Effects of Valsartan and Aliskiren on Hemostatic Indices in Hypertensive Diabetics
NCT01095822 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2010-03-30
Summary
People with both hypertension and diabetes have a higher chance of developing heart and arterial problems that could be reduced with anti-coagulant therapy. Valsartan (Diovan), an FDA approved angiotensin-II receptor antagonist (blocker) clinically indicated for the treatment of essential hypertension is known to inhibit platelet activity in both an in vitro and ex vivo setting. Aliskiren (Tekturna) is a recently FDA-approved potent direct renin inhibitor which is also an effective anti-hypertensive agent in patients with mild-to-moderate hypertension and which, in vitro, modulates antithrombin III in plasma. Therefore, in addition to being clinically approved anti-hypertensive medications, combining these two agents will potentially target both primary hemostasis (platelets) and anticoagulant (antithrombin-III is a cornerstone substrate for heparin) properties to exert their anti-thrombotic efficacy simultaneously. This combination strategy may not only improve hypertension management, but also improve vascular outcomes in high-risk diabetic population via favorable effects on anti-thrombotic activity. Importantly, there have been no significant additional safety concerns of using the combination of aliskiren and valsartan. The investigators hypothesis is that valsartan 160 mg/daily in combination with aliskiren 150-300 mg/daily for 4 weeks will favorably affect blood levels of platelet/coagulation/fibrinolytic biomarkers (ie, diminish platelet activity, and enhance antithrombin III potency) when compared with monotherapy with aliskiren 150mg/daily in hypertensive patients with type 2 diabetes mellitus.
Conditions
Interventions
- DRUG
-
Aliskiren + Valsartan
Comparison of combination (aliskiren + valsartan) therapy versus valsartan alone on hemostatic indices
Sponsors & Collaborators
- collaborator INDUSTRY
-
HeartDrug Research LLC
lead OTHER
Principal Investigators
-
Victor Serebruany, MD, PhD · HeartDrug Research LLC
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 21 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-03-31
- Primary Completion
- 2010-12-31
- Completion
- 2011-03-31
Countries
- United States
Study Locations
More Related Trials
-
Evaluating the Effect of Aliskiren Versus HCTZ on Coronary Flow Reserve in Hypertensive Type II Diabetics
NCT00994253 ·Status: WITHDRAWN ·Phase: PHASE4
-
Assessment of Renin Inhibition on Insulin Sensitivity, Diastolic Function and Aortic Compliance
NCT01252238 ·Status: TERMINATED ·Phase: NA
-
A 16 Week Study to Evaluate the Effect on Insulin Sensitivity of Valsartan (320 mg) and Hydrochlorothiazide (25 mg) Combined and Alone, in Patients With Metabolic Syndrome
NCT00170937 ·Status: COMPLETED ·Phase: PHASE4
-
A Clinical Study to Evaluate the Safety and Efficacy of the Combination of Aliskiren and Valsartan in Hypertensive Non Responders Patients
NCT00219193 ·Status: COMPLETED ·Phase: PHASE3
-
Comparison of Amlodipine and Aliskiren in Diabetic Hypertensive Patient With Blood Pressure Not Controlled by Losartan
NCT01409408 ·Status: WITHDRAWN ·Phase: PHASE4
-
Aliskiren vs Hydrochlorothiazide in Hypertensive Type II Diabetic Patients on Resistance Arteries
NCT01480791 ·Status: WITHDRAWN ·Phase: PHASE2
-
Valsartan/Hydrochlorothiazide Combination vs Amlodipine in Patients With Hypertension, Diabetes, and Albuminuria.
NCT00171561 ·Status: COMPLETED ·Phase: PHASE4
-
Fixed-dose Combination of Valsartan + Rosuvastatin Versus Their Isolated Components for Hypertension and Dyslipidemia.
NCT02662894 ·Status: WITHDRAWN ·Phase: PHASE3
-
Antialbuminuric Effects of Valsartan and Lisinopril
NCT00171600 ·Status: TERMINATED ·Phase: PHASE4
-
Efficacy & Safety of Orally Administered Valsartan/Amlodipine Combo Therapy vs Amlodipine Monotherapy in Black Patients With Stage II Hypertension
NCT00353912 ·Status: COMPLETED ·Phase: PHASE3
-
A Study in Patients With Diabetes Mellitus Type II of the Effect on Albuminuria of 24 Week Treatment With Valsartan, Benazepril, and Valsartan+Benazepril
NCT00171119 ·Status: TERMINATED ·Phase: PHASE4
-
Comparison of Effects of Telmisartan and Valsartan on Neointima Volume in Diabetes
NCT00599885 ·Status: COMPLETED ·Phase: PHASE4
-
Effects of Aliskiren, Irbesartan, and the Combination in Hypertensive Patients With Type 2 Diabetes and Diabetic Nephropathy
NCT00464880 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
A Study in Chinese Mild to Moderate Hypertensive Patients Comparing the Efficacy of Co-Diovan With Diovan.
NCT00250562 ·Status: COMPLETED ·Phase: PHASE3
-
Comparative Study of Valsartan and Amlodipine Versus Amlodipine Alone in Hypertension
NCT00333489 ·Status: COMPLETED ·Phase: PHASE4
-
A Safety and Tolerability Study of the Combination of Aliskiren/Valsartan in Patients With High Blood Pressure, Followed by Long-term Safety and Tolerability of Aliskiren, Valsartan and Hydrochlorothiazide.
NCT00386607 ·Status: COMPLETED ·Phase: PHASE3
-
New Angiotensin II Receptor Blocker Azilsartan Study for Stronger Blood Pressure Lowering
NCT01609959 ·Status: COMPLETED ·Phase: PHASE4
-
To Find Out Whether Valsartan With or Without Other Blood Pressure Medications Would Improve the Ability of the Heart to Fill and Empty, and the Ability of the Heart Muscle to Relax Adequately in People With High Blood Pressure.
NCT00170924 ·Status: COMPLETED ·Phase: PHASE4
-
The DDI Study of SP2086 and Valsartan
NCT02817217 ·Status: UNKNOWN ·Phase: PHASE1
-
A Randomized Controlled Trial of Aliskiren in the Prevention of Major Cardiovascular Events in Elderly People
NCT01259297 ·Status: TERMINATED ·Phase: PHASE3
-
A 10-12 Week Study to Evaluate the Safety and Efficacy of 320 mg Valsartan and 80 mg Simvastatin in Combination and as Monotherapies in Treating Hypertension and Hypercholesterolemia
NCT00171093 ·Status: COMPLETED ·Phase: PHASE3
-
Efficacy and Safety Comparison of Azilsartan Medoxomil to Valsartan in Participants With Essential Hypertension
NCT00591578 ·Status: COMPLETED ·Phase: PHASE3
-
Efficacy and Safety of Valsartan 160mg and Rosuvastatin 20mg in Patients With Hypertension and Hyperlipidemia
NCT01918332 ·Status: COMPLETED ·Phase: PHASE3
-
Valsartan/Hydrochlorothiazide Combination in Hypertensive Patients Not Controlled With Valsartan Alone
NCT00170989 ·Status: COMPLETED ·Phase: PHASE3
-
Valsartan Intensified Primary Care Reduction of Blood Pressure Study
NCT00902304 ·Status: COMPLETED ·Phase: PHASE4