Evidence map›Paper›PMID 37395974›Full record

Trial reportAmerican journal of cardiovascular drugs : drugs, devices, and other interventions2023

A Randomized, Multicenter, Double-blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of a Quadruple Combination of Amlodipine, Losartan, Rosuvastatin, and Ezetimibe in Patients with Concomitant Essential Hypertension and Dyslipidemia.

Min Chul Kim, Youngkeun Ahn, Moo Hyun Kim, Seok-Yeon Kim, Taek Jong Hong, Moo-Yong Rhee, Sang-Hyun Kim, Soon-Jun Hong, Hyungseop Kim, Weon Kim and 4 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled TrialMulticenter StudyClinical Trial, Phase III
In one paragraph

Trial report in American journal of cardiovascular drugs : drugs, devices, and other interventions, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT04074551. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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.

NCT04074551 phase3completed

A Randomized, Double-blinded, Multi-center, Phase III Study to Compare The Efficacy and Safety of Co-administered HGP0608, HGP0904 and HCP1306 Versus HCP1701 in Patients With Hypertension and Dyslipidemia

Ran2019Enrolled145Registered outcomes12Posted comparisons0ConditionsDyslipidemias, HypertensionArmsamlodipine, HCP1701, Losartan, rosuvastatin and ezetimibe
Open the trial in the graph
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Review
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 11 institutions in 1 country.

Min Chul KimDivision of Cardiology, Department of Internal Medicine, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Republic of Korea.
Youngkeun AhnDivision of Cardiology, Department of Internal Medicine, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Republic of Korea.
Moo Hyun KimDepartment of Cardiology, Dong-A University Medical School, Pusan, Republic of Korea.
Seok-Yeon KimDepartment of Cardiology, Seoul Medical Center, Seoul, Republic of Korea.
Taek Jong HongDivision of Cardiology, Department of Internal Medicine, Pusan National University Medical School, Pusan, Republic of Korea.
Moo-Yong RheeCardiovascular Center, Dongguk University Ilsan Hospital, Goyang, Republic of Korea.
Sang-Hyun KimDivision of Cardiology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital, Seoul National University Medical School, Seoul, Republic of Korea.
Soon-Jun HongDepartment of Cardiology, Cardiovascular Center, Korea University College of Medicine, Seoul, Republic of Korea.
Hyungseop KimKeimyung University Dongsan Medical Center, Daegu, Republic of Korea.
Weon KimDivision of Cardiovascular, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University Medical School, Seoul, Republic of Korea.
In Ho ChaeCardiovascular Center, Seoul National University Bundang Hospital, Seoul National University Hospital, Seongnam, Republic of Korea.
Duk-Hyun KangDivision of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Byeong-Keuk KimDivision of Cardiology, Department of Internal Medicine, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Hyo-Soo KimDepartment of Internal Medicine, Cardiovascular Center, Seoul National University Hospital, Seoul National University Medical School, 101, Daehak-ro, Jongro-gu, Seoul, 03080, Republic of Korea. hyosoo@snu.ac.kr.
Chonnam National University Hospital · KRKeimyung University Dongsan Medical Center · KRDongguk University Ilsan Hospital · KRKorea University · KRKyung Hee University Medical Center · KRPusan National University · KRSeoul National University · KRSeoul National University Hospital · KRSNUH SMG-SNU Boramae Medical Center · KRUniversity of Ulsan · KRYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew data are available regarding the efficacy and safety of a single-pill combination (SPC) consisting of four medications in patients with concomitant hypertension and dyslipidemia.

objectiveWe aimed to determine the efficacy and tolerability of a fixed-dose SPC consisting of 5 mg amlodipine, 100 mg losartan, 20 mg rosuvastatin, and 10 mg ezetimibe (A/L/R/E) in patients with concomitant hypertension and dyslipidemia.

methodsThis was a 14-week, randomized, multicenter, double-blind, placebo-controlled, phase III clinical trial. In total, 145 patients were randomized to receive A/L/R/E, A/L, or L/R/E. The primary endpoints were the average change in the low-density lipoprotein cholesterol (LDL-C) level in the A/L/R/E and A/L groups and the sitting systolic blood pressure (sitSBP) in the A/L/R/E and L/R/E groups. The numbers of patients with adverse drug reactions (ADRs) were compared as safety variables.

resultsThe average percentage change in the LDL-C level as the least squares mean (LSM) from the baseline LDL-C level at the end of the 8-week treatment was - 59.0% in the A/L/R/E group and 0.2% in the A/L group (LSM difference - 59.2, 95% confidence interval [CI] - 68.1 to - 50.4; p < 0.0001). The average change in the sitSBP as the LSM was - 15.8 mmHg in the A/L/R/E group and -4.7 mmHg in the L/R/E group (LSM difference - 11.1, 95% CI - 16.8 to - 5.4; p = 0.0002). No ADRs occurred in the A/L/R/E group.

conclusionsA/L/R/E as an SPC could be an effective treatment for patients with hypertension and dyslipidemia without significant safety issues. CLINICAL TRIALS REGISTRATION: NCT04074551 (registered 30 August 2019).

Indexed as

DyslipidemiasHypertensionAmlodipineAntihypertensive AgentsBlood PressureCholesterol, LDLDouble-Blind MethodDrug CombinationsEssential HypertensionEzetimibeHumansLosartanRosuvastatin CalciumTreatment OutcomeAmlodipineamlodipine-losartan drug combinationAntihypertensive AgentsCholesterol, LDLDrug CombinationsEzetimibeLosartanRosuvastatin Calcium

Identifiers

PMID37395974
PMCPMC10328852
OpenAlexW4382919086

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.