Page last updated: 2024-10-30

losartan and Coronary Disease

losartan has been researched along with Coronary Disease in 23 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

Coronary Disease: An imbalance between myocardial functional requirements and the capacity of the CORONARY VESSELS to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels.

Research Excerpts

ExcerptRelevanceReference
"To evaluate effects of 6-month therapy with losartan in combination with indapamide on a clinical course, immunological, metabolic parameters, left ventricular function, exercise tolerance and quality of life in patients with coronary heart disease (CHD) associated with metabolic syndrome (MS)."9.14[Immunomodulating, metabolic and cardioprotective effects of AT1-angiotensin receptors blocker losartan in patients with coronary heart disease and type 2 diabetes mellitus]. ( Bolotskaia, LA; Derbeneva, NV; Frants, MV; Kuznetsova, AV; Lukinov, AV; Maianskaia, SD; Shilov, SN; Stepacheva, TA; Tepliakov, AT; Vdovina, TV, 2009)
" In patients with coronary disease, endothelium-bound XO activity as determined by ESR spectroscopy and endothelium-dependent vasodilation were analyzed before and after 4 weeks of treatment with the AT1-receptor blocker losartan, the XO inhibitor allopurinol, or placebo."7.74Angiotensin II induces endothelial xanthine oxidase activation: role for endothelial dysfunction in patients with coronary disease. ( Drexler, H; Fischer, D; Landmesser, U; Manes, C; Mueller, M; Preuss, C; Sorrentino, S; Spiekermann, S, 2007)
"The purpose of the present study was to evaluate the effects of losartan and the combination of losartan and L-arginine on endothelial function and hemodynamic variables in patients with heart failure (HF)."7.73Effects of losartan + L-arginine on nitric oxide production, endothelial cell function, and hemodynamic variables in patients with heart failure secondary to coronary heart disease. ( Bykhovsy, E; Chernihovsky, T; Keren, G; Koifman, B; Megidish, R; Topilski, I; Zelmanovich, L, 2006)
"Only quinapril was associated with significant improvement in FMD, and this response is related to the presence of the insertion allele of the ACE genotype."6.69Comparative study of ACE-inhibition, angiotensin II antagonism, and calcium channel blockade on flow-mediated vasodilation in patients with coronary disease (BANFF study) ( Anderson, TJ; Charbonneau, F; Elstein, E; Haber, H, 2000)
"To evaluate effects of 6-month therapy with losartan in combination with indapamide on a clinical course, immunological, metabolic parameters, left ventricular function, exercise tolerance and quality of life in patients with coronary heart disease (CHD) associated with metabolic syndrome (MS)."5.14[Immunomodulating, metabolic and cardioprotective effects of AT1-angiotensin receptors blocker losartan in patients with coronary heart disease and type 2 diabetes mellitus]. ( Bolotskaia, LA; Derbeneva, NV; Frants, MV; Kuznetsova, AV; Lukinov, AV; Maianskaia, SD; Shilov, SN; Stepacheva, TA; Tepliakov, AT; Vdovina, TV, 2009)
" The following issues are reported in detail: (1) significance of statins, inhibition of platelet aggregation and vitamins in primary and secondary prevention of cardiovascular disease, (2) comparison of the angiotensin receptor blocker losartan and the beta-blocker atenolol in hypertension (LIFE study), (3) magnetic resonance angiography for the detection of coronary stenoses, (4) advantages and disadvantages of operative and interventional coronary revascularization considering elderly patients and sirolimus-eluting stents, and (5) efficacy of glycoprotein IIb/IIIa inhibition and low molecular weight heparin in acute myocardial infarction."4.82[From risk factors to symptomatic coronary artery disease. Update cardiology 2001/2002--part I]. ( Böhm, M; Fries, R, 2003)
