Trial Outcomes & Findings for Losartan for the Treatment of Pediatric NAFLD (NCT NCT03467217)

NCT ID: NCT03467217

Last Updated: 2021-10-21

Results Overview

Change ALT value in U/L (24 weeks minus baseline). A negative score indicates improvement.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

83 participants

Primary outcome timeframe

Baseline and 24 weeks

Results posted on

2021-10-21

Participant Flow

Participant milestones

Participant milestones
Measure
Losartan
100 mg losartan once per day
Placebo
Matching placebo, taken once per day
Overall Study
STARTED
43
40
Overall Study
COMPLETED
33
34
Overall Study
NOT COMPLETED
10
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Losartan
100 mg losartan once per day
Placebo
Matching placebo, taken once per day
Overall Study
Trial stopped early
5
2
Overall Study
Clinic closed due to COVID-19 pandemic
5
2
Overall Study
Lost to Follow-up
0
2

Baseline Characteristics

Losartan for the Treatment of Pediatric NAFLD

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Losartan Potassium Capsule
n=43 Participants
Dose will be one 50 mg capsule of losartan per day for one week and then increased to two capsules of 50 mg of losartan per day (100 mg total) for 23 weeks patients with baseline weight ≥ 70 kg to \<150 kg. Losartan potassium: Losartan potassium is an angiotensin II receptor blocker acting on the AT 1 receptor subtype
Placebo Losartan Capsule
n=40 Participants
Dose will be one 50 mg capsule of placebo losartan per day for one week and then increased to two capsules of 50 mg of placebo losartan per day (100 mg total) for 23 weeks for patients with baseline weight ≥ 70 kg to \<150 kg. Placebo losartan capsule: Matching placebo losartan oral capsule
Total
n=83 Participants
Total of all reporting groups
Age, Continuous
14 years
STANDARD_DEVIATION 2 • n=99 Participants
13 years
STANDARD_DEVIATION 2 • n=107 Participants
13 years
STANDARD_DEVIATION 2 • n=206 Participants
Sex: Female, Male
Female
10 Participants
n=99 Participants
6 Participants
n=107 Participants
16 Participants
n=206 Participants
Sex: Female, Male
Male
33 Participants
n=99 Participants
34 Participants
n=107 Participants
67 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
33 Participants
n=99 Participants
33 Participants
n=107 Participants
66 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants
n=99 Participants
7 Participants
n=107 Participants
17 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
4 Participants
n=99 Participants
5 Participants
n=107 Participants
9 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
2 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
White
28 Participants
n=99 Participants
25 Participants
n=107 Participants
53 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
9 Participants
n=99 Participants
8 Participants
n=107 Participants
17 Participants
n=206 Participants
Alanine aminotransferase
115 U/L
STANDARD_DEVIATION 50 • n=99 Participants
126 U/L
STANDARD_DEVIATION 61 • n=107 Participants
120 U/L
STANDARD_DEVIATION 55 • n=206 Participants
Aspartate aminotransferase
59 U/L
STANDARD_DEVIATION 26 • n=99 Participants
70 U/L
STANDARD_DEVIATION 38 • n=107 Participants
64 U/L
STANDARD_DEVIATION 33 • n=206 Participants
Alkaline phosphate
192 U/L
STANDARD_DEVIATION 114 • n=99 Participants
202 U/L
STANDARD_DEVIATION 99 • n=107 Participants
197 U/L
STANDARD_DEVIATION 106 • n=206 Participants
y-Glutamyltransferase
53 U/L
STANDARD_DEVIATION 44 • n=99 Participants
51 U/L
STANDARD_DEVIATION 28 • n=107 Participants
52 U/L
STANDARD_DEVIATION 37 • n=206 Participants
Total bilirubin
0.6 mg/dL
STANDARD_DEVIATION 0.3 • n=99 Participants
0.6 mg/dL
STANDARD_DEVIATION 0.3 • n=107 Participants
0.6 mg/dL
STANDARD_DEVIATION 0.3 • n=206 Participants
Direct bilirubin
0.1 mg/dL
STANDARD_DEVIATION 0.1 • n=99 Participants
0.1 mg/dL
STANDARD_DEVIATION 0.1 • n=107 Participants
0.1 mg/dL
STANDARD_DEVIATION 0.1 • n=206 Participants
Total cholesterol
159 mg/dL
STANDARD_DEVIATION 44 • n=99 Participants
155 mg/dL
STANDARD_DEVIATION 31 • n=107 Participants
157 mg/dL
STANDARD_DEVIATION 38 • n=206 Participants
High-density lipoprotein
39 mg/uL
STANDARD_DEVIATION 7 • n=99 Participants
41 mg/uL
STANDARD_DEVIATION 9 • n=107 Participants
40 mg/uL
STANDARD_DEVIATION 8 • n=206 Participants
Low-density lipoprotein
91 mg/uL
STANDARD_DEVIATION 40 • n=99 Participants
92 mg/uL
STANDARD_DEVIATION 22 • n=107 Participants
91 mg/uL
STANDARD_DEVIATION 32 • n=206 Participants
Triglycerides
158 mg/dL
STANDARD_DEVIATION 105 • n=99 Participants
128 mg/dL
STANDARD_DEVIATION 58 • n=107 Participants
143 mg/dL
STANDARD_DEVIATION 87 • n=206 Participants
Fasting serum glucose
91 mg/dL
n=99 Participants
87 mg/dL
n=107 Participants
89 mg/dL
n=206 Participants
Insulin
29 umol/mL
n=99 Participants
38 umol/mL
n=107 Participants
32 umol/mL
n=206 Participants
Homeostasis model assessment (HOMA) score of insulin resistance
