METATEL: Regulation of Inflammatory Parameters by Telmisartan in Hypertensive Patients
Study Details
Study Description
Brief Summary
A number of studies have shown that certain blood-pressure medications such as ACE-inhibitors and angiotensin-II-receptor blockers (ARB) can reduce the incidence of diabetes mellitus type 2. This protocol will evaluate whether inflammatory mechanisms mediate this effect. The investigators therefore will investigate the effect of telmisartan, a potent ARB, on lipid metabolism, glucose metabolism and inflammation in patients with the metabolic syndrome. Specific parameters will be tested before treatment and after 3 months of treatment. Placebo will be compared to 2 different doses of telmisartan per day.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: T1 Telmisartan 80 mg/d |
Drug: telmisartan
80 mg per day, orally, weeks 1-14
|
Active Comparator: T2 Telmisartan 160 mg/d |
Drug: telmisartan
80 mg per day; orally, weeks 1 and 2; 160 mg per day; orally, weeks 3-14
|
Placebo Comparator: P placebo |
Drug: placebo
placebo; orally weeks 1-14
|
Outcome Measures
Primary Outcome Measures
- change in IL-6 [14 weeks]
Secondary Outcome Measures
- change in fasting lipids; [14 weeks]
- change in postprandial lipid metabolism [14 weeks]
- change in inflammatory parameters [14 weeks]
- change in glucose metabolism [14 weeks]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Abd. obesity (BMI>25kg/m²) and waist circumference ≥95cm (men),≥80cm (women)
-
Blood pressure ≥130 mmHg (systolic) and/or ≥85 mmHg (diastolic)
-
Triglycerides 150-400 mg/dl
-
Normal stress test
-
Normal carotid ultrasound
-
Normal fundoscopy
Exclusion Criteria:
-
Diabetes mellitus
-
Secondary cause for insulin resistance
-
LDL-cholesterol >190 mg/dl
-
Atherosclerotic disease
-
Blood pressure >160 mmHg (systolic) and/or >100 mmHg (diastolic)
-
Regular alcohol consumption (>30 g/day)
-
Contraindication against telmisartan
-
Antihypertensive medications
-
Lipid lowering therapy
-
Malignancy
-
Pregnancy or Lactation
-
Women without adequate contraception
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Center for Cardiovascular Research, University Berlin | Berlin | Germany | 10115 | |
2 | Med. Dept. 2, University Munich | Munich | Germany | 81377 |
Sponsors and Collaborators
- Ludwig-Maximilians - University of Munich
- Bayer
Investigators
- Principal Investigator: Klaus G Parhofer, MD, Ludwig-Maximilians - University of Munich
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- KPUK0106
- EudraCT 2006-003567-31