Evidence map›Paper›PMID 32311215›Full record

Observational studyJournal of clinical hypertension (Greenwich, Conn.)2020

Single-pill combination of cilnidipine, an L-/N-type calcium channel blocker, and valsartan effectively reduces home pulse pressure in patients with uncontrolled hypertension and sympathetic hyperactivity: The HOPE-Combi survey.

Kazuomi Kario, Saori Matsuda, Shinobu Nagahama, Yoshiki Kurose, Hitoshi Sugii, Tsukasa Teshima, Noriyuki Suzuki

Open access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of clinical hypertension (Greenwich, Conn.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Safety and Short-Term Effects of Empagliflozin in Patients with Heart Failure and End-Stage Renal Disease.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2026
    Trial
  2. Trial
  3. Observational
  4. The HOPE Asia Network activity for "zero" cardiovascular events in Asia: Overview 2020.Journal of clinical hypertension (Greenwich, Conn.) · 2020
    Review
  5. Observational
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

7 authors at 3 institutions in 1 country.

Kazuomi KarioDivision of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan.ORCID 0000-0002-8251-4480
Saori MatsudaPost-Marketing Medical Research Group, Medical Department, EA Pharma Co., Ltd., Tokyo, Japan.
Shinobu NagahamaPost-Marketing Medical Research Group, Medical Department, EA Pharma Co., Ltd., Tokyo, Japan.
Yoshiki KurosePost-Marketing Medical Research Group, Medical Department, EA Pharma Co., Ltd., Tokyo, Japan.
Hitoshi SugiiPost-Marketing Surveillance, MOCHIDA PHARMACEUTICAL Co., Ltd., Tokyo, Japan.
Tsukasa TeshimaPost-Marketing Surveillance, MOCHIDA PHARMACEUTICAL Co., Ltd., Tokyo, Japan.
Noriyuki SuzukiMedical Affairs Department, MOCHIDA PHARMACEUTICAL Co., Ltd., Tokyo, Japan.
EA Pharma (Japan) · JPMochida Pharmaceutical (Japan) · JPJichi Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The home blood pressure (BP) control by a single-pill combination of cilnidipine (an L-/N-type calcium channel blocker; CCB) and valsartan (HOPE-Combi) survey is a multicenter, post-marketing, prospective observational study of a single-pill combination of cilnidipine 10 mg and valsartan 80 mg (SPC of Cil/Val) in patients with uncontrolled hypertension. We examined the effects of the SPC of Cil/Val on morning home systolic BP (MHSBP) and morning home pulse pressure (MHPP) of 1036 patients with hypertension over 12 months. MHSBP decreased by 14.0 mm Hg (P < .01), and MHPP decreased by 6.6 mm Hg (P < .01). Moreover, morning home pulse rate (MHPR) decreased by 2.1 bpm (P < .01). A more progressive and greater decrease in MHSBP (-17.2 vs -10.3 mm Hg, P < .01) and MHPP (-7.6 vs -4.9 mm Hg, P < .01) was observed in patients with higher MHPR (≥70 bpm) than in those with lower MHPR (<70 bpm) over the treatment period. In particular, in patients with a wide MHPP (≥70 mm Hg), the difference in the MHPP reduction was greater in patients with higher MHPR than in those with lower MHPR (-17.9 vs -13.6 mm Hg, P < .01). These results suggested that the SPC of Cil/Val, which possesses the unique sympatholytic characteristics of an L-/N-type CCB, was particularly effective in patients with uncontrolled hypertension and sympathetic hyperactivity.

Indexed as

DihydropyridinesHypertensionAmlodipineAntihypertensive AgentsBlood PressureCalcium Channel BlockersCalcium Channels, L-TypeHumansTetrazolesValsartanAmlodipineAntihypertensive AgentsCalcium Channel BlockersCalcium Channels, L-TypecilnidipineDihydropyridinesTetrazolesValsartancilnidipineHOPE-Combi surveymorning blood pressuremorning pulse pressuresingle-pill combinationsvalsartan

Identifiers

PMID32311215
PMCPMC8029828
OpenAlexW3019395903

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.