"Through investigating the effect of the angiotensin receptor blocker (ARB) losartan on the number of endothelial progenitor cells (EPCs) and blood flow-mediated endothelium-dependent function (FMD) in the peripheral blood of patients with coronary heart disease (CHD), we found that FMD was improved and the number of circulating EPCs increased in the ARB treatment group (P <0."3.79Effects of losartan on the mobilization of endothelial progenitor cells and improvement of endothelial function. ( Chen, W; Chen, Y; Jin, Q; Li, X; Tan, H; Wei, X; Yang, Y; Zhang, H, 2013)
" In patients with coronary disease, endothelium-bound XO activity as determined by ESR spectroscopy and endothelium-dependent vasodilation were analyzed before and after 4 weeks of treatment with the AT1-receptor blocker losartan, the XO inhibitor allopurinol, or placebo."3.74Angiotensin II induces endothelial xanthine oxidase activation: role for endothelial dysfunction in patients with coronary disease. ( Drexler, H; Fischer, D; Landmesser, U; Manes, C; Mueller, M; Preuss, C; Sorrentino, S; Spiekermann, S, 2007)
"The purpose of the present study was to evaluate the effects of losartan and the combination of losartan and L-arginine on endothelial function and hemodynamic variables in patients with heart failure (HF)."3.73Effects of losartan + L-arginine on nitric oxide production, endothelial cell function, and hemodynamic variables in patients with heart failure secondary to coronary heart disease. ( Bykhovsy, E; Chernihovsky, T; Keren, G; Koifman, B; Megidish, R; Topilski, I; Zelmanovich, L, 2006)
" We hypothesized that both ACE inhibitor (ACEI) and angiotensin II type 1 receptor antagonist (AT(1)-A) increase bioavailability of nitric oxide (NO) by reducing oxidative stress in the vessel wall, possibly by increasing EC-SOD activity."2.70Comparative effect of ace inhibition and angiotensin II type 1 receptor antagonism on bioavailability of nitric oxide in patients with coronary artery disease: role of superoxide dismutase. ( Ahlersmann, D; Christoph, A; Drexler, H; Hornig, B; Kohler, C; Landmesser, U; Spiekermann, S; Tatge, H, 2001)
"Only quinapril was associated with significant improvement in FMD, and this response is related to the presence of the insertion allele of the ACE genotype."2.69Comparative study of ACE-inhibition, angiotensin II antagonism, and calcium channel blockade on flow-mediated vasodilation in patients with coronary disease (BANFF study) ( Anderson, TJ; Charbonneau, F; Elstein, E; Haber, H, 2000)
"Hypertension is a major influence on the development of LVH."2.43Ventricular hypertrophy and hypertension: prognostic elements and implications for management. ( Devereux, RB; Krauser, DG, 2006)
"Losartan is a non-peptidic inhibitor of AT1 receptors."2.41Angiotensin II AT(1) receptor antagonists and platelet activation. ( Casado, S; Gómez, J; Jiménez, A; Lopez-Bloya, A; López-Farré, A; Montón, M; Núñez, A; Rico, L; Sánchez de Miguel, L, 2001)
"Treatment with captopril (10(-6) mol/l) increased the neointimal proliferation by approximately 200% after angioplasty."1.30Angiotensin II receptor antagonists prevent neointimal proliferation in a porcine coronary artery organ culture model. ( Cheung, PK; Saward, L; Wilson, DP; Zahradka, P, 1999)

