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The purpose of this study is to compare blood pressure lowering effect of azilsartan with that of valsartan in Japanese patients with hypertension who have already taken normal-dose angiotensin II receptor blockers.
Hypertension plays a major role in the development of cardiovascular disease. Several guidelines require strict control of blood pressure for preventing cardiovascular events; however, the control is often poor.
A new angiotensin II receptor blocker (ARB), azilsartan, is the first drug which is superior to other ARBs in blood pressure lowering in phase III clinical trials in Japan. We try to evaluate effect of azilsartan on blood pressure lowering in Japanese patients with hypertension who have already taken normal-dose ARBs, and to compare it with that of valsartan.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Azilsartan group | Active Comparator |
| |
| Valsartan group | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Azilsartan | Drug | Azilsartan 20 mg or 40 mg (if blood pressure does not reach the target after 6 weeks) per day for 12 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Office Blood Pressure | Change in blood pressure measured at a clinic | Baseline and every 2 weeks (up to 12 weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Home Blood Pressure | Change in blood pressure measured at home Blood pressure is measured twice daily in the morning fasting before taking any drugs. | Baseline and every 2 weeks (up to 12 weeks) |
| Change in Renal Function |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Yoshihiko Saito, MD, PhD | First Department of Internal Medicine, Nara Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| First Department of Nara Medical University | Kashihara | Nara | 634-8522 | Japan |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| C521273 | azilsartan |
| D000068756 | Valsartan |
| ID | Term |
|---|---|
| D013777 | Tetrazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| Valsartan | Drug | Valsartan 160 mg per day |
|
Changes in levels of serum creatinine and proteinuria
| Baseline and 12 weeks |
| Change in Fasting Triglyceride | Baseline and 12 weeks |
| Change in Glycemic Control | Changes in levels of fasting blood glucose, hemogrobin A1C and fasting insulin (if needed) | Baseline and 12 weeks |
| Change in Plasma Aldosterone Concentration | Only in patients with secondary hypertension | Baseline and 12 weeks |
| D014633 |
| Valine |
| D000597 | Amino Acids, Branched-Chain |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D000601 | Amino Acids, Essential |