6.5 mg/dL x umol/mL/405
n=99 Participants
8.3 mg/dL x umol/mL/405
n=107 Participants
7.1 mg/dL x umol/mL/405
n=206 Participants
Hemoglobin A1c
5.4 percentage of glycosylated hemoglobin
STANDARD_DEVIATION 0.6 • n=99 Participants
5.4 percentage of glycosylated hemoglobin
STANDARD_DEVIATION 0.3 • n=107 Participants
5.4 percentage of glycosylated hemoglobin
STANDARD_DEVIATION 0.5 • n=206 Participants
Height
165 cm
STANDARD_DEVIATION 9 • n=99 Participants
165 cm
STANDARD_DEVIATION 9 • n=107 Participants
165 cm
STANDARD_DEVIATION 9 • n=206 Participants
Weight
95 kg
STANDARD_DEVIATION 17 • n=99 Participants
96 kg
STANDARD_DEVIATION 19 • n=107 Participants
95 kg
STANDARD_DEVIATION 18 • n=206 Participants
Body-mass index
34 kg/m^2
STANDARD_DEVIATION 5 • n=99 Participants
35 kg/m^2
STANDARD_DEVIATION 5 • n=107 Participants
35 kg/m^2
STANDARD_DEVIATION 5 • n=206 Participants
Mid arm circumference
33 cm
STANDARD_DEVIATION 4 • n=99 Participants
33 cm
STANDARD_DEVIATION 4 • n=107 Participants
33 cm
STANDARD_DEVIATION 4 • n=206 Participants
Waist circumference
108 cm
STANDARD_DEVIATION 11 • n=99 Participants
111 cm
STANDARD_DEVIATION 11 • n=107 Participants
110 cm
STANDARD_DEVIATION 11 • n=206 Participants
Hip circumference
110 cm
STANDARD_DEVIATION 11 • n=99 Participants
112 cm
STANDARD_DEVIATION 11 • n=107 Participants
111 cm
STANDARD_DEVIATION 11 • n=206 Participants
Waist to hip ratio
0.99 ratio
STANDARD_DEVIATION 0.06 • n=99 Participants
0.99 ratio
STANDARD_DEVIATION 0.06 • n=107 Participants
0.99 ratio
STANDARD_DEVIATION 0.06 • n=206 Participants
Systolic blood pressure
121 mmHg
STANDARD_DEVIATION 9 • n=99 Participants
119 mmHg
STANDARD_DEVIATION 9 • n=107 Participants
120 mmHg
STANDARD_DEVIATION 9 • n=206 Participants
Diastolic blood pressure
69 mmHg
STANDARD_DEVIATION 6 • n=99 Participants
69 mmHg
STANDARD_DEVIATION 6 • n=107 Participants
69 mmHg
STANDARD_DEVIATION 6 • n=206 Participants
Pulse
79 beats per minute
STANDARD_DEVIATION 13 • n=99 Participants
80 beats per minute
STANDARD_DEVIATION 13 • n=107 Participants
79 beats per minute
STANDARD_DEVIATION 13 • n=206 Participants
Breath rate
18 breaths/minute
STANDARD_DEVIATION 3 • n=99 Participants
19 breaths/minute
STANDARD_DEVIATION 4 • n=107 Participants
19 breaths/minute
STANDARD_DEVIATION 3 • n=206 Participants
Hemoglobin
14.5 g/dL
STANDARD_DEVIATION 1.1 • n=99 Participants
14.0 g/dL
STANDARD_DEVIATION 1.2 • n=107 Participants
14.2 g/dL
STANDARD_DEVIATION 1.2 • n=206 Participants
Hematocrit
43.2 percentage of hematocrit
STANDARD_DEVIATION 3.3 • n=99 Participants
42.0 percentage of hematocrit
STANDARD_DEVIATION 3.4 • n=107 Participants
42.6 percentage of hematocrit
STANDARD_DEVIATION 3.4 • n=206 Participants
MCV
84.9 fL
STANDARD_DEVIATION 4.4 • n=99 Participants
84.7 fL
STANDARD_DEVIATION 3.4 • n=107 Participants
84.8 fL
STANDARD_DEVIATION 4.0 • n=206 Participants
White blood cell count (WBC)
7.2 10^3 cells/uL
STANDARD_DEVIATION 1.5 • n=99 Participants
8.6 10^3 cells/uL
STANDARD_DEVIATION 2.4 • n=107 Participants
7.9 10^3 cells/uL
STANDARD_DEVIATION 2.1 • n=206 Participants
Red blood cell count (RBC)
509 million cells/uL
STANDARD_DEVIATION 39 • n=99 Participants
496 million cells/uL
STANDARD_DEVIATION 37 • n=107 Participants
503 million cells/uL
STANDARD_DEVIATION 39 • n=206 Participants
Neutrophils
3541 cells/uL
STANDARD_DEVIATION 1123 • n=99 Participants
4231 cells/uL
STANDARD_DEVIATION 1867 • n=107 Participants
3869 cells/uL
STANDARD_DEVIATION 1552 • n=206 Participants
Lymphocytes
2656 cells/uL
STANDARD_DEVIATION 727 • n=99 Participants
3031 cells/uL
STANDARD_DEVIATION 1003 • n=107 Participants
2835 cells/uL
STANDARD_DEVIATION 884 • n=206 Participants
Monocytes
501 cells/uL
STANDARD_DEVIATION 165 • n=99 Participants
578 cells/uL
STANDARD_DEVIATION 217 • n=107 Participants
537 cells/uL
STANDARD_DEVIATION 194 • n=206 Participants
Eosinophils
297 cells/uL
STANDARD_DEVIATION 245 • n=99 Participants
278 cells/uL
STANDARD_DEVIATION 249 • n=107 Participants
288 cells/uL
STANDARD_DEVIATION 245 • n=206 Participants
Basophils
35 cells/uL
STANDARD_DEVIATION 37 • n=99 Participants
65 cells/uL
STANDARD_DEVIATION 126 • n=107 Participants
49 cells/uL
STANDARD_DEVIATION 91 • n=206 Participants
Platelet
277 1000 cells/mm^3
STANDARD_DEVIATION 57 • n=99 Participants
311 1000 cells/mm^3
STANDARD_DEVIATION 66 • n=107 Participants
293 1000 cells/mm^3
STANDARD_DEVIATION 64 • n=206 Participants
Sodium
140.0 mEq/L
STANDARD_DEVIATION 2.0 • n=99 Participants
139.7 mEq/L
STANDARD_DEVIATION 2.0 • n=107 Participants
139.9 mEq/L
STANDARD_DEVIATION 2.0 • n=206 Participants
Potassium
4.1 mEq/L
STANDARD_DEVIATION 0.3 • n=99 Participants
4.2 mEq/L
STANDARD_DEVIATION 0.2 • n=107 Participants
4.2 mEq/L
STANDARD_DEVIATION 0.3 • n=206 Participants
Chloride
103.9 mEq/L
STANDARD_DEVIATION 2.7 • n=99 Participants
102.9 mEq/L
STANDARD_DEVIATION 2.5 • n=107 Participants
103.4 mEq/L
