<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT02235519</url>
  </required_header>
  <id_info>
    <org_study_id>DI/12/404B/4/85</org_study_id>
    <nct_id>NCT02235519</nct_id>
  </id_info>
  <brief_title>Pleiotropic Effects of Azilsartan Medoxomil Over Insulin Resistance in Obese, Diabetic and Hypertensive Patients</brief_title>
  <official_title>A Randomized, Open Label Study to Evaluate the Pleiotropic Effects of Azilsartan Medoxomil 40 and 80 mg for 12 Weeks Over Metabolic Markers in Patients With Hypertension, Obesity or Type 2 Diabetes Mellitus</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>Hospital General de México Dr. Eduardo Liceaga</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
  </sponsors>
  <source>Hospital General de México Dr. Eduardo Liceaga</source>
  <oversight_info>
    <has_dmc>Yes</has_dmc>
  </oversight_info>
  <brief_summary>
    <textblock>
      The goal of this study is to build a mathematical model to explain the effect of two doses of&#xD;
      azilsartan (40 and 80 mg) upon metabolic (insulin resistance, glucose) and inflammatory&#xD;
      parameters (cytokines) in function of &quot;metabolic strata&quot; like obesity, type 2 diabetes&#xD;
      mellitus, hypertension and their combinations.&#xD;
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      There are data supporting angiotensin II receptor subtype 1 (AT1) antagonist have beneficial&#xD;
      effects on metabolic control due to some pleiotropic effect mediated by peroxisome&#xD;
      proliferator-activated receptor (PPAR) gamma induction. Azilsartan is a prodrug absorbed in&#xD;
      the gastrointestinal tract that can improve metabolic milieu under diverse conditions like&#xD;
      obesity, hypertension (can be considered a metabolic disease) or type 2 diabetes mellitus.&#xD;
      Clinical studies that have been raised in this regard are few, and still show controversial&#xD;
      issues.&#xD;
&#xD;
      The objective of any study with AT1 antagonist drug interested in pleiotropic effects should&#xD;
      not only focus on antihypertensive improvement, but also the effect on other areas such as&#xD;
      metabolism of lipids and carbohydrates in obese and/or type 2 diabetes.&#xD;
&#xD;
      This study is a randomized, open labeled, clinical study. The aim is to build a mathematical&#xD;
      model for supporting the effect of azilsartan 40 or 80 mg on metabolic and inflammatory&#xD;
      measurements in function of metabolic conditions (i.e. obesity, type 2 diabetes and&#xD;
      hypertension, and their combinations).&#xD;
&#xD;
      Patients will be stratified according to their metabolic status and randomized by blocks of&#xD;
      four for each strata. This strategy will help to maintain each treatment group in balance.&#xD;
      All subjects will receive the treatment for 12 weeks.&#xD;
&#xD;
      Subjects who attend the outpatient consultation at the Hospital General de Mexico will be&#xD;
      invited to participate in the study. Those who meet the inclusion criteria must sign an&#xD;
      informed consent approved by the ethics committee. This document describes the follow-up&#xD;
      visits as described below:&#xD;
&#xD;
      Screening visit (V-1):&#xD;
&#xD;
      This visit includes patient history, physical examination (weight, height, waist&#xD;
      circumference and blood pressure) and a blood sample for measurement of: complete blood&#xD;
      count, fasting glucose, HbA1c, creatinine, adiponectin, IL-1b, IL-6, IL-10, TNF-α, liver&#xD;
      function tests, C-reactive protein, blood chemistry, proteinuria, 24-hours urinary glucose&#xD;
      and creatinine.&#xD;
&#xD;
      Initial visit (V0):&#xD;
&#xD;
      Physical examination will be performed and blood samples for oral glucose tolerance test will&#xD;
      be drawn at 0, 30, 60, 90 and 120 minutes, with these data points the Matsuda insulin&#xD;
      sensitivity index will be calculated. Pharmacological treatment of 40mg or 80mg azilsartan 4&#xD;
      weeks will be assigned (open labeled but randomized).&#xD;
&#xD;
      Visit 1 and 2 (V1, V2):&#xD;
&#xD;
      These visits performed at 4 and 8 weeks respectively include: physical examination, recording&#xD;
      of adverse events and medication count to check adherence to treatment accomplishment.&#xD;
&#xD;
      Visit 3 (V3):&#xD;
&#xD;
      Week 12 include physical examination, adverse events registration, complete blood count,&#xD;
