A Research Study to Evaluate the Renal (Kidney) Protective Effects of Losartan in Patients With Non-insulin Dependent Diabetes (0954-147)(COMPLETED)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00308347
Recruitment Status : Completed
First Posted : March 29, 2006
Last Update Posted : February 20, 2015
Information provided by (Responsible Party):
Merck Sharp & Dohme Corp.

Brief Summary:
Evaluate the effect of Losartan in reducing kidney disease in patients with Non-insulin Dependent Diabetes and Nephropathy (kidney damage that usually accompanies late stage Diabetes Mellitus).

Condition or disease Intervention/treatment Phase
Type 2 Diabetes Nephropathy Drug: MK0954, losartan / Duration of Treatment: mean 3.4 years Drug: Placebo / Duration of Treatment: mean 3.4 years Phase 3

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 1513 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: A Double-Blind, Randomized, Placebo-Controlled Study to Evaluate the Renal Protective Effects of Losartan in Patients With Non-insulin Dependent Diabetes Mellitus and Nephropathy
Study Start Date : May 1996
Actual Primary Completion Date : February 2001
Actual Study Completion Date : April 2001

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Kidney Diseases
U.S. FDA Resources

Primary Outcome Measures :
  1. Combined endpoint of doubling of serum creatinine, ESRD or death.

Secondary Outcome Measures :
  1. Secondary parameters: number of cardiovascular events and changes in proteinuria. Tertiary parameters: quality of life and healthcare resource utilization.

Information from the National Library of Medicine

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Ages Eligible for Study:   31 Years to 70 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Diabetes diagnosed after the age of 30
  • Insulin not required within 6 months of first being diagnosed with Non-insulin Dependent Diabetes Mellitus
  • No history of diabetic ketoacidosis
  • Patients may be currently treated with diet, oral hypoglycemics or insulin
  • Patients must have proteinuria defined as: Urine protein >1+ on dipstick at the initial screening visit
  • Patients with hypertension (high blood pressure) must have a sitting blood pressure >200/110 mm Hg at Visit 1

Exclusion Criteria:

  • Patients with insulin-dependent diabetes mellitus (juvenile onset)
  • Patients treated with an ACE inhibitor or angiotensin II antagonist (AIIA) for >5 years
  • Patients treated with ACE inhibitor or AIIA therapy for 5 years or less may enter the study provided therapy is discontinued during the 6 week screening period prior to randomization
  • History of myocardial infarction (MI) (heart attack) or coronary artery bypass graft (CABG) surgery within the past 1 month
  • History of cerebral vascular accident (CVA) (stroke) or percutaneous transluminal coronary angioplasty (PTCA) within the past 6 months
  • History of transient ischemic attacks (TIA) within the past year. Patients with unstable angina are excluded until stabilized
  • Heart failure requiring ACE inhibitor therapy
  • Steroids (oral or parenteral) or immunosuppressives are not permitted. Debilitating psychological illness
  • Evidence of significant hepatic (liver) dysfunction: History of allergy to losartan
  • Known positive test for HIV or patients known to be hepatitis B or C antigen carriers
  • Pregnant or nursing women
  • Females of childbearing age must either be surgically sterilized or, if sexually active, using an effective form of contraception and may enter only if an exclusionary pregnancy test is done within approximately 72 hours prior to randomization
  • Pregnancy tests will be done every 3 months during the study and at the time of discontinuation

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00308347

Sponsors and Collaborators
Merck Sharp & Dohme Corp.
Study Director: Medical Monitor Merck Sharp & Dohme Corp.


Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Merck Sharp & Dohme Corp. Identifier: NCT00308347     History of Changes
Other Study ID Numbers: 0954-147
First Posted: March 29, 2006    Key Record Dates
Last Update Posted: February 20, 2015
Last Verified: February 2015

Additional relevant MeSH terms:
Diabetes Mellitus
Kidney Diseases
Diabetes Mellitus, Type 2
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Urologic Diseases
Anti-Arrhythmia Agents
Antihypertensive Agents
Angiotensin II Type 1 Receptor Blockers
Angiotensin Receptor Antagonists
Molecular Mechanisms of Pharmacological Action