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A Phase II Study of the Effect of ACE Inhibitors on Pro-Angiogenic Hormones in Cancer Patients With Hypertension

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City:   Winston-Salem
State:   North Carolina
Zip Code:   27157
Conditions:   Hypertension - Unspecified Adult Solid Tumor, Protocol Specific
Purpose:   RATIONALE: Benazepril hydrochloride, lisinopril, ramipril, and losartan potassium may help lower blood pressure. PURPOSE: This phase II trial is studying how well benazepril hydrochloride, lisinopril, ramipril, or losartan potassium works in treating hypertension in patients with solid tumors.
Study Summary:   PRIMARY OBJECTIVES: I. To determine which drug has the greatest effect on Ang-(1-7) levels in cancer patients with hypertension. SECONDARY OBJECTIVES: I. To determine the effect of these drugs on levels of Ang II, VEGF, PlGF, and ACE in the same patients. OUTLINE: Patients are randomized to 1 of 4 treatment arms. - ARM I: Patients receive oral benazepril hydrochloride once daily on days 1-7. - ARM II: Patients receive oral lisinopril once daily on days 1-7. - ARM III: Patients receive oral ramipril twice daily on days 1-7. - ARM IV: Patients receive oral losartan potassium once daily on days 1-7. In all arms, treatment continues in the absence of unacceptable toxicity.
Criteria:   Inclusion Criteria: - Patients must have histologically or cytologically confirmed solid tumor malignancy AND hypertension, defined as a systolic pressure > 130 OR a diastolic pressure > 80 - Patients cannot be on active chemotherapy or radiation therapy; start of treatment with ACE-I or ARB must occur at least four weeks after the last dose of chemotherapy or radiation therapy - Creatinine < 2.5 - Potassium < ULN - Ability to understand and the willingness to sign a written informed consent document - HIV positive patients are eligible to participate in this study Exclusion Criteria: - Patients who are pregnant or nursing due to significant risk to the fetus/infant - Patients who are unable to take oral medications - Patients who are currently taking an ACE-Inhibitor or ARB
NCT ID:   NCT01234922
Primary Contact:   Principal Investigator
William Petty
Wake Forest University

Backup Contact:   N/A
Location Contact:   Winston-Salem, North Carolina 27157
United States

William Je Petty
Phone: 336-713-5440
Email: wpetty@wfubmc.edu

Site Status: Recruiting

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  • Clinical trials for Hypertension in Winston-Salem, North Carolina

Data Source:   ClinicalTrials.gov
Date Processed:   May 22, 2013
Modifications to this listing:   Only selected fields are shown, please use the link below to view all information about this clinical trial.
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