      fasting glucose, HbA1c, creatinine, adiponectin, IL-1b, IL-6, IL-10, TNF - α, liver function&#xD;
      tests, C reactive protein, blood chemistry, proteinuria, 24-hours urinary glucose and&#xD;
      creatinine. Furthermore an oral glucose tolerance test with samples at 0, 30, 60, 90 and 120&#xD;
      minutes will be taken, to calculate the index of insulin sensitivity by the Matsuda method.&#xD;
&#xD;
      Statistical analysis and sample size. The sample size was calculated for ANCOVA analysis&#xD;
      considering 8 groups with 5 covariates. Considering an alpha error of 5%, effect size of 30%,&#xD;
      and statistical power of 90% a total sample of 250 patient was calculated. If we consider a&#xD;
      20% attrition of the sample, giving a total of 300 patients, i.e. 150 patients per treatment&#xD;
      group.&#xD;
&#xD;
      A descriptive analysis will be done. The contrast among groups will be analyzed by an ANCOVA&#xD;
      model and the function fitness will be calculated using ordinary least squares. Dependent&#xD;
      variables will be insulin sensitivity, proteinuria, stiffness of the carotid artery,&#xD;
      cytokines. Fixed factors: sex, blood pressure category, metabolic status, drug treatment.&#xD;
      Covariates: Age, waist circumference.&#xD;
&#xD;
      The greatest expected size of effect would be within the group of patients with obesity,&#xD;
      hypertension, and type 2 diabetes mellitus (all three) treated with 80 mg and the lowest size&#xD;
      of effect within the group of only obesity treated with 40 mg.&#xD;
    </textblock>
  </detailed_description>
  <overall_status>Unknown status</overall_status>
  <last_known_status>Recruiting</last_known_status>
  <start_date>January 2014</start_date>
  <completion_date type="Anticipated">June 2015</completion_date>
  <primary_completion_date type="Anticipated">June 2015</primary_completion_date>
  <phase>Phase 2/Phase 3</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>Randomized</allocation>
    <intervention_model>Parallel Assignment</intervention_model>
    <primary_purpose>Treatment</primary_purpose>
    <masking>None (Open Label)</masking>
  </study_design_info>
  <primary_outcome>
    <measure>Blood pressure</measure>
    <time_frame>12 weeks</time_frame>
    <description>Effect size of azilsartan medoxomil 40 and 80 mg in lowering systolic and diastolic blood pressure stratified by metabolic condition (obesity or type 2 diabetes mellitus). The minimal size effect between groups will be at least 30% and absolute percentage of previous hypertensive subjects reaching targeted values of &lt; 130/85 mmHg.</description>
  </primary_outcome>
  <secondary_outcome>
    <measure>Insulin sensitivity and HbA1c level</measure>
    <time_frame>12 weeks</time_frame>
    <description>Effect over insulin sensitivity measured by Matsuda index of insulin sensitivity (ISI) and the level of HbA1c. The function will show a increase for ISI that in a within contrast will be larger for those with obesity with hypertension and diabetes. Meanwhile the HbA1 will show a deep decrease for the same group.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Effect of azilsartan on Inflammatory markers</measure>
    <time_frame>12 weeks</time_frame>
    <description>Effect size between azilsartan 40 mg and 80 mg on inflammatory markers (IL-1b, IL-6, IL 10, TNF-α, and adiponectin). A decrease in this response will be more important for the 80 mg and those with obesity, hipertension and diabetes.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Endothelial function</measure>
    <time_frame>12 weeks</time_frame>
    <description>Subjects with stiffness of the carotid and brachial artery will show improvement in relaxation, and the larger effect will be for 80 mg in the group of obesity, hypertension and diabetes mellitus.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Renal function improvement.</measure>
    <time_frame>12 weeks</time_frame>
    <description>Proteinuria will show a significant decrease after 12 weeks of treatment with azilsartan. The larger effect will be for the 80 mg and the obese, hypertension and diabetic group.</description>
  </secondary_outcome>
  <number_of_arms>2</number_of_arms>
  <enrollment type="Anticipated">300</enrollment>
  <condition>Hypertension</condition>
  <condition>Obesity</condition>
  <condition>Type 2 Diabetes Mellitus</condition>
  <arm_group>
    <arm_group_label>Azilsartan low dosage</arm_group_label>
