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Study to assess potential different properties of telmisartan, which due to its Vd, should result in stronger "beneficial" effects of AT1 blockade in tissues (e.g. aldosterone suppression and renin increase) plus stronger AT2 stimulation compared to candesartan
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Telmisartan | Experimental |
| |
| Candesartan | Active Comparator |
| |
| Placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telmisartan | Drug |
|
| |
| Candesartan |
| Measure | Description | Time Frame |
|---|---|---|
| Slope of PRA increase versus DR-1 | analysis of variance | Predose and 2, 4, 8 h following trial medication |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of angiotensin-1 (AT1) pressor antagonism in vivo (DR-1) | rightward shift (DR-1) of diastolic blood pressure response to Angiotensin II dose escalating challenges | Predose and 2, 4, 8 h following trial medication |
| Assessment of plasma aldosterone concentration after stimulation with Angiotensin II |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D000077333 | Telmisartan |
| C081643 | candesartan |
| C077793 | candesartan cilexetil |
| ID | Term |
|---|---|
| D001713 | Biphenyl Compounds |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
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| Drug |
|
|
| Placebo | Drug |
|
| Predose and 2, 4, 8 h following trial medication |
| Reactive response of the plasma renin activity (PRA) | Predose and 2, 4, 8 h following trial medication |
| Number of subjects with adverse events | up to 42 days |
| D006838 |
| Hydrocarbons |
| D009930 | Organic Chemicals |
| D001562 | Benzimidazoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |