Evidence map›Paper›PMID 30275698›Full record

ArticleVascular health and risk management2018

Antihypertensive effect of the mineralocorticoid receptor antagonist eplerenone: a pooled analysis of patient-level data from comparative trials using regulatory-approved doses.

Mireille Fernet, Bruce Beckerman, Paula Abreu, Katharina Lins, John Vincent, Ellen Burgess

Open access · goldAbstract read
In one paragraph

Article in Vascular health and risk management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Guideline
  2. Review
  3. 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

6 authors at 4 institutions in 3 countries.

Mireille FernetDepartment of Medical Affairs, Pfizer Canada Inc., Kirkland, QC, Canada.
Bruce BeckermanDepartment of Clinical Affairs, Pfizer Inc., New York, NY, USA.
Paula AbreuDepartment of Clinical Affairs, Pfizer Inc., New York, NY, USA.
Katharina LinsDepartment of Medical Affairs, Pfizer Ltd., Tadworth, UK.
John VincentDepartment of Clinical Affairs, Pfizer Inc., New York, NY, USA.
Ellen BurgessDepartment of Medicine, Faculty of Medicine, University of Calgary, Calgary, AB, Canada, ellen.burgess@ahs.ca.
Pfizer (United States) · USPfizer (Canada) · CAPfizer (United Kingdom) · GBUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSeveral options are available for the treatment of hypertension; however, many treated patients are still not below blood pressure (BP) target. Eplerenone, a selective mineralocorticoid receptor antagonist, is an approved treatment option for the management of patients with hypertension in a number of countries. This patient-level pooled analysis was conducted to document the efficacy and safety/tolerability of eplerenone at the dosages approved for use in hypertension in comparison to placebo or other approved antihypertensive agents.

methodsSeventeen Phase III studies conducted in patients with mild-to-moderate hypertension in the Eplerenone Hypertension Clinical Program were reviewed; eleven met the selection criteria. The primary endpoint was change from baseline in seated diastolic BP and seated systolic BP measured at the end of the study.

resultsA total of 2,698 patients were included in this per-protocol analysis. In patients treated for at least 6 weeks with a stable dose of eplerenone, doses of 50 mg daily and 100 mg daily were associated with greater reductions of seated systolic BP and seated diastolic BP compared with placebo (

conclusionThis patient-level pooled analysis provides robust evidence that eplerenone, at 50 mg or 100 mg daily, was effective in lowering BP in patients with mild-to-moderate hypertension and was well tolerated.

Indexed as

AdultAgedAntihypertensive AgentsBlood PressureClinical Trials, Phase III as TopicEplerenoneFemaleHumansHypertensionMaleMiddle AgedMineralocorticoid Receptor AntagonistsRandomized Controlled Trials as TopicSpironolactoneTreatment OutcomeAntihypertensive AgentsEplerenoneMineralocorticoid Receptor AntagonistsSpironolactonealdosteronecardiovasculareplerenonehypertensionselective mineralocorticoid blocker

Identifiers

PMID30275698
PMCPMC6157540
OpenAlexW2892141990

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.