Evidence map›Paper›PMID 31388362›Full record

ArticleCurrent therapeutic research, clinical and experimental2019

Clinical Efficacy and Safety of Combination Therapy with Amlodipine and Olmesartan or an Olmesartan/Hydrochlorothiazide Compound for Hypertension: A Prospective, Open-Label, and Multicenter Clinical Trial in China.

Pingjin Gao, Kezhi Mei, Hongwei Li, Qiuyan Dai, Xingui Guo, Daifu Zhang, Zhimin Jin, Hua You, Hong Ding, Ke Lü and 9 more

Open access · goldAbstract read
In one paragraph

Article in Current therapeutic research, clinical and experimental, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 85% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

19 authors at 16 institutions in 1 country.

Pingjin GaoRui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Kezhi MeiGuangzhou Red Cross Hospital, Guangzhou, Guangdong, China.
Hongwei LiDepartment of Cardiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Qiuyan DaiShanghai General Hospital, Shanghai, China.
Xingui GuoHuadong Hospital affiliated to Fudan University, Shanghai, China.
Daifu ZhangShanghai Pudong New Area General Hospital, Shanghai, China.
Zhimin JinShanghai Songjiang District Central Hospital, Shanghai, China.
Hua YouWujiang First People's Hospital, Wujiang, Jiangsu, China.
Hong DingWuxi Second People's Hospital, Wuxi, Jiangsu, China.
Ke LüSuzhou Municipal Hospital, Suzhou, Jiangsu, China.
Shuxian ZhouSun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.
Xiaoling PengShenzhen Sun Yat-Sen Cardiovascular Hospital, Shenzhen, China.
Hui XuShanghai Changning District Central Hospital, Shanghai, China.
Pengfei YinBeijing Shijitan Hospital, Capital Medical University, Beijing, China.
Licheng YuBeijing Haidian Hospital, Beijing, China.
Lin PiBeijing Chuyangliu Hospital, Beijing, China.
Qi HuaXuanwu Hospital Capital Medical University, Xuanwu, Beijing, China.
Ming YangBeijing Fuxing Hospital, Capital Medical University, Beijing, China.
Xiaowei YuPeople's Hospital of Beijing Daxing District, Beijing, China.
Capital Medical University · CNBeijing Chuiyangliu Hospital · CNBeijing Haidian Hospital · CNBeijing Shijitan Hospital · CNHuadong Hospital · CNKaiping Central Hospital · CNPudong New Area People's Hospital · CNShanghai First People's Hospital · CNShanghai Jiao Tong University · CNShaoxing People's Hospital · CNSongjiang District Central Hospital · CNSun Yat-sen Memorial Hospital · CNSun Yat-sen University · CNSuzhou Municipal Hospital · CNWujiang District People's Hospital · CNXian Yang Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmlodipine (AML) is the initial therapy most commonly prescribed for patients with hypertension in China. However, AML monotherapy is often less effective in achieving blood pressure (BP) control than other agents.

objectiveWe performed a clinical study to evaluate efficacy and safety of a combination therapy with AML, olmesartan (OLM), or an OLM/hydrochlorothiazide (HCTZ) compound for Chinese patients with mild-to-moderate hypertension.

methodsIn the clinical trial, patients were initially treated with OLM 20 mg/d combined with AML 5 mg/d. Then OLM was uptitrated to 40 mg/d or changed to an OLM/HCTZ (20/12.5 mg/d) compound if the patients did not reach the target of seated diastolic BP <90 mm Hg (<80 mm Hg in patients with diabetes) after 8 weeks.

resultsThe overall response rate of the combination therapy was 59.2% (95% CI, 54.23%-63.97%) at Week 2 and gradually increased to 97.1% (95% CI, 94.93%-98.47%) at the end of the study (Week 16).

conclusionsThe combination therapy with OLM or OLM/HCTZ was well tolerated. The total incidence of adverse events was 42.9% (n = 176). Most of the adverse events were mild in severity (39.5%; n = 162) and not associated with the drugs (33.2%). In conclusion, combination therapy with AML, OLM, or OLM/HCTZ can significantly lower BP safely and achieve a high BP control rate in patients with mild-to-moderate hypertension in China. ClinicalTrial.org identifier: ChiCTR-ONC-12001963.

Indexed as

amlodipineantihypertensivecombination therapyhydrochlorothiazidehypertensionolmesartan

Identifiers

PMID31388362
PMCPMC6677643
OpenAlexW2268075908

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.