STANDARD_DEVIATION 2.6 • n=206 Participants
Bicarbonate
24.3 mEq/L
STANDARD_DEVIATION 2.5 • n=99 Participants
24.7 mEq/L
STANDARD_DEVIATION 2.0 • n=107 Participants
24.4 mEq/L
STANDARD_DEVIATION 2.3 • n=206 Participants
Calcium
9.8 mEq/L
STANDARD_DEVIATION 0.4 • n=99 Participants
9.8 mEq/L
STANDARD_DEVIATION 0.3 • n=107 Participants
9.8 mEq/L
STANDARD_DEVIATION 0.3 • n=206 Participants
Blood urea nitrogen
10.9 mg/dL
STANDARD_DEVIATION 3.1 • n=99 Participants
10.5 mg/dL
STANDARD_DEVIATION 2.5 • n=107 Participants
10.7 mg/dL
STANDARD_DEVIATION 2.8 • n=206 Participants
Creatinine
0.56 mg/dL
STANDARD_DEVIATION 0.14 • n=99 Participants
0.56 mg/dL
STANDARD_DEVIATION 0.13 • n=107 Participants
0.56 mg/dL
STANDARD_DEVIATION 0.14 • n=206 Participants
Estimated glomerular filtration rate (eGFR)
156 mL/min/1.73m^2
STANDARD_DEVIATION 19 • n=99 Participants
155 mL/min/1.73m^2
STANDARD_DEVIATION 17 • n=107 Participants
156 mL/min/1.73m^2
STANDARD_DEVIATION 18 • n=206 Participants
Prothrombin time
12.3 seconds
STANDARD_DEVIATION 1.3 • n=99 Participants
11.9 seconds
STANDARD_DEVIATION 1.3 • n=107 Participants
12.1 seconds
STANDARD_DEVIATION 1.3 • n=206 Participants
International normalized ratio (INR)
1.04 ratio
STANDARD_DEVIATION 0.07 • n=99 Participants
1.04 ratio
STANDARD_DEVIATION 0.08 • n=107 Participants
1.04 ratio
STANDARD_DEVIATION 0.07 • n=206 Participants
Uric acid
6.6 mg/dL
STANDARD_DEVIATION 1.7 • n=99 Participants
6.6 mg/dL
STANDARD_DEVIATION 1.5 • n=107 Participants
6.6 mg/dL
STANDARD_DEVIATION 1.6 • n=206 Participants
C-reactive protein
3.8 mg/L
STANDARD_DEVIATION 2.5 • n=99 Participants
3.8 mg/L
STANDARD_DEVIATION 3.0 • n=107 Participants
3.8 mg/L
STANDARD_DEVIATION 2.7 • n=206 Participants
Time from liver biopsy
0.7 years
STANDARD_DEVIATION 0.6 • n=99 Participants
0.8 years
STANDARD_DEVIATION 0.6 • n=107 Participants
0.8 years
STANDARD_DEVIATION 0.6 • n=206 Participants
Nonalcoholic fatty liver disease (NAFLD) activity score
4.6 units on a scale
STANDARD_DEVIATION 1.5 • n=99 Participants
4.4 units on a scale
STANDARD_DEVIATION 1.2 • n=107 Participants
4.5 units on a scale
STANDARD_DEVIATION 1.4 • n=206 Participants
Steatohepatitis Diagnosis
NAFLD, not NASH
15 Participants
n=99 Participants
9 Participants
n=107 Participants
24 Participants
n=206 Participants
Steatohepatitis Diagnosis
Borderline Zone 3
9 Participants
n=99 Participants
7 Participants
n=107 Participants
16 Participants
n=206 Participants
Steatohepatitis Diagnosis
Borderline Zone 1
11 Participants
n=99 Participants
12 Participants
n=107 Participants
23 Participants
n=206 Participants
Steatohepatitis Diagnosis
Definite steatohepatitis
8 Participants
n=99 Participants
12 Participants
n=107 Participants
20 Participants
n=206 Participants
Fibrosis stage
Stage 0
17 Participants
n=99 Participants
7 Participants
n=107 Participants
24 Participants
n=206 Participants
Fibrosis stage
Stage 1
13 Participants
n=99 Participants
20 Participants
n=107 Participants
33 Participants
n=206 Participants
Fibrosis stage
Stage 2
8 Participants
n=99 Participants
5 Participants
n=107 Participants
13 Participants
n=206 Participants
Fibrosis stage
Stage 3
5 Participants
n=99 Participants
8 Participants
n=107 Participants
13 Participants
n=206 Participants
Hepatocellular ballooning grade
0 - None
31 Participants
n=99 Participants
27 Participants
n=107 Participants
58 Participants
n=206 Participants
Hepatocellular ballooning grade
1 - Few
6 Participants
n=99 Participants
10 Participants
n=107 Participants
16 Participants
n=206 Participants
Hepatocellular ballooning grade
2 - Many
6 Participants
n=99 Participants
3 Participants
n=107 Participants
9 Participants
n=206 Participants
Steatosis
5-33%
4 Participants
n=99 Participants
6 Participants
n=107 Participants
10 Participants
n=206 Participants
Steatosis
34-66%
13 Participants
n=99 Participants
11 Participants
n=107 Participants
24 Participants
n=206 Participants
Steatosis
>66%
26 Participants
n=99 Participants
23 Participants
n=107 Participants
49 Participants
n=206 Participants
Lobular inflammation
<2 under 20x magnification
21 Participants
n=99 Participants
17 Participants
n=107 Participants
38 Participants
n=206 Participants
Lobular inflammation
2-4 under 20x magnification
16 Participants
n=99 Participants
21 Participants
n=107 Participants
37 Participants
n=206 Participants
Lobular inflammation
>4 under 20x magnification
6 Participants
n=99 Participants
2 Participants
n=107 Participants
8 Participants
n=206 Participants
Portal inflammation
None
7 Participants
n=99 Participants
5 Participants
n=107 Participants
12 Participants
n=206 Participants
Portal inflammation
Mild
30 Participants
n=99 Participants
28 Participants
n=107 Participants
58 Participants
n=206 Participants
Portal inflammation
More than mild
6 Participants
n=99 Participants
7 Participants
n=107 Participants
13 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Baseline and 24 weeks