    <arm_group_type>Active Comparator</arm_group_type>
    <description>Patients will take azilsartan 40 mg during 12 weeks</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Azilsartan high dosage</arm_group_label>
    <arm_group_type>Active Comparator</arm_group_type>
    <description>Patients will take azilsartan 80 mg during 12 weeks</description>
  </arm_group>
  <intervention>
    <intervention_type>Drug</intervention_type>
    <intervention_name>Azilsartan 40 mg.</intervention_name>
    <description>Patients will take 40 mg of azilsartan during 12 weeks</description>
    <arm_group_label>Azilsartan low dosage</arm_group_label>
    <other_name>Edarbi 40 mg</other_name>
  </intervention>
  <intervention>
    <intervention_type>Drug</intervention_type>
    <intervention_name>Azilsartan 80 mg</intervention_name>
    <description>Patients will take 80 mg of azilsartan during 12 weeks</description>
    <arm_group_label>Azilsartan high dosage</arm_group_label>
    <other_name>Edarbi 80 mg</other_name>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          1. Written informed consent in accordance with Good Clinical Practices and local&#xD;
             legislations&#xD;
&#xD;
          2. Age between ≥25 and ≤ 65 years&#xD;
&#xD;
          3. Patients with hypertension stage 1 as defined by systolic blood pressure (SBP) ≥140&#xD;
             but &lt;159 mmHg and diastolic blood pressure (DBP) ≥90 but &lt; 99 mmHg at randomization&#xD;
&#xD;
          4. Ability to stop any current antihypertensive therapy without unacceptable risk to the&#xD;
             patient (Investigator's discretion)&#xD;
&#xD;
          5. BMI ≥25 and ≤35.&#xD;
&#xD;
          6. Patients with type 2 diabetes mellitus can participate and will be stratified before&#xD;
             randomization. Diagnosis can be established by clinical history, 75-g oral glucose&#xD;
             tolerance test (ADA criteria), or fasting glucose &gt; 126 mg/dL.&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          1. Pre-menopausal women (last menstruation ≤1 year prior to signing informed consent) who&#xD;
             are not surgically sterile, nursing, are pregnant or without any anticonceptive&#xD;
             methods.&#xD;
&#xD;
          2. Known hypersensitivity to the study drug&#xD;
&#xD;
          3. Gastrointestinal surgery which might alter absorption, distribution, or drug&#xD;
             metabolism.&#xD;
&#xD;
          4. History of angioedema related to ACE inhibitors or angiotensin II receptor blockers.&#xD;
&#xD;
          5. Night shift workers who routinely sleep during the daytime and whose work hours&#xD;
             include midnight to 4:00 a.m.&#xD;
&#xD;
          6. Known or suspected secondary hypertension (e.g., renal artery stenosis or&#xD;
             phaeochromocytoma)&#xD;
&#xD;
          7. SBP≥160 mmHg and/or DBP ≥100 mmHg&#xD;
&#xD;
          8. Renal dysfunction as defined by: serum creatinine &gt;3.0 mg/dL (or &gt;265 umol/L) and/or&#xD;
             creatinine clearance &lt;30 ml/min and/or other clinical markers of severe renal&#xD;
             impairment.&#xD;
&#xD;
          9. Bilateral renal arterial stenosis, renal artery stenosis in a solitary functional&#xD;
             kidney, post-renal transplant patients or patients with one kidney&#xD;
&#xD;
         10. Clinically relevant hypokalemia or hyperkalemia (i.e., &lt;3.5 mmol/L or &gt;5.5 mmol/L, may&#xD;
             be rechecked for suspected error in result)&#xD;
&#xD;
         11. Uncorrected sodium or volume depletion&#xD;
&#xD;
         12. Primary aldosteronism.&#xD;
&#xD;
         13. Hereditary fructose intolerance&#xD;
&#xD;
         14. Biliary obstructive disorders (e.g., cholestasis) or hepatic insufficiency&#xD;
&#xD;
         15. Congestive heart failure class III-IV according to criteria fron the New York Heart&#xD;
             Association.&#xD;
&#xD;
         16. Clinically significant ventricular tachycardia, atrial fibrillation, atrial flutter or&#xD;
             other clinically relevant cardiac arrhythmias as determined by the Investigator.&#xD;
&#xD;
         17. Hypertrophic obstructive cardiomyopathy, severe obstructive coronary artery disease,&#xD;
             aortic stenosis, hemodynamically relevant stenosis of the aortic or mitral valve&#xD;
&#xD;
         18. Patients whose diabetes has not been stable and controlled for at least the past 3&#xD;
             months as defined by an Glycosylated Hemoglobin A1c &gt;=10% or fasting glucose greater&#xD;
