Main characteristics of the included studies
| Trial |
Treatments |
Patients |
Methods |
ONTARGET (telmisartan alone), 2008
NCT00153101
|
telmisartan 80mg daily
versus
ramipril 10 mg daily
|
patients patients with coronary, peripheral, or cerebrovascular disease or diabetes with end-organ damage
|
follow-up 4.7y
n=8542/8576
Parallel groups
double blind
40 countries
|
ONTARGET (association vs ramipril), 2008
NCT00153101
|
telmisartan 80mg + ramipril 10mg daily
versus
ramipril 10 mg daily
|
patients patients with coronary, peripheral, or cerebrovascular disease or diabetes with end-organ damage
|
follow-up 4.7y
n=8502/8576
Parallel groups
double blind
40 countries
|
IDNT (vs placebo), 2001
|
Irbesartan 300mg/d (target 135/85)
versus
placebo
|
hypertensive patients with nephropathy due to type 2 diabetes
|
follow-up 2.6 y
n=579/569
Parallel groups
double-blind
worldwide
|
RENAAL, 2001
|
lLosartan 50 to 100 mg once daily
versus
placebo
|
patients with type 2 diabetes and nephropathy
|
follow-up 3.4 years
n=751/762
Parallel groups
double-blind
|
VALUE, 2004
NCT00129233
|
valsartan based regimen
versus
amlodipine based regimen
|
patients, aged 50 years or older with treated or untreated hypertension and high risk of cardiac events
|
follow-up 4.2 y (mean)
n=7649/7596
Parallel groups
Double blind
31 countries
|
SCOPE, 2003
|
candesartan, 8–16 mg once daily (target 160/90)
versus
placebo
|
patients aged 70–89 years, with systolic blood pressure 160– 179 mmHg, and/or diastolic blood pressure 90–99 mmHg, and a Mini Mental State Examination (MMSE) test score > 24
|
follow-up 3.7 y (mean)
n=2477/2460
Parallel groups
double-blind
15 countries
|
LIFE, 2002
|
losartan
versus
atenolol
|
patients aged 55–80 years, with previously treated or untreated hypertension (sitting blood pressure 160–200/95–115 mm Hg) and ECG signs of LVH.
|
follow-up 4.8 y (mean)
n=4605/4588
Parallel groups
Double blind
USA, Europe
|
IDNT (vs amlodipine), 2001
|
Irbesartan 300mg/d (with a target of 135/85)
versus
amlodipine 10mg/d (with a target of 135/85)
|
hypertensive patients with nephropathy due to type 2 diabetes
|
follow-up 2·6y
n=579/567
Parallel groups
double-blind
worldwide
|
ONTARGET (association vs telmisartan), 2008
NCT00153101
|
telmisartan 80mg + ramipril 10mg daily
versus
telmisartan 80 mg daily
|
patients patients with coronary, peripheral, or cerebrovascular disease or diabetes with end-organ damage
|
follow-up 4.7y
n=8502/8542
Parallel groups
double blind
40 countries
|
TRANSCEND, 2008
NCT00153101
|
telmisartan 80 mg/day
versus
placebo
|
high-risk patients intolerant to
angiotensin-converting enzyme inhibitors
|
follow-up median 56 months (IQR 51-64)
n=2954/2972
Parallel groups
double blind
40 countries
|
PROPHESS, 2008
NCT00153062
|
telmisartan 80 mg daily
versus
placebo
|
patients who recently had an ischemic stroke
|
follow-up 2.5 y
n=10146/10186
Factorial plan
double blind
35 countries
|
KYOTO HEART Study, 2009
NCT00149227
|
valsartan (titrated up to 160mg daily targetting 140/90 or 130/80 in diabetic or renal disease)
versus
non ARB, ACE treatment
|
Uncontrolled hypertensive patients with high risk of cardiovascular events
|
follow-up 3.27 y
n=1517/1514
Parallel groups
open
Japan
|
Ruilope, 2010
|
LCZ696 for 8 weeks
versus
placebo
|
patients with mild to moderate hypertension
|
follow-up 8 weeks
n=-9/173
Parallel groups
double blind
18 countries
|
TROPHY, 2006
NCT00227318
|
candesartan during 2y followed by 2y
of placebo
versus
placebo
|
subjects with repeated measurements of systolic pressure of 130 to 139 mm Hg
and diastolic pressure of 89 mm Hg or lower, or systolic pressure of 139 mm Hg or
lower and diastolic pressure of 85 to 89 mm Hg
|
follow-up 4y
n=409/400
Parallel groups
double-blind
USA
|
ROADMAP, 2010
NCT00185159
|
olmesartan at 40 mg/day
versus
placebo
|