Population: Results based on complete case analysis.

Change ALT value in U/L (24 weeks minus baseline). A negative score indicates improvement.

Outcome measures

Outcome measures
Measure
Losartan Potassium Capsule
n=33 Participants
Dose will be one 50 mg capsule of losartan per day for one week and then increased to two capsules of 50 mg of losartan per day (100 mg total) for 23 weeks patients with baseline weight ≥ 70 kg to \<150 kg. Losartan potassium: Losartan potassium is an angiotensin II receptor blocker acting on the AT 1 receptor subtype
Placebo Losartan Capsule
n=34 Participants
Dose will be one 50 mg capsule of placebo losartan per day for one week and then increased to two capsules of 50 mg of placebo losartan per day (100 mg total) for 23 weeks for patients with baseline weight ≥ 70 kg to \<150 kg. Placebo losartan capsule: Matching placebo losartan oral capsule
Change in Serum Alanine Aminotransferase (ALT) From Baseline.
-5.3 U/L
Standard Deviation 51.4
-6.3 U/L
Standard Deviation 77.5

SECONDARY outcome

Timeframe: Baseline and 24 weeks

Change from baseline in gamma-glutamyl transpeptidase (GGT), measured in U/L.

Outcome measures

Outcome measures
Measure
Losartan Potassium Capsule
n=33 Participants
Dose will be one 50 mg capsule of losartan per day for one week and then increased to two capsules of 50 mg of losartan per day (100 mg total) for 23 weeks patients with baseline weight ≥ 70 kg to \<150 kg. Losartan potassium: Losartan potassium is an angiotensin II receptor blocker acting on the AT 1 receptor subtype
Placebo Losartan Capsule
n=34 Participants
Dose will be one 50 mg capsule of placebo losartan per day for one week and then increased to two capsules of 50 mg of placebo losartan per day (100 mg total) for 23 weeks for patients with baseline weight ≥ 70 kg to \<150 kg. Placebo losartan capsule: Matching placebo losartan oral capsule
Change in Gamma-glutamyl Transpeptidase (GGT) Compared to Baseline
-1.9 U/L
Standard Deviation 13.9
0.6 U/L
Standard Deviation 19.7

SECONDARY outcome

Timeframe: Baseline and 24 weeks

Change from baseline in serum aspartate aminotransferase, measured in U/L.

