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Dry cough is the most common adverse reaction of angiotensin converting enzyme, including enalapril, in Chinese population. Clinical observations suggest that the incidence of ACEI-induced dry cough is different between Chinese and other racial groups, however, there is still lack of research data in Chinese. Stroke is the second leading cause of death in the world and leading cause of death in China. Except the known risk factor such as hypertension, high homocysteine level, folic acid deficiency, the impact of genetics should not be ignored.
In this study, we will investigate whether there are specific genotypes which may predict the incidence of (1)enalapril-induced dry cough in Chinese and (2)first stroke in hypertensive patients taking enalapril or enalapril-folic acid therapy, so as to provide a basis for developing guidelines on precision medication in enalapril therapy apply to Chinese population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| wild genotype | Detection of genotype will be carried out through next generation sequencing, distinguish wild genotype of enalapril |
| |
| mutant genotype | Detection of genotype will be carried out through next generation sequencing, distinguish mutant genotype of enalapril |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| detection of genotype | Genetic | detection of genotype by next generation sequencing |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of dry cough | At 2 years | |
| First Incidence of stroke | At 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Genotype detected by next generation sequencing | Collect blood specimen before enalapril administration, then detect genotype of enalapril by next generation sequencing. | pre-dose of enalapril or enalapril-folic acid (Baseline) |
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Inclusion Criteria:
Exclusion Criteria:
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Chinese Patients:In accordance with anti-hypertension indications of enalapril
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Qian Xiang, Ph.D | Contact | +86 010 66110802 | xiangqz@126.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University First Hospital | Recruiting | Beijing | Beijing Municipality | 100034 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36867504 | Derived | Mu G, Xie Q, Liu Z, Zhang H, Meng X, Song J, Zhou S, Wang Z, Wang Z, Zhao X, Jiang J, Liao M, Bao J, Zhang F, Xiang Q, Cui Y. Identification of genetic biomarkers associated with pharmacokinetics and pharmacodynamics of apixaban in Chinese healthy volunteers. Expert Opin Drug Metab Toxicol. 2023 Jan;19(1):43-51. doi: 10.1080/17425255.2023.2184344. Epub 2023 Mar 3. | |
| 32397904 |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| Mu G, Xiang Q, Zhang Z, Liu C, Zhang H, Liu Z, Pang X, Jiang J, Xie Q, Zhou S, Wang Z, Hu K, Wang Z, Jiang S, Qin X, Cui Y. PNPT1 and PCGF3 variants associated with angiotensin-converting enzyme inhibitor-induced cough: a nested case-control genome-wide study. Pharmacogenomics. 2020 Jun;21(9):601-614. doi: 10.2217/pgs-2019-0167. Epub 2020 May 13. |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |