Evidence map›Paper›PMID 34743540›Full record

ArticleJournal of the American Heart Association2021

Blood Pressure and Safety Events With Vericiguat in the VICTORIA Trial.

Carolyn S P Lam, Hillary Mulder, Yuri Lopatin, Jose B Vazquez-Tanus, David Siu, Justin Ezekowitz, Burkert Pieske, Christopher M O'Connor, Lothar Roessig, Mahesh J Patel and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

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  16. Emerging therapeutic frontiers in hypertension management.Frontiers in cardiovascular medicine · 2025
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  18. Observational
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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

14 authors at 10 institutions in 7 countries.

Carolyn S P LamNational Heart Centre Singapore & Duke-National University of Singapore Singapore.ORCID 0000-0003-1903-0018
Hillary MulderDuke Clinical Research InstituteDuke University School of Medicine Durham NC.ORCID 0000-0003-4838-582X
Yuri LopatinVolgograd State Medical UniversityRegional Cardiology Centre Volgograd Volgograd Russian Federation.ORCID 0000-0001-8744-7144
Jose B Vazquez-TanusPonce School of Medicine Ponce Puerto Rico.
David SiuLi Ka Shing Faculty of Medicine The University of Hong Kong Hong Kong.
Justin EzekowitzCanadian VIGOUR Centre University of Alberta Edmonton Canada.ORCID 0000-0002-2724-4086
Burkert PieskeCharité University MedicineGerman Heart Center Berlin Germany.
Christopher M O'ConnorInova Heart and Vascular Institute Falls Church VA.
Lothar RoessigBayer AG Wuppertal Germany.
Mahesh J PatelMerck & Co. Inc. Kenilworth NJ.
Kevin J AnstromDuke Clinical Research InstituteDuke University School of Medicine Durham NC.
Adrian F HernandezDuke Clinical Research InstituteDuke University School of Medicine Durham NC.ORCID 0000-0003-3387-9616
Paul W ArmstrongCanadian VIGOUR Centre University of Alberta Edmonton Canada.ORCID 0000-0002-0460-3445
VICTORIA Study Group
Duke University · USUniversity of Alberta · CAAlaska Heart and Vascular Institute · USBayer (Germany) · DEDeutsches Herzzentrum der Charité · DEMerck & Co., Inc., Rahway, NJ, USA (United States) · USNational University of Singapore · SGPonce Health Sciences University · PRUniversity of Hong Kong · HKVolgograd State Medical University · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Although safety and tolerability of vericiguat were established in the VICTORIA (Vericiguat Global Study in Subjects With Heart Failure With Reduced Ejection Fraction) trial in patients with heart failure with reduced ejection fraction, some subgroups may be more susceptible to symptomatic hypotension, such as older patients, those with lower baseline systolic blood pressure (SBP), or those concurrently taking angiotensin receptor neprilysin inhibitors. We described the SBP trajectories over time and compared the occurrence of symptomatic hypotension or syncope by treatment arm in potentially vulnerable subgroups in VICTORIA. We also evaluated the relation between the efficacy of vericiguat and baseline SBP. Methods and Results Among patients receiving at least 1 dose of the study drug (n=5034), potentially vulnerable subgroups were those >75 years old (n=1395), those with baseline SBP 100-110 mm Hg (n=1344), and those taking angiotensin receptor neprilysin inhibitors (n=730). SBP trajectory was plotted as mean change from baseline over time. The treatment effect on time to symptomatic hypotension or syncope was evaluated overall and by subgroup, and the primary efficacy composite outcome (heart failure hospitalization or cardiovascular death) across baseline SBP was examined using Cox proportional hazards models. SBP trajectories showed a small initial decline in SBP with vericiguat in those >75 years old (versus younger patients), as well as those receiving angiotensin receptor neprilysin inhibitors (versus none), with SBP returning to baseline thereafter. Patients with SBP <110 mm Hg at baseline showed a trend to increasing SBP over time, which was similar in both treatment arms. Safety event rates were generally low and similar between treatment arms within each subgroup. In Cox proportional hazards analysis, there were similar numbers of safety events with vericiguat versus placebo (adjusted hazard ratio [HR], 1.18; 95% CI, 0.99-1.39;

Indexed as

Heart FailureHeterocyclic Compounds, 2-RingHypotensionPyrimidinesVentricular Dysfunction, LeftAgedBlood PressureHumansNeprilysinReceptors, AngiotensinStroke VolumeSyncopeTreatment OutcomeHeterocyclic Compounds, 2-RingNeprilysinPyrimidinesReceptors, Angiotensinvericiguatblood pressureheart failureheart failure with reduced ejection fractionsafety eventsvericiguat

Identifiers

PMID34743540
PMCPMC8751950
OpenAlexW3213647691

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.