patients with diabetes and at least one additional cardiovascular risk factor, but no evidence of renal dysfunction
|
follow-up 3.2 y
n=2232/2215
Parallel groups
double-blind
Europe (19 countries)
|
ORIENT,
NCT00141453
|
olmesartan
versus
placebo
|
patients with diabetic Nephropathy and overt proteinuria secondary to type 2 diabetes mellitus
|
follow-up
n=282/284
Parallel groups
double-blind
Japan, Hong Kong
|
CASE-J, 2008
|
candesartan-based regimen
versus
amlodipine-based regimen
|
high-risk Japanese hypertensive patients
|
follow-up 3.2 years
n=2354/2349
Parallel groups
open (blinded assessment)
Japan
|
OSCAR, 2011
NCT00134160
|
high-dose olmesartan 40 mg per day
versus
20-mg/day olmesartan comined with standard dose of amlodipine or azelnidipine
|
high-risk elderly Japanese hypertension patients
|
follow-up
n=578/586
Parallel groups
Japan
|
ALPINE, 2003
|
candesartan
versus
hydrochlorothiazide
|
newly detected hypertensives
|
follow-up 1 year
n=197/196
Parallel groups
double-blind
Sweden
|
DETAIL, 2004
|
telmisartan 80 mg daily
versus
enalapril 20 mg daily
|
subjects with type 2 diabetes and early nephropathy
|
follow-up 5 year
n=120/130
Parallel groups
double-blind
|
E-COST, 2005
|
candesartan, 2 to 12 mg daily
versus
conventional antihypertensive drugs other than angiotensin converting enzyme inhibitors or ARBs
|
Japanese essential hypertensive subjects (sitting blood pressure 140-180/90-110 mmHg) aged 35-79 years
|
follow-up
n=1053/995
Parallel groups
single-blind
Japan
|
E-COST-R, 2005
|
candesartan
versus
conventional treatment
|
hypertensive subjects 60 to 75 years old with non-diabetic chronic renal insufficiency
|
follow-up
n=69/72
Parallel groups
open
|
HIJ-CREATE, 2009
|
angiotensin II receptor blocker-based therapy
versus
non-angiotensin II receptor blocker-based therapy
|
patients with angiographically documented coronary artery disease and hypertension
|
follow-up 4.2 y (median)
n=1024/1025
Parallel groups
open
Japan
|
IRMA 2, 2001
|
irbesartan 150 mg daily or 300 mg daily
versus
placebo
|
hypertensive patients with type 2 diabetes and microalbuminuria
|
follow-up 2 years
n=404/207
Parallel groups
double-blind
multinational
|
JIKEI, 2007
|
valsartan (40-160 mg per day)
versus
no angiotensin receptor blockers
|
Japanese patients with hypertension and other cardiovascular disease
|
follow-up 3.1 years
n=1541/1540
Parallel groups
open
Japan
|
Suzuki, 2008
|
ARBs (valsartan, candesartan, and losartan)
versus
no ARBs
|
patients with diabetes and chronic kidney disease on dialysis
|
follow-up
n=183/183
Parallel groups
open
|
Takahashi, 2006
|
candesartan
versus
control
|
patients on chronic haemodialysis in stable condition and with no clinical evidence of cardiac disorders
|
follow-up 19.4 months
n=43/37
Parallel groups
open
|
References
ONTARGET (telmisartan alone), 2008 :
Yusuf S, Teo KK, Pogue J, Dyal L, Copland I, Schumacher H, Dagenais G, Sleight P, Anderson CTelmisartan, ramipril, or both in patients at high risk for vascular events.
N Engl J Med 2008 Apr 10;358:1547-59
[PMID 18378520] 10.1056/NEJMoa0801317
ONTARGET (telmisartan alone), 2008 :
Verdecchia P, Sleight P, Mancia G, Fagard R, Trimarco B, Schmieder RE, Kim JH, Jennings G, Jansky P, Chen JH, Liu L, Gao P, Probstfield J, Teo K, Yusuf SEffects of telmisartan, ramipril, and their combination on left ventricular hypertrophy in individuals at high vascular risk in the Ongoing Telmisartan Alone and in Combination With Ramipril Global End Point Trial and the Telmisartan Randomized Assessment Study in ACE Intolerant Subjects With Cardiovascular Disease.
Circulation 2009;120:1380-9
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ONTARGET (association vs ramipril), 2008 :
Yusuf S, Teo KK, Pogue J, Dyal L, Copland I, Schumacher H, Dagenais G, Sleight P, Anderson CTelmisartan, ramipril, or both in patients at high risk for vascular events.