             than 400 mg/dL.&#xD;
&#xD;
         19. Patients who have previously experienced symptoms characteristic of angioedema during&#xD;
             treatment with ACE inhibitors or angiotensin-II receptor antagonists&#xD;
&#xD;
         20. History of drug or alcohol dependency within 6 months prior to signing the informed&#xD;
             consent form&#xD;
&#xD;
         21. Concomitant administration of any medications known to affect blood pressure, except&#xD;
             medications allowed by the protocol&#xD;
&#xD;
         22. Any investigational drug therapy within 1 month of signing the informed consent&#xD;
&#xD;
         23. Known hypersensitivity to any component of the trial drugs (telmisartan,&#xD;
             hydrochlorothiazide, or placebo)&#xD;
&#xD;
         24. History of non-compliance or inability to comply with prescribed medications or&#xD;
             protocol procedures (less than 80% or more than 120%, especially during run-in).&#xD;
&#xD;
         25. Any other clinical condition which, in the opinion of the investigator, would not&#xD;
             allow safe completion of the protocol and safe administration of the trial medication&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>25 Years</minimum_age>
    <maximum_age>65 Years</maximum_age>
    <healthy_volunteers>Accepts Healthy Volunteers</healthy_volunteers>
  </eligibility>
  <overall_official>
    <last_name>Antonio Peralta, MD</last_name>
    <role>Principal Investigator</role>
    <affiliation>HGM</affiliation>
  </overall_official>
  <overall_official>
    <last_name>Rogelio Zapata, MD</last_name>
    <role>Study Chair</role>
    <affiliation>HGM</affiliation>
  </overall_official>
  <overall_official>
    <last_name>Estrella Martinez, RN</last_name>
    <role>Study Director</role>
    <affiliation>HGM</affiliation>
  </overall_official>
  <overall_contact>
    <last_name>Antonio Peralta, MD</last_name>
    <phone>521(55)43466306</phone>
    <email>juan_peca@hotmail.com</email>
  </overall_contact>
  <location>
    <facility>
      <name>Hospital General de Mexico &quot;Dr. Eduardo Liceaga&quot;</name>
      <address>
        <city>Mexico</city>
        <state>Mexico, D.F.</state>
        <zip>06720</zip>
        <country>Mexico</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>Juan A Peralta, bachelor</last_name>
    </contact>
  </location>
  <location_countries>
    <country>Mexico</country>
  </location_countries>
  <verification_date>September 2014</verification_date>
  <study_first_submitted>September 5, 2014</study_first_submitted>
  <study_first_submitted_qc>September 9, 2014</study_first_submitted_qc>
  <study_first_posted type="Estimate">September 10, 2014</study_first_posted>
  <last_update_submitted>March 27, 2015</last_update_submitted>
  <last_update_submitted_qc>March 27, 2015</last_update_submitted_qc>
  <last_update_posted type="Estimate">March 30, 2015</last_update_posted>
  <responsible_party>
    <responsible_party_type>Sponsor</responsible_party_type>
  </responsible_party>
  <condition_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Hypertension</mesh_term>
    <mesh_term>Obesity</mesh_term>
    <mesh_term>Diabetes Mellitus</mesh_term>
    <mesh_term>Diabetes Mellitus, Type 2</mesh_term>
  </condition_browse>
  <intervention_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Azilsartan medoxomil</mesh_term>
  </intervention_browse>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT02235519
org study id: DI/12/404B/4/85
nct id: NCT02235519
lead sponsor: 
has dmc: Yes
The goal of this study is to build a mathematical model to explain the effect of two doses of
      azilsartan (40 and 80 mg) upon metabolic (insulin resistance, glucose) and inflammatory
      parameters (cytokines) in function of "metabolic strata" like obesity, type 2 diabetes
      mellitus, hypertension and their combinations.
There are data supporting angiotensin II receptor subtype 1 (AT1) antagonist have beneficial
      effects on metabolic control due to some pleiotropic effect mediated by peroxisome
      proliferator-activated receptor (PPAR) gamma induction. Azilsartan is a prodrug absorbed in
      the gastrointestinal tract that can improve metabolic milieu under diverse conditions like
      obesity, hypertension (can be considered a metabolic disease) or type 2 diabetes mellitus.
      Clinical studies that have been raised in this regard are few, and still show controversial
      issues.

