Losartan
- 1 January 2003
- journal article
- clinical trial
- Published by Springer Science and Business Media LLC in Drugs
- Vol. 63 (4), 407-414
- https://doi.org/10.2165/00003495-200363040-00006
Abstract
▴ Losartan is an orally active, selective, nonpeptide, angiotensin II AT1 receptor antagonist. ▴ Losartan 50 or 100 mg/day was significantly more effective than placebo in reducing the incidence of a doubling of serum creatinine, end-stage renal disease (ESRD) or death (43.5% vs 47.1%, p = 0.02) in a pivotal, well designed trial (Reduction of End-points in Non insulin dependent diabetes mellitus with the Angiotensin II Antagonist Losartan [RENAAL] study) in 1513 patients with type 2 diabetes mellitus and proteinuria. ▴ Losartan also significantly reduced the incidence of doubling of serum creatinine level (p = 0.006), ESRD (p = 0.002), ESRD or death (p = 0.01) and doubling of serum creatinine and ESRD (p = 0.01) compared with placebo in the RENAAL trial. There were similar incidences of overall mortality and morbidity and mortality from cardiovascular causes between treatment groups. ▴ In addition, data from several nonblind end double-blind studies indicates that losartan effectively reduces the mean albumin excretion rate. Two double-blind studies show that losartan has similar effects to enalapril on kidney function. ▴ Data from 4058 patients (3300 with essential hypertension) who have received losartan (10–150 mg/day) in clinical trials indicate it is well tolerated. In the RENAAL study 17.2% and 21.7% of losartan and placebo recipients discontinued treatment because of adverse events, but causality was not determined.Keywords
This publication has 29 references indexed in Scilit:
- Urinary Transforming Growth Factor-β Excretion in Patients With Hypertension, Type 2 Diabetes, and Elevated Albumin Excretion RateDiabetes Care, 2002
- Losartan titration versus diuretic combination in type 2 diabetic patientsJournal of Hypertension, 2002
- Renoprotective Effect of the Angiotensin-Receptor Antagonist Irbesartan in Patients with Nephropathy Due to Type 2 DiabetesNew England Journal of Medicine, 2001
- Effects of Losartan on Renal and Cardiovascular Outcomes in Patients with Type 2 Diabetes and NephropathyNew England Journal of Medicine, 2001
- The losartan renal protection study — rationale, study design and baseline characteristics of RENAAL (Reduction of Endpoints in NIDDM with the Angiotensin II Antagonist Losartan)Journal of the Renin-Angiotensin-Aldosterone System, 2000
- Long-term comparison of losartan and enalapril on kidney function in hypertensive type 2 diabetics with early nephropathyKidney International, 2000
- Pharmacokinetics and Blood Pressure Response of Losartan in End-Stage Renal DiseaseClinical Pharmacokinetics, 2000
- LosartanDrugs & Aging, 2000
- Losartan PotassiumDrugs, 1996
- The pharmacokinetics of losartan in renal insufficiencyJournal of Hypertension, 1995