Outcome measures

Outcome measures
Measure
Losartan Potassium Capsule
n=33 Participants
Dose will be one 50 mg capsule of losartan per day for one week and then increased to two capsules of 50 mg of losartan per day (100 mg total) for 23 weeks patients with baseline weight ≥ 70 kg to \<150 kg. Losartan potassium: Losartan potassium is an angiotensin II receptor blocker acting on the AT 1 receptor subtype
Placebo Losartan Capsule
n=34 Participants
Dose will be one 50 mg capsule of placebo losartan per day for one week and then increased to two capsules of 50 mg of placebo losartan per day (100 mg total) for 23 weeks for patients with baseline weight ≥ 70 kg to \<150 kg. Placebo losartan capsule: Matching placebo losartan oral capsule
Change in Serum Aspartate Aminotransferase AST at 24 Weeks Compared to Baseline AST
0.2 U/L
Standard Deviation 27.2
-4.5 U/L
Standard Deviation 37.0

SECONDARY outcome

Timeframe: Baseline and 24 weeks

Relative change from baseline in serum ALT, measured in percentage of change.

Outcome measures

Outcome measures
Measure
Losartan Potassium Capsule
n=33 Participants
Dose will be one 50 mg capsule of losartan per day for one week and then increased to two capsules of 50 mg of losartan per day (100 mg total) for 23 weeks patients with baseline weight ≥ 70 kg to \<150 kg. Losartan potassium: Losartan potassium is an angiotensin II receptor blocker acting on the AT 1 receptor subtype
Placebo Losartan Capsule
n=34 Participants
Dose will be one 50 mg capsule of placebo losartan per day for one week and then increased to two capsules of 50 mg of placebo losartan per day (100 mg total) for 23 weeks for patients with baseline weight ≥ 70 kg to \<150 kg. Placebo losartan capsule: Matching placebo losartan oral capsule
Relative Change in Serum Alanine Aminotransferase (ALT) Compared to Baseline ALT
2.7 percentage of change
Standard Deviation 43.8
-5.7 percentage of change
Standard Deviation 73.2

SECONDARY outcome

Timeframe: Baseline and 12 weeks

Change from baseline in ALT at 12 weeks, measured in U/L.

Outcome measures

Outcome measures
Measure
Losartan Potassium Capsule
n=33 Participants
Dose will be one 50 mg capsule of losartan per day for one week and then increased to two capsules of 50 mg of losartan per day (100 mg total) for 23 weeks patients with baseline weight ≥ 70 kg to \<150 kg. Losartan potassium: Losartan potassium is an angiotensin II receptor blocker acting on the AT 1 receptor subtype
Placebo Losartan Capsule
n=34 Participants
Dose will be one 50 mg capsule of placebo losartan per day for one week and then increased to two capsules of 50 mg of placebo losartan per day (100 mg total) for 23 weeks for patients with baseline weight ≥ 70 kg to \<150 kg. Placebo losartan capsule: Matching placebo losartan oral capsule
Change in ALT at 12 Weeks Compared to Baseline ALT
-5.8 mg/dL
Standard Deviation 43.0
-19.3 mg/dL
Standard Deviation 38.5

SECONDARY outcome

Timeframe: Baseline and 24 weeks

Homeostasis Model Assessment of Insulin Resistance Index (HOMA-IR) measures insulin resistance, calculated by fasting insulin (umol/mL) multiplied by fasting glucose (mg/dL), and divided by a constant (405). A higher score indicates higher insulin resistance.

Outcome measures

Outcome measures
Measure
Losartan Potassium Capsule
n=33 Participants
Dose will be one 50 mg capsule of losartan per day for one week and then increased to two capsules of 50 mg of losartan per day (100 mg total) for 23 weeks patients with baseline weight ≥ 70 kg to \<150 kg. Losartan potassium: Losartan potassium is an angiotensin II receptor blocker acting on the AT 1 receptor subtype
Placebo Losartan Capsule
n=34 Participants
Dose will be one 50 mg capsule of placebo losartan per day for one week and then increased to two capsules of 50 mg of placebo losartan per day (100 mg total) for 23 weeks for patients with baseline weight ≥ 70 kg to \<150 kg. Placebo losartan capsule: Matching placebo losartan oral capsule
Change in Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) Compared to Baseline.
4.5 mg/dL x uU/mL/405
Standard Deviation 8.1
1.1 mg/dL x uU/mL/405
Standard Deviation 5.2

SECONDARY outcome

Timeframe: Baseline and 24 weeks

Change from baseline in weight, measured in kg.

Outcome measures

Outcome measures
Measure
Losartan Potassium Capsule
n=33 Participants
Dose will be one 50 mg capsule of losartan per day for one week and then increased to two capsules of 50 mg of losartan per day (100 mg total) for 23 weeks patients with baseline weight ≥ 70 kg to \<150 kg. Losartan potassium: Losartan potassium is an angiotensin II receptor blocker acting on the AT 1 receptor subtype
Placebo Losartan Capsule
n=34 Participants
Dose will be one 50 mg capsule of placebo losartan per day for one week and then increased to two capsules of 50 mg of placebo losartan per day (100 mg total) for 23 weeks for patients with baseline weight ≥ 70 kg to \<150 kg. Placebo losartan capsule: Matching placebo losartan oral capsule
Change in Weight at 24 Weeks Compared to Baseline
4.4 kg
Standard Deviation 4.2
3.9 kg
Standard Deviation 4.3

SECONDARY outcome

Timeframe: Baseline and 24 weeks

Change from baseline in BMI, measured in kg/m\^2.

