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November 9, 2010Current Medical Research and Opinion

Aliskiren/valsartan combination with or without HCT provided a mean BP reduction of 20.5/13.4 mmHg at 54 weeks and 28.8/18.3 mmHg at 80 weeks in patients with hypertension.

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Why the study?

Does aliskiren/valsartan combination with or without HCT reduce blood pressure in patients with hypertension?

Population

601 patients with hypertension (msDBP ≥ 90 and <110 mmHg)

Design

Cohort, open-label

Follow-up

80 weeks (54-week core phase, 26-week extension phase)

Key result

Aliskiren/valsartan combination with or without HCT provided a mean BP reduction of 20.5/13.4 mmHg at 54 weeks and 28.8/18.3 mmHg at 80 weeks in patients with hypertension.

Authors

SCSteven G. ChrysantAMAlexander V. MurrayUHUta C. Hoppe

Discussion

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Member takes

Overview

May support aliskiren/valsartan ± HCT for hypertension; hypothesis-generating and leaves open RCT confirmation.

Structured PICO

Does aliskiren/valsartan combination with or without HCT reduce blood pressure in patients with hypertension?

P
Population
601 patients with hypertension (msDBP ≥ 90 and <110 mmHg) treated with aliskiren/valsartan for up to 80 weeks.
I
Intervention
Aliskiren/valsartan 300/320 mg combination, with optional add-on hydrochlorothiazide (HCT) 12.5 or 25 mg from week 10 onwards if BP was ≥ 140/90 mmHg
O
Outcome
Change in msDBP and msSBP from baseline to endpoint (54-week and 80-week), and safety assessed by adverse eventssurrogate

Main Result

Effect estimate: mean BP reduction of 20.5/13.4 mmHg at 54 weeks

Long-term treatment with aliskiren/valsartan with or without HCT provides clinically meaningful blood pressure reductions and is well-tolerated in patients with hypertension.

Limitations

  • absence of an active comparator group

Cite This Study

Chrysant et al. (2010) studied hypertension (n=601). aliskiren/valsartan combination with or without HCT was evaluated on change in msDBP and msSBP from baseline to endpoint (54-week and 80-week) (mean BP reduction of 20.5/13.4 mmHg at 54 weeks). Aliskiren/valsartan combination with or without HCT provided a mean BP reduction of 20.5/13.4 mmHg at 54 weeks and 28.8/18.3 mmHg at 80 weeks in patients with hypertension.

synapsesocial.com/papers/6a659eb2f3bdf71dcbd69fe5https://doi.org/10.1185/03007995.2010.528282
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Long-term safety, tolerability and efficacy of aliskiren in combination with valsartan in patients with hypertension: a 6-month interim analysis2008 · 43 citations
  2. 2Long-term safety, tolerability and efficacy of combination therapy with aliskiren and amlodipine in patients with hypertension2009 · 66 citations
  3. 3Randomized Study of Antihypertensive Efficacy and Safety of Combination Aliskiren/Valsartan vs Valsartan Monotherapy in Hypertensive Participants With Type 2 Diabetes Mellitus2012 · 39 citations
  4. 4Combination Therapy With Various Combinations of Aliskiren, Valsartan, and Hydrochlorothiazide in Hypertensive Patients Not Adequately Responsive to Hydrochlorothiazide Alone2009 · 41 citations
  5. 5Safety and Efficacy of Aliskiren/Amlodipine/Hydrochlorothiazide Triple Combination in Patients With Moderate to Severe Hypertension: A 54‐Week, Open‐Label Study2012 · 11 citations