Research

Studies (23)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (13.04)18.2507
2000's18 (78.26)29.6817
2010's2 (8.70)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Tan, H1
Li, X1
Chen, W1
Chen, Y1
Wei, X1
Yang, Y1
Zhang, H1
Jin, Q1
Vatseba, MO1
Krikken, JA1
Waanders, F1
Dallinga-Thie, GM1
Dikkeschei, LD1
Vogt, L1
Navis, GJ1
Dullaart, RP1
Tepliakov, AT1
Maianskaia, SD1
Bolotskaia, LA1
Vdovina, TV1
Stepacheva, TA1
Kuznetsova, AV1
Lukinov, AV1
Derbeneva, NV1
Frants, MV1
Shilov, SN1
Richter, MH1
Richter, H2
Barten, M1
Schramm, D2
Gummert, J1
Mohr, FW1
Skupin, M2
Olbrich, HG2
Schmieder, RE1
Schneider, MP1
Hornig, B2
Fries, R1
Böhm, M1
Bramlage, P1
Wittchen, HU1
Pittrow, D1
Dikow, R1
Kirch, W1
Lehnert, H1
Ritz, E1
Tomiyama, H1
Takata, Y1
Yamashina, A1
Iwai, K1
Morimoto, S1
Matsumoto, M1
Baumgart, P1
Cheung, BM1
Krauser, DG1
Devereux, RB1
Koifman, B1
Topilski, I1
Megidish, R1
Zelmanovich, L1
Chernihovsky, T1
Bykhovsy, E1
Keren, G1
Landmesser, U2
Spiekermann, S2
Preuss, C1
Sorrentino, S1
Fischer, D1
Manes, C1
Mueller, M1
Drexler, H2
Krasnikova, TL1
Wilson, DP1
Saward, L1
Zahradka, P1
Cheung, PK1
Alderman, M1
Anderson, TJ1
Elstein, E1
Haber, H1
Charbonneau, F1
Richter, M1
Grabs, R1
Kohler, C1
Ahlersmann, D1
Christoph, A1
Tatge, H1
López-Farré, A1
Sánchez de Miguel, L1
Montón, M1
Jiménez, A1
Lopez-Bloya, A1
Gómez, J1
Núñez, A1
Rico, L1
Casado, S1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase II Trial of the Effect of Perindopril on HFSR Incidence and Severity in Patients Receiving Regorafenib With Refractory Metastatic Colorectal Carcinoma (mCRC)[NCT02651415]Phase 212 participants (Actual)Interventional2016-08-31Completed
Impact of Spironolactone on Endothelial Function in Patients With Single Ventricle Heart[NCT00211081]12 participants (Actual)Interventional2004-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Median Time Course to Development of Worst Grade (Grade 3) HFSR as Assessed by CTCAE v4.03 Criteria When Treated With a Combination of Regorafenib and Perindopril

Median time course for participants to develop worst grade 3 HFSR toxicity is defined as the time (days) from start date of study drug to date of first documented grade 3 HFSR toxicity and will be calculated only for patients who had a HFSR toxicity grade 3. (NCT02651415)
Timeframe: p to Safety Follow-Up Visit (30 days +/- 7 days after permanently stopping study treatment)

Interventiondays (Median)
Single Arm Trial12

Median Time to Progression Free Survival (PFS)

Median time (in months) to PFS. PFS is defined as the time from start date of study drugs to the date of first documented disease progression (radiological or clinical) or death due to any cause, if death occurs before progression is documented. PFS will be evaluated based on RECIST v1.1 criteria, 20% progression or any new lesion. (NCT02651415)
Timeframe: From start date of study drugs to the date of first documented disease progression or death due to any cause.

InterventionMonths (Median)
Single Arm Trial2.60

Number of Participants That Have Any Grade HFSR Toxicity

"The trial will measure the toxicities of HFSR in participants receiving both perindopril and regorafenib using the CTCAE v4.03 criteria.~The toxicity of HFSR will be expressed based on the number of participants in the study (N=10) who are experiencing HFSR of all grades." (NCT02651415)
Timeframe: Up to Safety Follow-Up Visit (30 days +/- 7 days after permanently stopping study treatment)

InterventionParticipants (Count of Participants)
Single Arm Trial7

Number of Participants With Maximal Severity of HFSR as Assessed by CTCAE v4.03 Criteria When Treated With a Combination of Regorafenib and Perindopril

