Evidence map›Paper›PMID 30851066›Full record

ArticleJournal of veterinary internal medicine2019

Safety and efficacy of orally administered telmisartan for the treatment of systemic hypertension in cats: Results of a double-blind, placebo-controlled, randomized clinical trial.

Amanda E Coleman, Scott A Brown, Anne M Traas, Lawrence Bryson, Tanja Zimmering, Alicia Zimmerman

Open access · goldAbstract readClinical Trial, VeterinaryMulticenter Study
In one paragraph

Article in Journal of veterinary internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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  10. Manifestations of hypertensive encephalopathy in cats.Journal of feline medicine and surgery · 2023
    Article
  11. Single-dose pharmacokinetics of telmisartan oral solution and effect of feeding in dogs.Journal of veterinary pharmacology and therapeutics · 2023
    Article
  12. Article
  13. Article
  14. Drug-Dosing Adjustment in Dogs and Cats with Chronic Kidney Disease.Animals : an open access journal from MDPI · 2022
    Review
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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.

Amanda E ColemanDepartment of Small Animal Medicine and Surgery, University of Georgia College of Veterinary Medicine, Athens, Georgia.ORCID https://orcid.org/0000-0001-5476-5963
Scott A BrownDepartment of Small Animal Medicine and Surgery, University of Georgia College of Veterinary Medicine, Athens, Georgia.
Anne M TraasPharmaceutical Clinical Research and Development, Boehringer Ingelheim Vetmedica, Inc., St. Joseph, Missouri.
Lawrence BrysonPharmaceutical Clinical Research and Development, Boehringer Ingelheim Vetmedica, Inc., St. Joseph, Missouri.
Tanja ZimmeringGlobal PetVet Business Unit, Boehringer Ingelheim Vetmedica GmbH, Ingelheim am Rhein, Germany.
Alicia ZimmermanPharmaceutical Clinical Research and Development, Boehringer Ingelheim Vetmedica, Inc., St. Joseph, Missouri.
Boehringer Ingelheim (United States) · USBoehringer Ingelheim (Germany) · DEGeorgia College & State University · USUniversity of Georgia · US

Funding

Boehringer Ingelheim
6 · The paper itself

Abstract

backgroundInformation regarding the efficacy of telmisartan for feline systemic arterial hypertension is limited.

objectivesTo evaluate the safety and efficacy of PO administered telmisartan solution in hypertensive cats. ANIMALS: Client-owned cats with indirect systolic arterial blood pressure (SBP) of 160-200 mm Hg, based on multiple measurements.

methodsThis multicenter trial consisted a 28-day, prospective, randomized, double-blind, placebo-controlled, parallel group, efficacy phase and a 154-day extended-use telmisartan phase. Hypertensive cats were randomly assigned to receive 1.5 mg telmisartan/kg PO q12h for 14 days, followed by 2 mg telmisartan/kg PO q24h, or equivalent volume of placebo. Systolic blood pressure was measured on days 0, 14, and 28. Change in SBP compared to baseline was calculated for days 14 and 28. Telmisartan efficacy was defined as significant decrease in SBP at day 14 compared to placebo and a clinically relevant (>20 mm Hg) decrease in SBP at day 28.

resultsTwo-hundred twenty-one cats were included. On day 14, least squares mean (95% confidence interval) SBP decrease was significantly larger in telmisartan-treated (-23.3 mm Hg [-28.2 to -18.3]) versus placebo-treated (-7.5 mm Hg [-13.6 to -1.5]) cats (P = .0005). On day 28, telmisartan treatment resulted in a clinically relevant SBP decrease (-23.9 mm Hg [-27.8 to -20.0]), whereas placebo did not (-11.6 mm Hg [-17.4 to -5.9 mm Hg]). The decrease in SBP persisted over the 6-month trial in telmisartan-treated cats. CONCLUSIONS AND CLINICAL IMPORTANCE: Telmisartan significantly decreased SBP to a clinically relevant extent and was well tolerated in hypertensive cats.

Indexed as

AnimalsAntihypertensive AgentsBlood PressureCat DiseasesCatsDouble-Blind MethodFemaleHypertensionMaleProspective StudiesRandom AllocationTelmisartanTreatment OutcomeAntihypertensive AgentsTelmisartanangiotensin receptor blockerantihypertensiveblood pressurecardiovascularcatRAASrenin-angiotensin-aldosterone system

Identifiers

PMID30851066
PMCPMC6430933
OpenAlexW2922334308

What OpenQuestion holds

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LicenceCC BY-NC
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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.