Outcome measures

Outcome measures
Measure
Losartan Potassium Capsule
n=33 Participants
Dose will be one 50 mg capsule of losartan per day for one week and then increased to two capsules of 50 mg of losartan per day (100 mg total) for 23 weeks patients with baseline weight ≥ 70 kg to \<150 kg. Losartan potassium: Losartan potassium is an angiotensin II receptor blocker acting on the AT 1 receptor subtype
Placebo Losartan Capsule
n=34 Participants
Dose will be one 50 mg capsule of placebo losartan per day for one week and then increased to two capsules of 50 mg of placebo losartan per day (100 mg total) for 23 weeks for patients with baseline weight ≥ 70 kg to \<150 kg. Placebo losartan capsule: Matching placebo losartan oral capsule
Change in Body Mass Index (BMI) at 24 Weeks Compared to Baseline.
0.8 kg/m^2
Standard Deviation 1.2
0.8 kg/m^2
Standard Deviation 1.3

SECONDARY outcome

Timeframe: Baseline and 24 weeks

Change from baseline in waist circumference, measured in centimeters.

Outcome measures

Outcome measures
Measure
Losartan Potassium Capsule
n=33 Participants
Dose will be one 50 mg capsule of losartan per day for one week and then increased to two capsules of 50 mg of losartan per day (100 mg total) for 23 weeks patients with baseline weight ≥ 70 kg to \<150 kg. Losartan potassium: Losartan potassium is an angiotensin II receptor blocker acting on the AT 1 receptor subtype
Placebo Losartan Capsule
n=34 Participants
Dose will be one 50 mg capsule of placebo losartan per day for one week and then increased to two capsules of 50 mg of placebo losartan per day (100 mg total) for 23 weeks for patients with baseline weight ≥ 70 kg to \<150 kg. Placebo losartan capsule: Matching placebo losartan oral capsule
Change in Waist Circumference at 24 Weeks Compared to Baseline
2.6 cm
Standard Deviation 5.4
0.1 cm
Standard Deviation 6.4

SECONDARY outcome

Timeframe: Baseline and 24 weeks

Change from baseline in waist-to-hip ratio, measured as the circumference of the waist in centimeters divided by the circumference of the hips in centimeters.

Outcome measures

Outcome measures
Measure
Losartan Potassium Capsule
n=33 Participants
Dose will be one 50 mg capsule of losartan per day for one week and then increased to two capsules of 50 mg of losartan per day (100 mg total) for 23 weeks patients with baseline weight ≥ 70 kg to \<150 kg. Losartan potassium: Losartan potassium is an angiotensin II receptor blocker acting on the AT 1 receptor subtype
Placebo Losartan Capsule
n=34 Participants
Dose will be one 50 mg capsule of placebo losartan per day for one week and then increased to two capsules of 50 mg of placebo losartan per day (100 mg total) for 23 weeks for patients with baseline weight ≥ 70 kg to \<150 kg. Placebo losartan capsule: Matching placebo losartan oral capsule
Change in Waist-to-hip Ratio at 24 Weeks Compared to Baseline
0.01 ratio
Standard Deviation 0.05
-0.01 ratio
Standard Deviation 0.06

SECONDARY outcome

Timeframe: Baseline and 24 weeks

Pediatric Quality of Life Inventory (PedsQOL) version 4.0 is composed of 23 items comprising 4 dimensions: Physical Functioning, Emotional Functioning, Social Functioning, and School Functioning. Scores are transformed on a scale from 0 to 100, with higher scores indicating better health-related quality of life. Physical Health Summary Score =Physical Functioning Scale Score. The outcome is 24-week change from baseline in PedsQOL Physical Health Score, where higher values indicate improvement in quality of life.

Outcome measures

Outcome measures
Measure
Losartan Potassium Capsule
n=33 Participants
Dose will be one 50 mg capsule of losartan per day for one week and then increased to two capsules of 50 mg of losartan per day (100 mg total) for 23 weeks patients with baseline weight ≥ 70 kg to \<150 kg. Losartan potassium: Losartan potassium is an angiotensin II receptor blocker acting on the AT 1 receptor subtype
Placebo Losartan Capsule
n=34 Participants
Dose will be one 50 mg capsule of placebo losartan per day for one week and then increased to two capsules of 50 mg of placebo losartan per day (100 mg total) for 23 weeks for patients with baseline weight ≥ 70 kg to \<150 kg. Placebo losartan capsule: Matching placebo losartan oral capsule
Change in Pediatric Quality of Life Inventory (PedsQOL) Physical Health Score at 24 Weeks Compared to Baseline
0.9 score on a scale
Standard Deviation 14.7
-2.2 score on a scale
Standard Deviation 13.3

SECONDARY outcome

Timeframe: Baseline and 24 weeks

Numbers of adverse events reported over 24 weeks.

Outcome measures

Outcome measures
Measure
Losartan Potassium Capsule
n=33 Participants
Dose will be one 50 mg capsule of losartan per day for one week and then increased to two capsules of 50 mg of losartan per day (100 mg total) for 23 weeks patients with baseline weight ≥ 70 kg to \<150 kg. Losartan potassium: Losartan potassium is an angiotensin II receptor blocker acting on the AT 1 receptor subtype
Placebo Losartan Capsule
n=34 Participants
Dose will be one 50 mg capsule of placebo losartan per day for one week and then increased to two capsules of 50 mg of placebo losartan per day (100 mg total) for 23 weeks for patients with baseline weight ≥ 70 kg to \<150 kg. Placebo losartan capsule: Matching placebo losartan oral capsule
Frequency of Adverse Events Over 24 Weeks
44 adverse events
55 adverse events