The number of participants that experienced an HFSR of grade 3 or above as assessed by CTCAE v4.03 criteria when treated with a combination of regorafenib and perindopril. (NCT02651415)
Timeframe: Up to Safety Follow-Up Visit (30 days +/- 7 days after permanently stopping study treatment)

InterventionParticipants (Count of Participants)
Single Arm Trial5

The Number of Participants That Experienced All Grade Toxicities as Assessed by CTCAE v4.03 Criteria When Treated With a Combination of Regorafenib and Perindopril

All grades of adverse events (including HFSR) will be evaluated using CTCAE v4.03, at baseline and at D1 of each cycle while they are on the study drug and during the 30-day follow-up period (Post therapy). (NCT02651415)
Timeframe: At baseline and at D1 of each cycle while on the study drug and during the 30-day follow-up period

Interventionparticipants (Number)
Single Arm Trial10

The Number of Participants That Experienced Any Grade of Hypertension as Assessed by CTCAE v4.03 Criteria When Treated With a Combination of Regorafenib and Perindopril

All grades of hypertension will be evaluated using CTCAE v4.03, weekly for the first six weeks while they are on the study drug, then every second week and during the 30-day follow-up period (Post therapy). (NCT02651415)
Timeframe: Weekly for the first six weeks while on the study drug, then every second week and during the 30-day follow-up period

InterventionParticipants (Count of Participants)
Single Arm Trial6

Change in Flow Mediated Dilation

Flow-mediated dilation of the brachial artery will be measured using high-resolution ultrasound. Arterial diameter will be measured above the small cavity in the elbow joint from ultrasound images at rest in response to an increase in blood flow to the area. (NCT00211081)
Timeframe: Baseline, Post-Intervention (4 Weeks)

InterventionPercentage of brachial artery diameter (Mean)
Spironolactone5.5

C-Reactive Protein Level

The normal reference range for C-reactive protein is as follows: CRP: 0-10mg/L (NCT00211081)
Timeframe: Baseline, Post-Intervention (4 Weeks)

Interventionmg/L (Median)
Baseline4 Week Follow Up
Spironolactone1.101.10

Interleukin 1 Beta (IL1b) Level

The normal result for IL1b is <3.9 pg/mL. (NCT00211081)
Timeframe: Baseline, Post-Intervention (4 Weeks)

Interventionpg/mL (Median)
Baseline4 Week Follow Up
Spironolactone.38.23

Interleukin-10 (IL10) Level

The normal result for IL-10 for Interleukin 10 is < 18pg/ml. (NCT00211081)
Timeframe: Baseline, Post-Intervention (4 Weeks)

Intervention18pg/ml (Median)
Baseline4 Week Follow Up
Spironolactone.26.13

Interleukin-6 (IL-6) Level

The normal result for IL-6 for Interleukin 6 is < 5pg/ml. (NCT00211081)
Timeframe: Baseline, Post-Intervention (4 Weeks)

Interventionpg/ml (Median)
Baseline4 Week Follow Up
Spironolactone1.961.54

Tumor Necrosis Factor-Alpha (TNF-a) Level

The normal result for TNF-a is <5.6 pg/mL. (NCT00211081)
Timeframe: Baseline, Post-Intervention (4 Weeks)

Interventionpg/mL (Median)
Baseline4 Week Follow Up
Spironolactone2.202.42

Reviews

9 reviews available for losartan and Coronary Disease

ArticleYear
Vitamins, antioxidants and endothelial function in coronary artery disease.
    Cardiovascular drugs and therapy, 2002, Volume: 16, Issue:5

    Topics: Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Antioxidants; Ascorbic A

2002
[From risk factors to symptomatic coronary artery disease. Update cardiology 2001/2002--part I].
    Medizinische Klinik (Munich, Germany : 1983), 2003, Apr-15, Volume: 98, Issue:4

    Topics: Abciximab; Adult; Age Factors; Aged; Aged, 80 and over; Angina, Unstable; Antibodies, Monoclonal; An

