Paola Cianfrone1, Mariadelina Simeoni2, Nicola Comi1, Valentina Piraina1, Roberta Talarico1, Annamaria Cerantonio1,3,4, Innocenza Gentile1,3,4, Flora Fortunata Fabiano4, Gaetano Lucisano3, Daniela Foti4, Elio Gulletta4, Giorgio Fuiano1. 1. Department of Nephrology and Dialysis, Magna Graecia University of Catanzaro, University Campus 'Magna Graecia', Viale Europa - Loc. Germaneto, 88100, Catanzaro, Italy. 2. Department of Nephrology and Dialysis, Magna Graecia University of Catanzaro, University Campus 'Magna Graecia', Viale Europa - Loc. Germaneto, 88100, Catanzaro, Italy. adelina_simeoni@yahoo.it. 3. Kidney and Transplant Unit, Imperial College Healthcare NHS Trust of London, London, UK. 4. Department of Clinical Pathology, Magna Graecia University of Catanzaro, Catanzaro, Italy.
Abstract
BACKGROUND: The antiproteinuric pharmacokinetics of Ramipril in response to different doses and modalities of administration has been poorly investigated so far. STUDY DESIGN: Prospective, open-label and not placebo controlled study. SETTING AND PARTICIPANTS: 40 Caucasian adult patients having GFR ≥ 50 mL/min, proteinuria 1-3 g/day; SBP/DBP ≤ 150/90mmHg were recruited between June 2014 and November 2014. FACTOR AND OUTCOME: Impact on 24 h proteinuria and fractioned proteinuria of Ramipril given at different dosages (2.5 mg/day or Ramipril 5 mg/day or Ramipril 10 mg/day) and with different daily administration modalities (single or two divided doses) for cycles of 10 days. MEASUREMENTS: At the end of each cycle, 24 h and fractioned proteinuria on three timed urinary collections (morning, afternoon and night) were measured. RESULTS: Compared to baseline, Ramipril significantly reduced 24 h proteinuria at each dose and modality of administration. In particular, the greatest effects were evident with the higher and divided dose of the drug. The analysis of the fractioned proteinuria showed that the greatest reduction was obtained in the night urinary collection by administering Ramipril 10 mg/day in two divided doses. LIMITATIONS: Small sample size. CONCLUSIONS:Ramipril reduces proteinuria at any of the tested doses. Although the using of high and divided doses seems to maximize the antiproteinuric effect of the drug, possibly due to a better pharmacological coverage of the nocturnal period.
RCT Entities:
BACKGROUND: The antiproteinuric pharmacokinetics of Ramipril in response to different doses and modalities of administration has been poorly investigated so far. STUDY DESIGN: Prospective, open-label and not placebo controlled study. SETTING AND PARTICIPANTS: 40 Caucasian adult patients having GFR ≥ 50 mL/min, proteinuria 1-3 g/day; SBP/DBP ≤ 150/90 mmHg were recruited between June 2014 and November 2014. FACTOR AND OUTCOME: Impact on 24 h proteinuria and fractioned proteinuria of Ramipril given at different dosages (2.5 mg/day or Ramipril 5 mg/day or Ramipril 10 mg/day) and with different daily administration modalities (single or two divided doses) for cycles of 10 days. MEASUREMENTS: At the end of each cycle, 24 h and fractioned proteinuria on three timed urinary collections (morning, afternoon and night) were measured. RESULTS: Compared to baseline, Ramipril significantly reduced 24 h proteinuria at each dose and modality of administration. In particular, the greatest effects were evident with the higher and divided dose of the drug. The analysis of the fractioned proteinuria showed that the greatest reduction was obtained in the night urinary collection by administering Ramipril 10 mg/day in two divided doses. LIMITATIONS: Small sample size. CONCLUSIONS:Ramipril reduces proteinuria at any of the tested doses. Although the using of high and divided doses seems to maximize the antiproteinuric effect of the drug, possibly due to a better pharmacological coverage of the nocturnal period.
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Authors: Brenda R Hemmelgarn; Braden J Manns; Anita Lloyd; Matthew T James; Scott Klarenbach; Robert R Quinn; Natasha Wiebe; Marcello Tonelli Journal: JAMA Date: 2010-02-03 Impact factor: 56.272
Authors: Andrew S Levey; Lesley A Stevens; Christopher H Schmid; Yaping Lucy Zhang; Alejandro F Castro; Harold I Feldman; John W Kusek; Paul Eggers; Frederick Van Lente; Tom Greene; Josef Coresh Journal: Ann Intern Med Date: 2009-05-05 Impact factor: 25.391
Authors: Yu Cao; Xing Liu; Ying Li; Yao Lu; Hua Zhong; Weihong Jiang; Alex F Chen; Timothy R Billiar; Hong Yuan; Jingjing Cai Journal: Int Urol Nephrol Date: 2017-05-22 Impact factor: 2.370
Authors: Tomasz W Kaminski; Krystyna Pawlak; Malgorzata Karbowska; Michal Mysliwiec; Waldemar Grzegorzewski; Jakub Kuna; Dariusz Pawlak Journal: Int Urol Nephrol Date: 2017-10-22 Impact factor: 2.370