SECONDARY outcome

Timeframe: Baseline and 24 weeks

Change from baseline in total cholesterol, measured in mg/dL

Outcome measures

Outcome measures
Measure
Losartan Potassium Capsule
n=33 Participants
Dose will be one 50 mg capsule of losartan per day for one week and then increased to two capsules of 50 mg of losartan per day (100 mg total) for 23 weeks patients with baseline weight ≥ 70 kg to \<150 kg. Losartan potassium: Losartan potassium is an angiotensin II receptor blocker acting on the AT 1 receptor subtype
Placebo Losartan Capsule
n=34 Participants
Dose will be one 50 mg capsule of placebo losartan per day for one week and then increased to two capsules of 50 mg of placebo losartan per day (100 mg total) for 23 weeks for patients with baseline weight ≥ 70 kg to \<150 kg. Placebo losartan capsule: Matching placebo losartan oral capsule
Change in Total Cholesterol at 24 Weeks Compared to Baseline
-6.7 mg/dL
Standard Deviation 28.4
-4.1 mg/dL
Standard Deviation 25.2

SECONDARY outcome

Timeframe: Baseline and 24 weeks

Change from baseline in triglycerides, measured in mg/dL

Outcome measures

Outcome measures
Measure
Losartan Potassium Capsule
n=33 Participants
Dose will be one 50 mg capsule of losartan per day for one week and then increased to two capsules of 50 mg of losartan per day (100 mg total) for 23 weeks patients with baseline weight ≥ 70 kg to \<150 kg. Losartan potassium: Losartan potassium is an angiotensin II receptor blocker acting on the AT 1 receptor subtype
Placebo Losartan Capsule
n=34 Participants
Dose will be one 50 mg capsule of placebo losartan per day for one week and then increased to two capsules of 50 mg of placebo losartan per day (100 mg total) for 23 weeks for patients with baseline weight ≥ 70 kg to \<150 kg. Placebo losartan capsule: Matching placebo losartan oral capsule
Change in Triglycerides at 24 Weeks Compared to Baseline
13.2 mg/dL
Standard Deviation 98.1
6.2 mg/dL
Standard Deviation 41.1

SECONDARY outcome

Timeframe: Baseline and 24 weeks

Change from baseline in HDL cholesterol, measured in mg/dL

Outcome measures

Outcome measures
Measure
Losartan Potassium Capsule
n=33 Participants
Dose will be one 50 mg capsule of losartan per day for one week and then increased to two capsules of 50 mg of losartan per day (100 mg total) for 23 weeks patients with baseline weight ≥ 70 kg to \<150 kg. Losartan potassium: Losartan potassium is an angiotensin II receptor blocker acting on the AT 1 receptor subtype
Placebo Losartan Capsule
n=34 Participants
Dose will be one 50 mg capsule of placebo losartan per day for one week and then increased to two capsules of 50 mg of placebo losartan per day (100 mg total) for 23 weeks for patients with baseline weight ≥ 70 kg to \<150 kg. Placebo losartan capsule: Matching placebo losartan oral capsule
Change in HDL Cholesterol at 24 Weeks Compared to Baseline
-2.1 mg/dL
Standard Deviation 6.2
-1.1 mg/dL
Standard Deviation 4.9

SECONDARY outcome

Timeframe: Baseline and 24 weeks

Change from baseline in LDL cholesterol, measured in mg/dL

Outcome measures

Outcome measures
Measure
Losartan Potassium Capsule
n=33 Participants
Dose will be one 50 mg capsule of losartan per day for one week and then increased to two capsules of 50 mg of losartan per day (100 mg total) for 23 weeks patients with baseline weight ≥ 70 kg to \<150 kg. Losartan potassium: Losartan potassium is an angiotensin II receptor blocker acting on the AT 1 receptor subtype
Placebo Losartan Capsule
n=34 Participants
Dose will be one 50 mg capsule of placebo losartan per day for one week and then increased to two capsules of 50 mg of placebo losartan per day (100 mg total) for 23 weeks for patients with baseline weight ≥ 70 kg to \<150 kg. Placebo losartan capsule: Matching placebo losartan oral capsule
Change in LDL Cholesterol at 24 Weeks Compared to Baseline
-6.7 mg/dL
Standard Deviation 29.2
-6.2 mg/dL
Standard Deviation 14.8

SECONDARY outcome

Timeframe: Baseline and 24 weeks

Pediatric Quality of Life Inventory (PedsQOL) version 4.0 is composed of 23 items comprising 4 dimensions: Physical Functioning, Emotional Functioning, Social Functioning, and School Functioning. Scores are transformed on a scale from 0 to 100, with higher scores indicating better health-related quality of life. Psychosocial Health Summary Score = Sum of items over the number of items answered in the Emotional, Social, and School Functioning Scales. The outcome is 24-week change from baseline in PedsQOL Psychosocial Health Score, where higher values indicate improvement in quality of life.

Outcome measures

Outcome measures
Measure
Losartan Potassium Capsule
n=33 Participants
Dose will be one 50 mg capsule of losartan per day for one week and then increased to two capsules of 50 mg of losartan per day (100 mg total) for 23 weeks patients with baseline weight ≥ 70 kg to \<150 kg. Losartan potassium: Losartan potassium is an angiotensin II receptor blocker acting on the AT 1 receptor subtype
Placebo Losartan Capsule
n=34 Participants
Dose will be one 50 mg capsule of placebo losartan per day for one week and then increased to two capsules of 50 mg of placebo losartan per day (100 mg total) for 23 weeks for patients with baseline weight ≥ 70 kg to \<150 kg. Placebo losartan capsule: Matching placebo losartan oral capsule
Change in Pediatric Quality of Life Inventory (PedsQOL) Psychosocial Health Score at 24 Weeks Compared to Baseline
2.7 score on a scale
Standard Deviation 12.2
-0.2 score on a scale
Standard Deviation 13.9

Adverse Events

Losartan

Serious events: 0 serious events
Other events: 28 other events
Deaths: 0 deaths

Placebo

Serious events: 4 serious events
Other events: 25 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Losartan
n=43 participants at risk
100 mg losartan once per day
Placebo
n=40 participants at risk
Matching placebo, taken once per day
Hepatobiliary disorders
Cholecystitis
0.00%
0/43 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Psychiatric disorders
Suicidal ideation
0.00%
0/43 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Infections and infestations
Wound infection
0.00%
0/43 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Surgical and medical procedures
Surgical and medication procedures - Other, bilateral knee surgery
0.00%
0/43 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.

