About this trial
Losartan, an angiotensin II receptor blocker, has already been established as a treatment for diabetic nephropathy due to its ability to reduce blood pressure and mitigate the progression of kidney damage. However, the addition of a diuretic like hydrochlorothiazide may offer synergistic benefits in reducing proteinuria by addressing both the underlying renal pathology and potential volume overload in these patients. The current study aims at determining and comparing the role of losartan alone vs hydrochlorothiazide plus losartan in reducing proteinuria in diabetic nephropathy patients.
Eligibility criteria
Qualifiers
Patients of both genders with ≥18 years of age.
Presence of proteinuria/albuminuria at time of screening.
Creatinine clearance of 30 mL/min or higher.
Disqualifiers
A systolic blood pressure of 180 mm Hg or higher, a diastolic blood pressure of 110 mm Hg or higher.
Presence of a second primary renal disease in addition to diabetic nephropathy.
Patients with type 1 diabetes.
A history of a cardiovascular or cerebrovascular event within 3 months before inclusion.
Trial design
Treatments tested in this trial
- Losartan
- Losartan + Hydrochlorothiazide