      The objective of any study with AT1 antagonist drug interested in pleiotropic effects should
      not only focus on antihypertensive improvement, but also the effect on other areas such as
      metabolism of lipids and carbohydrates in obese and/or type 2 diabetes.

      This study is a randomized, open labeled, clinical study. The aim is to build a mathematical
      model for supporting the effect of azilsartan 40 or 80 mg on metabolic and inflammatory
      measurements in function of metabolic conditions (i.e. obesity, type 2 diabetes and
      hypertension, and their combinations).

      Patients will be stratified according to their metabolic status and randomized by blocks of
      four for each strata. This strategy will help to maintain each treatment group in balance.
      All subjects will receive the treatment for 12 weeks.

      Subjects who attend the outpatient consultation at the Hospital General de Mexico will be
      invited to participate in the study. Those who meet the inclusion criteria must sign an
      informed consent approved by the ethics committee. This document describes the follow-up
      visits as described below:

      Screening visit (V-1):

      This visit includes patient history, physical examination (weight, height, waist
      circumference and blood pressure) and a blood sample for measurement of: complete blood
      count, fasting glucose, HbA1c, creatinine, adiponectin, IL-1b, IL-6, IL-10, TNF-α, liver
      function tests, C-reactive protein, blood chemistry, proteinuria, 24-hours urinary glucose
      and creatinine.

      Initial visit (V0):

      Physical examination will be performed and blood samples for oral glucose tolerance test will
      be drawn at 0, 30, 60, 90 and 120 minutes, with these data points the Matsuda insulin
      sensitivity index will be calculated. Pharmacological treatment of 40mg or 80mg azilsartan 4
      weeks will be assigned (open labeled but randomized).

      Visit 1 and 2 (V1, V2):

      These visits performed at 4 and 8 weeks respectively include: physical examination, recording
      of adverse events and medication count to check adherence to treatment accomplishment.

      Visit 3 (V3):

      Week 12 include physical examination, adverse events registration, complete blood count,
      fasting glucose, HbA1c, creatinine, adiponectin, IL-1b, IL-6, IL-10, TNF - α, liver function
      tests, C reactive protein, blood chemistry, proteinuria, 24-hours urinary glucose and
      creatinine. Furthermore an oral glucose tolerance test with samples at 0, 30, 60, 90 and 120
      minutes will be taken, to calculate the index of insulin sensitivity by the Matsuda method.

