Key result
Azilsartan medoxomil lowers 24-hour mean SBP by ~8 mm Hg vs placebo.
Why the study?
Does azilsartan medoxomil reduce 24-hour mean systolic blood pressure in African-American patients with stages 1 or 2 hypertension?
RCT (n=413)
Double-blind
Randomized
Yes
Does azilsartan medoxomil reduce 24-hour mean systolic blood pressure in African-American patients with stages 1 or 2 hypertension?
In African-American patients with hypertension, azilsartan medoxomil monotherapy provided clinically meaningful, dose-dependent reductions in ambulatory and clinic blood pressures and was well tolerated.
Answers are grounded in this paper and cite their sources.
Supports azilsartan medoxomil for hypertension in African-American patients; extends RCT evidence to this population.
The efficacy and safety of azilsartan medoxomil (AZL-M) were evaluated in African-American patients with hypertension in a 6-week, double-blind, randomized, placebo-controlled trial, for which the primary end point was change from baseline in 24-hour mean systolic blood pressure (BP). There were 413 patients, with a mean age of 52 years, 57% women, and baseline 24-hour BP of 146/91 mm Hg. Treatment differences in 24-hour systolic BP between AZL-M 40 mg and placebo (-5.0 mm Hg; 95% confidence interval, -8.0 to -2.0) and AZL-M 80 mg and placebo (-7.8 mm Hg; 95% confidence interval, -10.7 to -4.9) were significant (P≤.001 vs placebo for both comparisons). Changes in the clinic BPs were similar to the ambulatory BP results. Incidence rates of adverse events were comparable among the treatment groups, including those of a serious nature. In African-American patients with hypertension, AZL-M significantly reduced ambulatory and clinic BPs in a dose-dependent manner and was well tolerated.
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Johnson et al. (2017) conducted an RCT in Hypertension (n=413). Azilsartan medoxomil vs. Placebo was evaluated on Change from baseline to week 6 in 24-hour mean systolic blood pressure (MD -7.8 mm Hg, 95% CI -10.7 to -4.9, p=≤0.001). Azilsartan medoxomil reduced 24-hour mean systolic blood pressure by 7.8 mm Hg compared to placebo in African-American patients with hypertension.
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