Page last updated: 2024-10-30

losartan and Emphysema

losartan has been researched along with Emphysema in 3 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

Emphysema: A pathological accumulation of air in tissues or organs.

Research

Studies (3)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (33.33)29.6817
2010's0 (0.00)24.3611
2020's2 (66.67)2.80

Authors

AuthorsStudies
Wise, RA1
Holbrook, JT1
Brown, RH1
Criner, GJ1
Dransfield, MT1
He, J1
Henderson, RJ1
Kaminsky, DA1
Kaner, RJ1
Lazarus, SC1
Make, BJ1
McCormack, MC1
Neptune, ER1
Que, LG1
Miravitlles, M1
Anzueto, A1
Travis, J1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Losartan Effects on Emphysema Progression[NCT02696564]Phase 4220 participants (Actual)Interventional2017-05-23Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline in CAT Score

Change from the first visit to the final visit in the participant's COPD Assessment Test (CAT) score. The CAT is an 8-item questionnaire assessing the impact of COPD on health status. CAT scores range from 0 to 40, with higher scores indicating a more severe impact of COPD on a patient's life. (NCT02696564)
Timeframe: 48 weeks

Interventionscore on a scale (Least Squares Mean)
Losartan-0.18
Placebo0.03

Change From Baseline in mMRC Dyspnea Scale

Change from the first visit to the final visit in participants' scores on the modified Medical Research Council dyspnea scale. The modified Medical Research Council dyspnea scale (mMRC) is a self-rating tool to measure how much breathlessness affects someone's day to day activities. Scores are between 0 and 4, with higher scores indicating more severe breathlessness. (NCT02696564)
Timeframe: 48 weeks

Interventionscore on a scale (Least Squares Mean)
Losartan0.01
Placebo0.11

Change From Baseline in Post-bronchodilator FEV1 Percent Predicted

Change from the first visit to the final visit in a spirometry (breathing test) measure: forced expiratory volume in one second (FEV1). This test is performed after the participant is given bronchodilator medications. The FEV1 is compared to standard predicted values in the US population for each individual based on their height, gender, and ethnic group; the result is given as percent of predicted value. (NCT02696564)
Timeframe: 48 weeks

Interventionpercentage of predicted value (Least Squares Mean)
Losartan-2.60
Placebo-2.37

Change From Baseline in Pre-bronchodilator FEV1 Percent Predicted

Change from the first visit to the final visit in a spirometry (breathing test) measure: forced expiratory volume in one second (FEV1). The test is administered without the participant taking any bronchodilator medication. The FEV1 is compared to standard predicted values in the US population for each individual based on their height, gender, and ethnic group; the result is given as percent of predicted value. (NCT02696564)
Timeframe: 48 weeks

Interventionpercentage of predicted value (Least Squares Mean)
Losartan-0.99
Placebo-0.54

Change From Baseline in PROMIS-20a T-score

"Change from the first visit to the final visit in participants' scores on the Patient-Reported Outcome Measures Information System (PROMIS) Physical Function assessment. The Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function Short Form 20a is a 20-item questionnaire used to indicate a patient's ability to perform activities of daily living, such as bathing, dressing, and commuting. Raw scores from this questionnaire are compared to a reference population to create a T-score. The general US population is the reference population. In this T-score metric, 50 indicates the population mean with a standard deviation of 10. Higher scores mean better outcomes (more ability to do activities of daily living)" (NCT02696564)
Timeframe: 48 weeks

Interventionscore on a scale (Least Squares Mean)
Losartan0.00
Placebo-1.04

Change From Baseline in SGRQ Score: Activity

Change from the first visit to the final visit in participants' scores on the activity-related questions on the St Georges Respiratory Questionnaire-COPD. The St George's Respiratory Questionnaire for COPD patients (SGRQ-C) is a 40-item questionnaire designed to measure impact on overall health, daily life, and perceived well-being in patients with COPD. The SGRQ-C includes three categories: Symptoms (frequency and severity), Activities caused or limited by breathlessness, and Impacts on social and psychological functioning caused by airways disease. The total score and scores for each category range from 0 to 100, with higher scores indicating more limitations. (NCT02696564)
Timeframe: 48 weeks