Other adverse events

Other adverse events
Measure
Losartan
n=43 participants at risk
100 mg losartan once per day
Placebo
n=40 participants at risk
Matching placebo, taken once per day
Gastrointestinal disorders
Abdominal pain
4.7%
2/43 • Number of events 2 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Musculoskeletal and connective tissue disorders
Back pain
2.3%
1/43 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Infections and infestations
Conjunctivitis
0.00%
0/43 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Respiratory, thoracic and mediastinal disorders
Cough
2.3%
1/43 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Gastrointestinal disorders
Diarrhea
4.7%
2/43 • Number of events 2 • Adverse event data were collected over a time period of 36 weeks.
5.0%
2/40 • Number of events 2 • Adverse event data were collected over a time period of 36 weeks.
Nervous system disorders
Dizziness
11.6%
5/43 • Number of events 5 • Adverse event data were collected over a time period of 36 weeks.
7.5%
3/40 • Number of events 4 • Adverse event data were collected over a time period of 36 weeks.
Gastrointestinal disorders
Dyspepsia
4.7%
2/43 • Number of events 2 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Respiratory, thoracic and mediastinal disorders
Epistaxis
2.3%
1/43 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
0.00%
0/40 • Adverse event data were collected over a time period of 36 weeks.
General disorders
Fatigue
2.3%
1/43 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
0.00%
0/40 • Adverse event data were collected over a time period of 36 weeks.
General disorders
Fever
2.3%
1/43 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Musculoskeletal and connective tissue disorders
Flank pain
0.00%
0/43 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Respiratory, thoracic and mediastinal disorders
Flu like symptoms
4.7%
2/43 • Number of events 2 • Adverse event data were collected over a time period of 36 weeks.
0.00%
0/40 • Adverse event data were collected over a time period of 36 weeks.
Nervous system disorders
Headache
16.3%
7/43 • Number of events 7 • Adverse event data were collected over a time period of 36 weeks.
17.5%
7/40 • Number of events 7 • Adverse event data were collected over a time period of 36 weeks.
Cardiac disorders
Hypertension
0.00%
0/43 • Adverse event data were collected over a time period of 36 weeks.
5.0%
2/40 • Number of events 2 • Adverse event data were collected over a time period of 36 weeks.
Cardiac disorders
Hypotension
4.7%
2/43 • Number of events 2 • Adverse event data were collected over a time period of 36 weeks.
0.00%
0/40 • Adverse event data were collected over a time period of 36 weeks.
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder, other - knee injury, pain, bursitis
2.3%
1/43 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
0.00%
0/40 • Adverse event data were collected over a time period of 36 weeks.
Ear and labyrinth disorders
Middle ear inflammation
2.3%
1/43 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
0.00%
0/40 • Adverse event data were collected over a time period of 36 weeks.
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder, other-slipped capital femoral epiphysis (SCFE)
0.00%
0/43 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/43 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.00%
0/43 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Gastrointestinal disorders
Nausea
7.0%
3/43 • Number of events 3 • Adverse event data were collected over a time period of 36 weeks.
12.5%
5/40 • Number of events 5 • Adverse event data were collected over a time period of 36 weeks.
Ear and labyrinth disorders
Otitis externa
0.00%
0/43 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Respiratory, thoracic and mediastinal disorders
Pharyngitis
0.00%
0/43 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Surgical and medical procedures
Surgical and medical procedures - Other, Rhinoseptoplasty
2.3%
1/43 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
0.00%
0/40 • Adverse event data were collected over a time period of 36 weeks.
Infections and infestations
Rash, pustular
0.00%
0/43 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Respiratory, thoracic and mediastinal disorders
Rhinorrhea
0.00%
0/43 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Infections and infestations
Sinusitus
4.7%
2/43 • Number of events 2 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Infections and infestations
Sore throat
2.3%
1/43 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Gastrointestinal disorders
Stomach pain
4.7%
2/43 • Number of events 2 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Respiratory, thoracic and mediastinal disorders
Upper respiratory infection
4.7%
2/43 • Number of events 2 • Adverse event data were collected over a time period of 36 weeks.
17.5%
7/40 • Number of events 9 • Adverse event data were collected over a time period of 36 weeks.
Infections and infestations
Viremia
0.00%
0/43 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Gastrointestinal disorders
Vomiting
2.3%
1/43 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
2.5%
1/40 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
Gastrointestinal disorders
Flatulence
2.3%
1/43 • Number of events 1 • Adverse event data were collected over a time period of 36 weeks.
0.00%
0/40 • Adverse event data were collected over a time period of 36 weeks.

Additional Information

Laura Wilson

Johns Hopkins Bloomberg School of Public Health

Phone: 410-955-0719

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place