Evidence map›Paper›PMID 32303191›Full record

SynthesisBMC cardiovascular disorders2020

Clinical efficacy, safety and tolerability of Aliskiren Monotherapy (AM): an umbrella review of systematic reviews.

Qiyuan Zhao, Jiantong Shen, Jingya Lu, Qi Jiang, Yuanyuan Wang

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC cardiovascular disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Blood Pressure Management Strategies and Podocyte Health.American journal of hypertension · 2025
    Review
  5. Review
  6. Advances in pathogenesis and treatment of essential hypertension.Frontiers in cardiovascular medicine · 2022
    Review
  7. 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

5 authors at 2 institutions in 1 country.

Qiyuan ZhaoSchool of Nursing, Huzhou University, Huzhou Central Hospital, 759 Erhuan Rd, Huzhou, 313000 Zhejiang, People's Republic of China.
Jiantong ShenSchool of Nursing, Huzhou University, Huzhou Central Hospital, 759 Erhuan Rd, Huzhou, 313000 Zhejiang, People's Republic of China. sjiantong@163.com.
Jingya LuSchool of Nursing, Huzhou University, Huzhou Central Hospital, 759 Erhuan Rd, Huzhou, 313000 Zhejiang, People's Republic of China.
Qi JiangSchool of Nursing, Huzhou University, Huzhou Central Hospital, 759 Erhuan Rd, Huzhou, 313000 Zhejiang, People's Republic of China.
Yuanyuan WangSchool of Nursing, Huzhou University, Huzhou Central Hospital, 759 Erhuan Rd, Huzhou, 313000 Zhejiang, People's Republic of China.
Huzhou University · CNHuzhou Central Hospital · CN

Funding

Department of Education of Zhejiang Province Y201635273
6 · The paper itself

Abstract

backgroundAliskiren is a newly developed drug. Its role in lowering BP has been recognized. However, the role of aliskiren in treating heart and renal diseases are still controversial.

objectiveTo evaluate the existing evidence about clinical efficacy, safety and tolerability of aliskiren monotherapy (AM).

methodsAn umbrella review of systematic reviews of interventional studies. We searched Pubmed, Embase and Cochrane Library up to June 2019. Two reviewers applied inclusion criteria to the select potential articles independently. The extract and analyze of accessible data were did by two reviewers independently too. Discrepancies were resolved with discussion or the arbitration of the third author.

resultsEventually, our review identified 14 eligible studies. Results showed that for essential hypertension patients, aliskiren showed a great superiority over placebo in BP reduction, BP response rate and BP control rate. Aliskiren and placebo, ARBs or ACEIs showed no difference in the number or extent of adverse events. For heart failure patients, AM did not reduce BNP levels (SMD -0.08, - 0.31 to 0.15) or mortality rate (RR 0.76, 0.32 to 1.80), but it decreased NT-proBNP (SMD -0.12, - 0.21 to - 0.03) and PRA levels (SMD 0.52, 0.30 to 0.75), increased PRC levels (SMD -0.66, - 0.8 to - 0.44). For patients who are suffered from hypertension and diabetes and/or nephropathy or albuminuria at the same time, aliskiren produced no significant effects (RR 0.97, 0.81 to 1.16).

conclusionWe found solid evidence to support the benefits of aliskiren in the treatment of essential hypertension, aliskiren can produce significant effects in lowering BP and reliable safety. However, the effects of aliskiren in cardiovascular and renal outcomes were insignificant.

trial registrationStudy has been registered in PROSPERO (CRD42019142141).

Indexed as

Renin InhibitorsAlbuminuriaAmidesAntihypertensive AgentsBlood PressureDiabetic NephropathiesEssential HypertensionFumaratesHeart FailureHumansSystematic Reviews as TopicTreatment OutcomealiskirenAmidesAntihypertensive AgentsFumaratesRenin InhibitorsAliskirenClinical effectivenessMonotherapySafety

Identifiers

PMID32303191
PMCPMC7164287
OpenAlexW3016421824

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.