopressors for hypotension. (NCT04312009)
Timeframe: 10 days
Intervention | proportion of participants (Number) |
---|---|
Placebo | 0.106 |
Losartan | 0.198 |
1 trial available for losartan and Chronic Lung Injury
Article | Year |
---|---|
Efficacy of Losartan in Hospitalized Patients With COVID-19-Induced Lung Injury: A Randomized Clinical Trial.
Topics: Adult; Aged; Angiotensin II Type 1 Receptor Blockers; COVID-19; COVID-19 Drug Treatment; Double-Blin | 2022 |
3 other studies available for losartan and Chronic Lung Injury
Article | Year |
---|---|
Losartan attenuated lipopolysaccharide-induced lung injury by suppression of lectin-like oxidized low-density lipoprotein receptor-1.
Topics: Angiotensin II Type 1 Receptor Blockers; Animals; Anti-Inflammatory Agents; Apoptosis; Bronchoalveol | 2015 |
Apoptosis-dependent acute pulmonary injury after intratracheal instillation of angiotensin II.
Topics: Amino Acid Chloromethyl Ketones; Angiotensin II; Angiotensin II Type 1 Receptor Blockers; Animals; A | 2008 |
Antagonist of the type-1 ANG II receptor prevents against LPS-induced septic shock in rats.
Topics: Angiotensin II Type 1 Receptor Blockers; Animals; Cytokines; Enzyme-Linked Immunosorbent Assay; HMGB | 2009 |