A Randomized Clinical Trial To Study Losartan On Endothelial Dysfunction and Insulin Resistance In Obese Patients

Inclusion Criteria:

- Currently taking 1 or no antihypertensive medication

- Male and female between 18 and 75 years of age

- Mean trough sitting diastolic blood pressure (SiDBP) ≥80 and < 100 mm Hg

- Mean trough sitting systolic blood pressure (SiSBP) ≥120 and <160 mm Hg

- Non-diabetic patients with fasting plasma glucose ≥100 mg/dL and <126 mg/dL

- Body mass index (BMI) >30 and <40

- Waist circumference >40 inches in males, > 35 inches in females

- A patient who is of reproductive potential and agrees to remain abstinent or use
acceptable methods of birth control (intrauterine device (IUD), diaphragm with
spermicide, contraceptive sponge, condom, hormonal contraception, vasectomy) within
the projected duration of the study

Exclusion Criteria:

- Secondary hypertension of any etiology (renal artery stenosis, coarctation of the
aorta or pheochromocytoma, hypertension induced by oral contraceptives)

- History of malignant hypertension

- Any clinically significant renal disease including single functioning kidney, and
known history of anuria. Any severe renal impairment, as manifested by serum
creatinine more than 1.5 mg/dL, or proteinuria >2+ by urine dipstick

- Known sensitivity or intolerance to angiotensin II receptor antagonists

- Type I or II diabetes

- Inability or unwillingness to abstain from taking prohibited medications during the
study period

- History of myocardial infarction (MI), percutaneous coronary intervention (PCI),
coronary artery bypass graft (CABG), congestive heart failure (CHF), unstable angina,
transient ischemic attack (TIA), or cerebrovascular accident (CVA)

- Concomitant cardiac conditions that would make it unsafe to participate in the trial
(e.g., clinically significant atrioventricular (AV) conduction disturbance, atrial
flutter, atrial fibrillation, potentially life-threatening ventricular arrhythmias,
decompensated valvular disease, presence of hemodynamically significant obstructive
valvular disease, or cardiomyopathy)

- History of angioedema and/or organ damage from hypertension

- Serum potassium < 3.5 or > 5.5 mEq/L

- Any clinically significant laboratory value which in the investigator's judgment could
be clinically significant to the outcome of this study.

- History of clinically important gastrointestinal resection or malabsorption

- Patient with a history or current evident of any condition, therapy, lab abnormality,
or other circumstance that might confound the results of the study, or interfere with
the patient's participation for the full duration of the study, such that it is not in
the best interest of the patient to participate. (Including but not limited to: recent
or current alcoholism, drug abuse within the prior 2 years, mental or legal
incapacitation, any disease which could reasonably be expected to be fatal or
life-threatening, or a history of malignancy ≤ 5 years prior to signing informed
consent.)

- Currently participating or has participated in a study with an investigational
compound or device within 30 days of signing informed consent.

- Inability to be taken off all current antihypertensive medication and placed on
placebo for up to 12 weeks.

- Unwillingness or unlikely to adhere to the study procedures, keep appointments, or is
planning to relocate during the study.

- Arm circumference great than 52 cm

- Smokers or former smokers who have quite less than 1 year prior to Visit 1

- Anemia (Hemoglobin < 11)

- Allergy to latex

- Deformed hands and/or fingers that would interfere with the collection of pulse volume
amplitude measurements

- History of Raynaud's disease or any other vascular condition

- Bilateral mastectomy

- Aortic stenosis

- Patient is taking high doses of antioxidant supplements (vitamins, minerals, or other)