2003
[Management of hypertensive patients with cardiovascular damage].
    Nihon rinsho. Japanese journal of clinical medicine, 2004, Volume: 62 Suppl 3

    Topics: Adrenergic beta-Antagonists; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibit

2004
[Treatment of hypertension in elderly patients with coronary heart disease].
    Nihon rinsho. Japanese journal of clinical medicine, 2005, Volume: 63, Issue:6

    Topics: Adrenergic beta-Antagonists; Aged; Amlodipine; Angiotensin II Type 1 Receptor Blockers; Angiotensin-

2005
Therapeutic potential of angiotensin receptor blockers in hypertension.
    Expert opinion on investigational drugs, 2006, Volume: 15, Issue:6

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compounds; Blood Pressure; C

2006
Ventricular hypertrophy and hypertension: prognostic elements and implications for management.
    Herz, 2006, Volume: 31, Issue:4

    Topics: Adrenergic Antagonists; Angiotensin II; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Convert

2006
[Losartan, an angiotensin II receptor blocker: a new trend in cardiovascular chemotherapy].
    Klinicheskaia meditsina, 1996, Volume: 74, Issue:3

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

1996
Uric acid in hypertension and cardiovascular disease.
    The Canadian journal of cardiology, 1999, Volume: 15 Suppl F

    Topics: Angiotensin Receptor Antagonists; Antihypertensive Agents; Biomarkers; Blood Pressure; Coronary Dise

1999
Angiotensin II AT(1) receptor antagonists and platelet activation.
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2001, Volume: 16 Suppl 1

    Topics: 15-Hydroxy-11 alpha,9 alpha-(epoxymethano)prosta-5,13-dienoic Acid; Angiotensin Receptor Antagonists

2001

Trials

4 trials available for losartan and Coronary Disease

ArticleYear
Antiproteinuric therapy decreases LDL-cholesterol as well as HDL-cholesterol in non-diabetic proteinuric patients: relationships with cholesteryl ester transfer protein mass and adiponectin.
    Expert opinion on therapeutic targets, 2009, Volume: 13, Issue:5

    Topics: Adiponectin; Adult; Aged; Angiotensin II Type 1 Receptor Blockers; Cholesterol Ester Transfer Protei

2009
[Immunomodulating, metabolic and cardioprotective effects of AT1-angiotensin receptors blocker losartan in patients with coronary heart disease and type 2 diabetes mellitus].
    Terapevticheskii arkhiv, 2009, Volume: 81, Issue:3

    Topics: Adult; Aged; Angiotensin II Type 1 Receptor Blockers; Antihypertensive Agents; Cardiotonic Agents; C

2009
Comparative study of ACE-inhibition, angiotensin II antagonism, and calcium channel blockade on flow-mediated vasodilation in patients with coronary disease (BANFF study)
    Journal of the American College of Cardiology, 2000, Volume: 35, Issue:1

    Topics: Aged; Amlodipine; Angiotensin II; Angiotensin-Converting Enzyme Inhibitors; Blood Flow Velocity; Cal

2000
Comparative study of ACE-inhibition, angiotensin II antagonism, and calcium channel blockade on flow-mediated vasodilation in patients with coronary disease (BANFF study)
    Journal of the American College of Cardiology, 2000, Volume: 35, Issue:1

    Topics: Aged; Amlodipine; Angiotensin II; Angiotensin-Converting Enzyme Inhibitors; Blood Flow Velocity; Cal

2000
Comparative study of ACE-inhibition, angiotensin II antagonism, and calcium channel blockade on flow-mediated vasodilation in patients with coronary disease (BANFF study)
    Journal of the American College of Cardiology, 2000, Volume: 35, Issue:1

    Topics: Aged; Amlodipine; Angiotensin II; Angiotensin-Converting Enzyme Inhibitors; Blood Flow Velocity; Cal

