Prognosis of Coronavirus Disease 2019 (COVID-19) Patients Receiving Receiving Antihypertensives
NCT04357535 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 314
Last updated 2020-08-04
Summary
Coronavirus disease 2019 (COVID-19) ,caused by the newly identified Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) virus, has shown substantial global spread affecting over 2 million people and claiming over 120,000 lives to date. In March 2020, the World Health Organization (WHO) declared COVID-19 a global pandemic. The spectrum of manifestations of COVID19 infection ranges from mild flu-like symptoms to severe acute respiratory distress syndrome (ARDS), with an associated fatality rate of 1.4%. The suggested mode of entry of the SARS-CoV-2 into the human respiratory epithelium is through the angiotensin-converting enzyme 2 (ACE2) protein expressed on alveolar cell surfaces. This entry mechanism has sparked the interest of the scientific community. Preliminary epidemiological reports showed an increased risk of ARDS in hypertensive COVID-19 patients. This leads to the hypothesis that hypertensives treated with angiotensin-converting enzyme inhibitor (ACE-I) are at an increased risk of developing complicated COVID-19 infections . Other studies have refuted these claims as unsupported. Studies revealing the up regulation of ACE2 in cells of patients treated with ACE-I or ARBs were the underlying foundation for these claims. This study aims to assess the impact of ACE-I and/or ARBs on the prognosis of patients with COVID19.
Conditions
Interventions
- DRUG
-
Angiotensin-Converting Enzyme Inhibitors (ACE-I) and Angiotensin II Receptor Blockers (ARB)
ACE-I and ARB are a class of blood pressure lowering medications used to manage hypertension.
Sponsors & Collaborators
-
Buraidah Central Hospital
collaborator OTHER_GOV -
King Khalid University Hospital
collaborator OTHER -
Princess Nourah Bint Abdulrahman University
collaborator OTHER -
Hakeam Abdulaziz Hakeam
lead OTHER
Principal Investigators
-
Hakeam A Hakeam, MSPharm BCPS · King Faisal Specialist Hospital and Research Centre (KFSH&RC)
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-05-10
- Primary Completion
- 2020-07-01
- Completion
- 2020-08-01
- FDA Drug
- Yes
Countries
- Saudi Arabia
Study Locations
More Related Trials
-
Renin Angiotensin System - CoronaVirus
NCT04337008 ·Status: UNKNOWN ·Phase: NA
-
Hemodynamic and Salivary Responses of 12 Weeks of Training With Different Anti-hypertensive
NCT03529838 ·Status: TERMINATED ·Phase: NA
-
Effect of Different Antihypertensive Treatment on Serum Uric Acid in Newly Diagnosed Hypertensive Patients
NCT04554069 ·Status: UNKNOWN
-
Effects of Discontinuing Renin-angiotensin System Inhibitors in Patients With and Without COVID-19
NCT04351581 ·Status: COMPLETED ·Phase: NA
-
Angiotensin-(1,7) Treatment in COVID-19: the ATCO Trial
NCT04332666 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Pulmonary Artery Pressure in COVID-19 Survivors
NCT05993338 ·Status: COMPLETED ·Phase: NA
-
Impact of Ramadan on Achieving Joint National Committee (JNC) 7 Treatment Goals in CV Risk Patients
NCT01853839 ·Status: COMPLETED
-
Renin-angiotensin-aldosterone System Polymorphisms in Resistant Hypertension and Adverse Cardiovascular Events
NCT01173029 ·Status: COMPLETED
-
Dose-finding Study With ACT-132577 (Aprocitentan) in Participants With Essential Hypertension
NCT02603809 ·Status: COMPLETED ·Phase: PHASE2
-
Effect of Nocturnal Administration of Anti-hypertensive Medications in NoN-dippers
NCT01091753 ·Status: COMPLETED ·Phase: PHASE4
-
Effects of Inhibition of NO-Synthesis on Renal Hemodynamics and Sodium Excretion in Patients With Essential Hypertension and Healthy Controls
NCT00345150 ·Status: COMPLETED ·Phase: PHASE1
-
The Effects of Blood Pressure Reduction on Cerebral Perfusion and Cognition in the Elderly Population
NCT00966199 ·Status: UNKNOWN ·Phase: PHASE4
-
Pharmacogenomic Evaluation of Antihypertensive Responses 2
NCT01203852 ·Status: COMPLETED ·Phase: PHASE4
-
Fludrocortisone's Test in Salt Sensitivity
NCT01453959 ·Status: UNKNOWN ·Phase: PHASE4
-
Effect of Antihypertensive Agents Over Sleep Apnea
NCT01896661 ·Status: COMPLETED ·Phase: PHASE3
-
Changes in Central Arterial Pressure When Comparing ACOG Hypertensive Urgency Protocols
NCT02933593 ·Status: WITHDRAWN ·Phase: NA
-
RAS and Coagulopathy in COVID19
NCT04419610 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Cardiovascular Effects of Angiotensin-(1-7) in Obesity Hypertension
NCT06482853 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Cardiovascular and Renal Biomarkers to Predict Acute Heart or Kidney Injury in Severe Covid-19 Infection
NCT04354610 ·Status: COMPLETED ·Phase: NA
-
N-terminal Pro B-type Natriuretic Peptide and Vitamin D Levels as Prognostic Markers in COVID-19 Pneumonia
NCT04487951 ·Status: UNKNOWN
-
Acute Effect of Agiotensin-(1-7) in Healthy and Hypertensive Subjects
NCT03001271 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
Evaluation of Target Organs Impairment on Patients Suffering From High Blood Pressure
NCT00925470 ·Status: COMPLETED
-
Forebrain Electroneutral Transporters in Salt-sensitive Hypertension: an MRI Study
NCT06094816 ·Status: RECRUITING ·Phase: PHASE4
-
Pathophysiological Mechanisms of Hypertensive LVH:Optimising Regression
NCT00518479 ·Status: COMPLETED ·Phase: NA
-
Neuroinflammation in Hypertension Study
NCT04478500 ·Status: UNKNOWN ·Phase: PHASE3