Hypertension Clinical Trial
Official title:
Evaluation of the Effects of MC-1 Alone and in Combination With an ACE Inhibitor on Ambulatory Blood Pressure and Metabolic Function in Hypertensive Patients With Type 2 Diabetes Mellitus
The purpose of this study is to determine whether MC-1 alone and in combination with an ACE inhibitor is effective in reducing blood pressure and metabolic dysfunctions associated with diabetes
Hypertension is an extremely common co-morbid condition in diabetics, affecting up to 11
million patients, depending on obesity, ethnicity and age. Hypertension substantially
increases the risk of both macrovascular and microvascular complications including stroke,
coronary artery disease, peripheral vascular disease, retinopathy, nephropathy and possibly
neuropathy.
In recent years, adequate data from well-designed randomized clinical trials have
demonstrated the effectiveness of aggressive treatment of hypertension in reducing diabetic
complications. In the epidemiological UK Prospective Diabetes Study (UKPDS), each 10 mmHg
decrease in mean systolic blood pressure was associated with reductions in risk of 12% for
any complication related to diabetes, 15% for deaths related to diabetes, 11% for myocardial
infarction and 13% for microvascular complications. Currently the consensus guidelines
recommend a blood pressure target of <130/80 mmHg in diabetic patients with hypertension,
even though they recognize many people will require three or more drugs to reach this goal.
MC-1 is a naturally occurring metabolite of vitamin B6, and thus has very low toxicity.
Evidence from pre-clinical studies suggests that MC-1 has beneficial effects on hypertension
and metabolic dysfunction. This trial will assess the effects of MC-1 alone and MC-1 in
combination with an ACE inhibitor compared to placebo on hypertension and parameters of
metabolic function in type 2 diabetic patients.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Crossover Assignment, Masking: Double-Blind, Primary Purpose: Treatment
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