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IMPROVE
Irbesartan in the Management of Proteinuric patients at high risk for Vascular Events
Ongoing trial
Author(s)
Bakris GL, Ruilope L, Locatelli F, Ptaszynska A, Pieske B, Raz I, Voors AA, Dechamplain J, Weber MA
Title(s)
Rationale and design of a study to evaluate management of proteinuria in patients at high risk for vascular events: the IMPROVE trial
Reference(s)
J Hum Hypertens 2006;20:693–700
Disease
Hypertension, renal failure
Purpose
To determine whether the combination therapy of irbesartan and the ACE inhibitor ramipril is more effective than ramipril alone in reducing urinary albumin excretion rate in patients at high cardiovascular risk with hypertension and proteinuria or microalbuminuria
Study design
Randomised, double-blind, placebo-controlled, parallel-group
Follow-up
20 weeks
Patients
407 patients, aged ≥ 55 years, with BP > 140/90 mm Hg and albumin excretion rate 20–700 μg/min, receiving treatment with an ACE inhibitor, at a dose equivalent to 5 mg or more of ramipril, for minimum 2 months
Treatment regimen
Ramipril, 10 mg/day, plus placebo, or ramipril, 10 mg/day, plus irbesartan, 150–300 mg/day
Results
Not yet available
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