N Engl J Med 2008 Apr 10;358:1547-59
[PMID 18378520]
IDNT (vs placebo), 2001 :
Lewis EJ, Hunsicker LG, Clarke WR, Berl T, Pohl MA, Lewis JB, Ritz E, Atkins RC, Rohde R, Raz IRenoprotective effect of the angiotensin-receptor antagonist irbesartan in patients with nephropathy due to type 2 diabetes.
N Engl J Med 2001;345:851-60
[PMID 11565517]
IDNT (vs placebo), 2001 :
Lewis EJ, Hunsicker LG, Clarke WR, Berl T, Pohl MA, Lewis JB, Ritz E, Atkins RC, Rohde R, Raz IRenoprotective effect of the angiotensin-receptor antagonist irbesartan in patients with nephropathy due to type 2 diabetes.
N Engl J Med 2001;345:851-60
[PMID 11565517]
RENAAL, 2001 :
Brenner BM, Cooper ME, de Zeeuw D, Keane WF, Mitch WE, Parving HH, Remuzzi G, Snapinn SM, Zhang Z, Shahinfar SEffects of losartan on renal and cardiovascular outcomes in patients with type 2 diabetes and nephropathy.
N Engl J Med 2001;345:861-9
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VALUE, 2004 :
Julius S, Kjeldsen SE, Weber M, Brunner HR, Ekman S, Hansson L, Hua T, Laragh J, McInnes GT, Mitchell L, Plat F, Schork A, Smith B, Zanchetti AOutcomes in hypertensive patients at high cardiovascular risk treated with regimens based on valsartan or amlodipine: the VALUE randomised trial.
Lancet 2004 Jun 19;363:2022-31
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SCOPE, 2003 :
Saxby BK, Harrington F, Wesnes KA, McKeith IG, Ford GACandesartan and cognitive decline in older patients with hypertension: a substudy of the SCOPE trial.
Neurology 2008;70:1858-66
[PMID 18458219] 10.1212/01.wnl.0000311447.85948.78
SCOPE, 2003 :
Lithell H, Hansson L, Skoog I, Elmfeldt D, Hofman A, Olofsson B, Trenkwalder P, Zanchetti AThe Study on Cognition and Prognosis in the Elderly (SCOPE): principal results of a randomized double-blind intervention trial.
J Hypertens 2003;21:875-86
[PMID 12714861] 10.1097/01.hjh.0000059028.82022.89
LIFE, 2002 :
Dahlof B, Devereux RB, Kjeldsen SE, Julius S, Beevers G, de Faire U, Fyhrquist F, Ibsen H, Kristiansson K, Lederballe-Pedersen O, Lindholm LH, Nieminen MS, Omvik P, Oparil S, Wedel HCardiovascular morbidity and mortality in the Losartan Intervention For Endpoint reduction in hypertension study (LIFE): a randomised trial against atenolol.
Lancet 2002 Mar 23;359:995-1003
[PMID 11937178]
IDNT (vs amlodipine), 2001 :
Lewis EJ, Hunsicker LG, Clarke WR, Berl T, Pohl MA, Lewis JB, Ritz E, Atkins RC, Rohde R, Raz IRenoprotective effect of the angiotensin-receptor antagonist irbesartan in patients with nephropathy due to type 2 diabetes.
N Engl J Med 2001;345:851-60
[PMID 11565517]
ONTARGET (association vs telmisartan), 2008 :
Yusuf S, Teo KK, Pogue J, Dyal L, Copland I, Schumacher H, Dagenais G, Sleight P, Anderson CTelmisartan, ramipril, or both in patients at high risk for vascular events.
N Engl J Med 2008 Apr 10;358:1547-59
[PMID 18378520]
PROPHESS, 2008 :
Yusuf S, Diener HC, Sacco RL, Cotton D, Ounpuu S, Lawton WA, Palesch Y, Martin RH, Albers GW, Bath P, Bornstein N, Chan BP, Chen ST, Cunha L, Dahlöf B, De Keyser J, Donnan GA, Estol C, Gorelick P, Gu V, Hermansson K, Hilbrich L, Kaste M, Lu C, Machnig T, |
N Engl J Med 2008;359:1225-37
[PMID 18753639] 10.1056/NEJMoa0804593
Jikei Heart DOUBLON, 2007 :
Mochizuki S, Dahlöf B, Shimizu M, Ikewaki K, Yoshikawa M, Taniguchi I, Ohta M, Yamada T, Ogawa K, Kanae K, Kawai M, Seki S, Okazaki F, Taniguchi M, Yoshida S, Tajima NValsartan in a Japanese population with hypertension and other cardiovascular disease (Jikei Heart Study): a randomised, open-label, blinded endpoint morbidity-mortality study.
