Evidence map›Paper›PMID 19090875›Full record

Trial reportJournal of clinical hypertension (Greenwich, Conn.)2008

Efficacy, safety, and pharmacokinetics of candesartan cilexetil in hypertensive children aged 6 to 17 years.

Howard Trachtman, James W Hainer, Jennifer Sugg, Renli Teng, Jonathan M Sorof, Jerilynn Radcliffe, Candesartan in Children with Hypertension (CINCH) Investigators

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical hypertension (Greenwich, Conn.), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pharmacological interventions for hypertension in children.The Cochrane database of systematic reviews · 2014
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Screening children for hypertension: the case against.Pediatric nephrology (Berlin, Germany) · 2018
    Review
  15. Article
  16. Pharmacologic Treatment of Pediatric Hypertension.Current hypertension reports · 2016
    Review
  17. Article
  18. Anti-hypertensive drugs in children and adolescents.World journal of cardiology · 2014
    Review
  19. Update on the pharmacologic treatment of hypertension in pediatrics.Journal of clinical hypertension (Greenwich, Conn.) · 2012
    Review
  20. Pediatric cardiovascular drug trials, lessons learned.Journal of cardiovascular pharmacology · 2011
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 5 countries.

Howard TrachtmanDivision of Pediatric Nephrology, Schneider Children's Hospital, New Hyde Park, NY, USA.
James W Hainer
Jennifer Sugg
Renli Teng
Jonathan M Sorof
Jerilynn Radcliffe
Candesartan in Children with Hypertension (CINCH) Investigators
AstraZeneca (Brazil) · BRAstraZeneca (Germany) · DEGhent University Hospital · BESchneider Children's Hospital · USUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This 4-week randomized, double blind, placebo-controlled study (N=240), 1-year open label trial (N=233), and single-dose pharmacokinetic study (N=22) evaluated candesartan cilexetil (3 doses) in hypertensive children aged 6 to 17 years. Seventy-one percent were 12 years of age or older, 71% were male, and 47% were black. Systolic (SBP)/diastolic (DBP) blood pressure declined 8.6/4.8-11.2/8.0 mm Hg with candesartan and 3.7/1.8 mm Hg with placebo (P<.01 compared to placebo for SBP and for the mid and high doses for DBP; placebo-corrected 4.9/3.0-7.5/6.2 mm Hg). The slopes for dose were not, however, different from zero (P>.05). The response rate (SBP and DBP <95th percentile) after 1 year was 53%. The pharmacokinetic profiles in 6- to 12- and 12- to 17-year-olds were similar and were comparable to adults. Eight candesartan patients discontinued treatment because of an adverse event. Candesartan is an effective, well-tolerated antihypertensive agent for children aged 6 to 17 years and has a pharmacokinetic profile that is similar to that in adults.

Indexed as

AdolescentAntihypertensive AgentsBenzimidazolesBiphenyl CompoundsBlood PressureChildDouble-Blind MethodDrug Administration ScheduleFemaleHumansHypertensionMaleTetrazolesTreatment OutcomeAntihypertensive AgentsBenzimidazolesBiphenyl Compoundscandesartan cilexetilTetrazoles

Identifiers

PMID19090875
PMCPMC8673170
OpenAlexW2028316404

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.