Interventionscore on a scale (Least Squares Mean)
Losartan-0.66
Placebo2.45

Change From Baseline in SGRQ Score: Symptoms

Change from the first visit to the final visit in participants' scores on the symptom-related questions on the St Georges Respiratory Questionnaire-COPD. The St George's Respiratory Questionnaire for COPD patients (SGRQ-C) is a 40-item questionnaire designed to measure impact on overall health, daily life, and perceived well-being in patients with COPD. The SGRQ-C includes three categories: Symptoms (frequency and severity), Activities caused or limited by breathlessness, and Impacts on social and psychological functioning caused by airways disease. The total score and scores for each category range from 0 to 100, with higher scores indicating more limitations. (NCT02696564)
Timeframe: 48 weeks

Interventionscore on a scale (Least Squares Mean)
Losartan-6.19
Placebo-1.78

Change From Baseline in SGRQ Score: Total

Change from the first visit to the final visit in participants' score on the St George's Respiratory Questionnaire - COPD. The St George's Respiratory Questionnaire for COPD patients (SGRQ-C) is a 40-item questionnaire designed to measure impact on overall health, daily life, and perceived well-being in patients with COPD. The SGRQ-C includes three categories: Symptoms (frequency and severity), Activities caused or limited by breathlessness, and Impacts on social and psychological functioning caused by airways disease. The total score and scores for each category range from 0 to 100, with higher scores indicating more limitations. (NCT02696564)
Timeframe: 48 weeks

Interventionscore on a scale (Least Squares Mean)
Losartan-1.31
Placebo1.20

Change in Mean pct950

change in percentage of voxels with density less than -950 Hounsfield Units (NCT02696564)
Timeframe: 48 weeks

Interventionpercentage of voxels (Least Squares Mean)
Losartan1.35
Placebo0.66

Change in SGRQ Score: Impact

Change from the first visit to the final visit in participants' scores on the impact-related questions on the St Georges Respiratory Questionnaire-COPD. The St George's Respiratory Questionnaire for COPD patients (SGRQ-C) is a 40-item questionnaire designed to measure impact on overall health, daily life, and perceived well-being in patients with COPD. The SGRQ-C includes three categories: Symptoms (frequency and severity), Activities caused or limited by breathlessness, and Impacts on social and psychological functioning caused by airways disease. The total score and scores for each category range from 0 to 100, with higher scores indicating more limitations. (NCT02696564)
Timeframe: 48 weeks

Interventionscore on a scale (Least Squares Mean)
Losartan-0.25
Placebo1.35

Number of COPD Exacerbations by Severity and Treatment Assignment

"This measure assessed the number of exacerbations of chronic obstructive pulmonary disease in both the losartan and placebo treatment groups. Participants were asked about current and past exacerbations during each study visit. Exacerbations were defined as 2 or more worsening COPD symptoms lasting 3 or more consecutive days that required a new prescribed treatment. Each exacerbation was further classified as mild (requiring only a change in existing COPD medications),moderate (requiring a new prescription for a steroid and/or antibiotic), or severe (requiring a hospitalization for COPD symptoms)." (NCT02696564)
Timeframe: 48 weeks

,
Interventionexacerbation events (Number)
Mild exacerbationModerate exacerbationSevere exacerbation
Losartan3417
Placebo44721

Trials

1 trial available for losartan and Emphysema

ArticleYear
Clinical Trial of Losartan for Pulmonary Emphysema: Pulmonary Trials Cooperative Losartan Effects on Emphysema Progression Clinical Trial.
    American journal of respiratory and critical care medicine, 2022, 10-01, Volume: 206, Issue:7

    Topics: Aged; Angiotensin Receptor Antagonists; Bronchodilator Agents; Disease Progression; Emphysema; Femal

2022

Other Studies

2 other studies available for losartan and Emphysema

ArticleYear
Use of Computed Tomography Lung Densitometry as an Outcome Measure for Emphysema Progression: The Case of Losartan.
    American journal of respiratory and critical care medicine, 2022, 10-01, Volume: 206, Issue:7

    Topics: Densitometry; Emphysema; Humans; Losartan; Lung; Outcome Assessment, Health Care; Pulmonary Emphysem

2022
Medicine. Old drug, new hope for Marfan syndrome.
    Science (New York, N.Y.), 2006, Apr-07, Volume: 312, Issue:5770

    Topics: Adrenergic beta-Antagonists; Angiotensin II Type 1 Receptor Blockers; Animals; Aortic Aneurysm; Clin

2006