2000
Comparative study of ACE-inhibition, angiotensin II antagonism, and calcium channel blockade on flow-mediated vasodilation in patients with coronary disease (BANFF study)
    Journal of the American College of Cardiology, 2000, Volume: 35, Issue:1

    Topics: Aged; Amlodipine; Angiotensin II; Angiotensin-Converting Enzyme Inhibitors; Blood Flow Velocity; Cal

2000
Comparative effect of ace inhibition and angiotensin II type 1 receptor antagonism on bioavailability of nitric oxide in patients with coronary artery disease: role of superoxide dismutase.
    Circulation, 2001, Feb-13, Volume: 103, Issue:6

    Topics: Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Antioxidants; Ascorbic A

2001

Other Studies

10 other studies available for losartan and Coronary Disease

ArticleYear
Effects of losartan on the mobilization of endothelial progenitor cells and improvement of endothelial function.
    Annals of clinical and laboratory science, 2013,Fall, Volume: 43, Issue:4

    Topics: Aged; Analysis of Variance; Angiotensin II Type 1 Receptor Blockers; Brachial Artery; China; Coronar

2013
[Endothelial dysfunction as a marker of vascular aging syndrome on the background of hypertension, coronary heart disease, gout and obesity].
    Likars'ka sprava, 2013, Issue:6

    Topics: Antihypertensive Agents; Blood Flow Velocity; Blood Pressure; Cardiovascular Agents; Carotid Arterie

2013
Angiotensin II type 1 receptor blockade after cardiac transplantation reduced the incidence and severity of transplant vasculopathy in an animal-based study.
    Transplantation proceedings, 2002, Volume: 34, Issue:5

    Topics: Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Animals; Coronary Diseas

2002
[Left ventricular hypertrophy. Recent aspects of diagnosis and therapy].
    MMW Fortschritte der Medizin, 2002, Oct-17, Volume: 144, Issue:42

    Topics: Adrenergic beta-Antagonists; Angiotensin-Converting Enzyme Inhibitors; Antihypertensive Agents; Aten

2002
[Microalbuminuria is an early marker for increased morbidity and mortality].
    Fortschritte der Medizin. Originalien, 2003, Feb-27, Volume: 121 Suppl 1

    Topics: Albuminuria; Angiotensin II; Angiotensin-Converting Enzyme Inhibitors; Antihypertensive Agents; Biom

2003
[Antihypertensive therapy: risk stratification in diabetes and cardiac diseases].
    MMW Fortschritte der Medizin, 2006, Mar-16, Volume: 148, Issue:11

    Topics: Adrenergic beta-Antagonists; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme

2006
Effects of losartan + L-arginine on nitric oxide production, endothelial cell function, and hemodynamic variables in patients with heart failure secondary to coronary heart disease.
    The American journal of cardiology, 2006, Jul-15, Volume: 98, Issue:2

    Topics: Administration, Oral; Aged; Angiotensin II Type 1 Receptor Blockers; Arginine; Brachial Artery; Coro

2006
Angiotensin II induces endothelial xanthine oxidase activation: role for endothelial dysfunction in patients with coronary disease.
    Arteriosclerosis, thrombosis, and vascular biology, 2007, Volume: 27, Issue:4

    Topics: Aged; Allopurinol; Angiotensin II; Angiotensin II Type 1 Receptor Blockers; Animals; Cattle; Cells,

2007
Angiotensin II receptor antagonists prevent neointimal proliferation in a porcine coronary artery organ culture model.
    Cardiovascular research, 1999, Volume: 42, Issue:3

    Topics: Analysis of Variance; Angioplasty, Balloon, Coronary; Angiotensin II; Angiotensin Receptor Antagonis

1999
New approach in the therapy of chronic rejection? ACE- and AT1-blocker reduce the development of chronic rejection after cardiac transplantation in a rat model.
    The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2000, Volume: 19, Issue:11

    Topics: Angiotensin II; Angiotensin-Converting Enzyme Inhibitors; Animals; Coronary Disease; Coronary Vessel

2000