Lancet 2007;369:1431-9
[PMID 17467513]
KYOTO HEART Study, 2009 :
Sawada T, Yamada H, Dahlöf B, Matsubara HEffects of valsartan on morbidity and mortality in uncontrolled hypertensive patients with high cardiovascular risks: KYOTO HEART Study.
Eur Heart J 2009 Aug 31;:
[PMID 19723695]
Ruilope, 2010 :
Ruilope LM, Dukat A, Böhm M, Lacourcière Y, Gong J, Lefkowitz MPBlood-pressure reduction with LCZ696, a novel dual-acting inhibitor of the angiotensin II receptor and neprilysin: a randomised, double-blind, placebo-controlled, active comparator study.
Lancet 2010 Mar 15;:
[PMID 20236700] 10.1016/S0140-6736(09)61966-8
TROPHY, 2006 :
Julius S, Nesbitt SD, Egan BM, Weber MA, Michelson EL, Kaciroti N, Black HR, Grimm RH Jr, Messerli FH, Oparil S, Schork MAFeasibility of treating prehypertension with an angiotensin-receptor blocker.
N Engl J Med 2006;354:1685-97
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ROADMAP, 2010 :
Ritz E, Viberti GC, Ruilope LM, Rabelink AJ, Izzo JL Jr, Katayama S, Ito S, Mimran A, Menne J, Rump LC, Januszewicz A, Haller HDeterminants of urinary albumin excretion within the normal range in patients with type 2 diabetes: the Randomised Olmesartan and Diabetes Microalbuminuria Prevention (ROADMAP) study.
Diabetologia 2010;53:49-57
[PMID 19876613] 10.1007/s00125-009-1577-3
ROADMAP, 2010 :
Haller H, Ito S, Izzo JL Jr, Januszewicz A, Katayama S, Menne J, Mimran A, Rabelink TJ, Ritz E, Ruilope LM, Rump LC, Viberti GOlmesartan for the delay or prevention of microalbuminuria in type 2 diabetes.
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CASE-J, 2008 :
Ogihara T, Nakao K, Fukui T, Fukiyama K, Ueshima K, Oba K, Sato T, Saruta TEffects of candesartan compared with amlodipine in hypertensive patients with high cardiovascular risks: candesartan antihypertensive survival evaluation in Japan trial.
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OSCAR, 2011 :
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Hypertens Res 2009;32:575-80
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ALPINE, 2003 :
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DETAIL, 2004 :
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E-COST, 2005 :
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Hypertens Res 2005;28:307-14
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E-COST-R, 2005 :
Nakamura T, Kanno Y, Takenaka T, Suzuki HAn angiotensin receptor blocker reduces the risk of congestive heart failure in elderly hypertensive patients with renal insufficiency.
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HIJ-CREATE, 2009 :
Kasanuki H, Hagiwara N, Hosoda S, Sumiyoshi T, Honda T, Haze K, Nagashima M, Yamaguchi J, Origasa H, Urashima M, Ogawa HAngiotensin II receptor blocker-based vs. non-angiotensin II receptor blocker-based therapy in patients with angiographically documented coronary artery disease and hypertension: the Heart Institute of Japan Candesartan Randomized Trial for Evaluation in Coronary Artery Disease (HIJ-CREATE).
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IRMA 2, 2001 :
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JIKEI, 2007 :
Mochizuki S, Dahlöf B, Shimizu M, Ikewaki K, Yoshikawa M, Taniguchi I, Ohta M, Yamada T, Ogawa K, Kanae K, Kawai M, Seki S, Okazaki F, Taniguchi M, Yoshida S, Tajima NValsartan in a Japanese population with hypertension and other cardiovascular disease (Jikei Heart Study): a randomised, open-label, blinded endpoint morbidity-mortality study.
Lancet 2007;369:1431-9
[PMID 17467513] 10.1016/S0140-6736(07)60669-2
Suzuki, 2008 :
Suzuki H, Kanno Y, Sugahara S, Ikeda N, Shoda J, Takenaka T, Inoue T, Araki REffect of angiotensin receptor blockers on cardiovascular events in patients undergoing hemodialysis: an open-label randomized controlled trial.
Am J Kidney Dis 2008;52:501-6
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Takahashi, 2006 :
Takahashi A, Takase H, Toriyama T, Sugiura T, Kurita Y, Ueda R, Dohi YCandesartan, an angiotensin II type-1 receptor blocker, reduces cardiovascular events in patients on chronic haemodialysis--a randomized study.
Nephrol Dial Transplant 2006;21:2507-12
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