      Statistical analysis and sample size. The sample size was calculated for ANCOVA analysis
      considering 8 groups with 5 covariates. Considering an alpha error of 5%, effect size of 30%,
      and statistical power of 90% a total sample of 250 patient was calculated. If we consider a
      20% attrition of the sample, giving a total of 300 patients, i.e. 150 patients per treatment
      group.

      A descriptive analysis will be done. The contrast among groups will be analyzed by an ANCOVA
      model and the function fitness will be calculated using ordinary least squares. Dependent
      variables will be insulin sensitivity, proteinuria, stiffness of the carotid artery,
      cytokines. Fixed factors: sex, blood pressure category, metabolic status, drug treatment.
      Covariates: Age, waist circumference.

      The greatest expected size of effect would be within the group of patients with obesity,
      hypertension, and type 2 diabetes mellitus (all three) treated with 80 mg and the lowest size
      of effect within the group of only obesity treated with 40 mg.
allocation: Randomized
intervention model: Parallel Assignment
primary purpose: Treatment
masking: None (Open Label)
measure: Blood pressure
time frame: 12 weeks
description: Effect size of azilsartan medoxomil 40 and 80 mg in lowering systolic and diastolic blood pressure stratified by metabolic condition (obesity or type 2 diabetes mellitus). The minimal size effect between groups will be at least 30% and absolute percentage of previous hypertensive subjects reaching targeted values of < 130/85 mmHg.
measure: Insulin sensitivity and HbA1c level
time frame: 12 weeks
description: Effect over insulin sensitivity measured by Matsuda index of insulin sensitivity (ISI) and the level of HbA1c. The function will show a increase for ISI that in a within contrast will be larger for those with obesity with hypertension and diabetes. Meanwhile the HbA1 will show a deep decrease for the same group.
measure: Effect of azilsartan on Inflammatory markers
time frame: 12 weeks
description: Effect size between azilsartan 40 mg and 80 mg on inflammatory markers (IL-1b, IL-6, IL 10, TNF-α, and adiponectin). A decrease in this response will be more important for the 80 mg and those with obesity, hipertension and diabetes.
measure: Endothelial function
time frame: 12 weeks
description: Subjects with stiffness of the carotid and brachial artery will show improvement in relaxation, and the larger effect will be for 80 mg in the group of obesity, hypertension and diabetes mellitus.
measure: Renal function improvement.
time frame: 12 weeks
description: Proteinuria will show a significant decrease after 12 weeks of treatment with azilsartan. The larger effect will be for the 80 mg and the obese, hypertension and diabetic group.
arm group label: Azilsartan low dosage
arm group type: Active Comparator
description: Patients will take azilsartan 40 mg during 12 weeks
arm group label: Azilsartan high dosage
arm group type: Active Comparator
description: Patients will take azilsartan 80 mg during 12 weeks
intervention type: Drug
intervention name: Azilsartan 40 mg.
description: Patients will take 40 mg of azilsartan during 12 weeks
arm group label: Azilsartan low dosage
other name: Edarbi 40 mg
intervention type: Drug
intervention name: Azilsartan 80 mg
description: Patients will take 80 mg of azilsartan during 12 weeks
arm group label: Azilsartan high dosage
other name: Edarbi 80 mg
criteria: 
gender: All
minimum age: 25 Years
maximum age: 65 Years
healthy volunteers: Accepts Healthy Volunteers
last name: Antonio Peralta, MD
role: Principal Investigator
affiliation: HGM
last name: Rogelio Zapata, MD
role: Study Chair
affiliation: HGM
last name: Estrella Martinez, RN
role: Study Director
affiliation: HGM
last name: Antonio Peralta, MD
phone: 521(55)43466306
email: juan_peca@hotmail.com
facility: 
status: Recruiting
contact: 
country: Mexico
responsible party type: Sponsor
mesh term: Hypertension
mesh term: Obesity
mesh term: Diabetes Mellitus
mesh term: Diabetes Mellitus, Type 2
mesh term: Azilsartan medoxomil