Evidence map›Paper›PMID 22399858›Full record

ReviewVascular health and risk management2012

Differential pharmacology and benefit/risk of azilsartan compared to other sartans.

Theodore W Kurtz, Takashi Kajiya

Abstract readReview
In one paragraph

Review in Vascular health and risk management, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Changeover Trial of Azilsartan and Olmesartan Comparing Effects on the Renin-Angiotensin-Aldosterone System in Patients with Essential Hypertension after Cardiac Surgery (CHAOS Study).Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2016
    Trial
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  9. Article
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  13. Rational Design and Synthesis of AT1R Antagonists.Molecules (Basel, Switzerland) · 2021
    Review
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  15. Article
  16. Article
  17. microRNA-21 and hypertension.Hypertension research : official journal of the Japanese Society of Hypertension · 2018
    Review
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  19. Article
  20. Improvement of Diurnal Blood Pressure Variation by Azilsartan.Journal of clinical medicine research · 2018
    Article
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

2 authors.

Theodore W KurtzDepartment of Laboratory Medicine, University of California, San Francisco, CA 94107, USA. kurtzt@labmed2.ucsf.edu
Takashi Kajiya

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Azilsartan, an angiotensin II type 1 (AT(1)) receptor blocker (ARB), was recently approved by regulatory authorities for treatment of hypertension and is the 8th ARB to join the clinical market. This article discusses the medical reasons for introducing a new AT(1) receptor blocker and reviews the experimental and clinical studies that have compared the functional properties of azilsartan to those of other ARBs. The main question addressed is: Does azilsartan have distinguishing features that should motivate choosing it over any of the other sartans for use in clinical practice? Based on studies conducted to date in hypertensive patients without serious comorbidities, azilsartan appears to be characterized by a superior ability to control 24-hour systolic blood pressure (BP) relative to other widely used ARBs including valsartan, olmesartan, and candesartan, and presumably others as well (eg, losartan). Compared to these other ARBs, azilsartan may increase the BP target control and response rate by an absolute value of 8%-10%. Greater antihypertensive effects of azilsartan might be due in part to its unusually potent and persistent ability to inhibit binding of angiotensin II to AT(1) receptors. Preclinical studies have indicated that azilsartan may also have potentially beneficial effects on cellular mechanisms of cardiometabolic disease and insulin sensitizing activity that could involve more than just blockade of AT(1) receptors and/or reduction in BP. However, the clinical relevance of these additional actions is unknown. Given that the general ability of antihypertensive drugs to protect against target organ damage is largely mediated by their ability to decrease BP, the enhanced antihypertensive effects of azilsartan should serve to justify clinical interest in this ARB relative to other molecules in the class that have a lower capacity to reduce BP.

Indexed as

Angiotensin II Type 1 Receptor BlockersAnimalsAntihypertensive AgentsBenzimidazolesBlood PressureEvidence-Based MedicineHumansHypertensionOxadiazolesPatient SelectionRisk AssessmentRisk FactorsTreatment OutcomeAngiotensin II Type 1 Receptor BlockersAntihypertensive AgentsazilsartanBenzimidazolesOxadiazolesangiotensin II type 1 receptor blockersangiotensinsazilsartanazilsartan medoxomilcandesartaneprosartanhypertensionirbesartanlosartanolmesartanTAK-491TAK-536telmisartanvalsartan

Identifiers

PMID22399858
PMCPMC3295635

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.