Evidence map›Paper›PMID 38371656›Full record

ArticleGlobal heart2024

Rationale for a New Low-Dose Triple Single Pill Combination for the Treatment of Hypertension.

Anthony Rodgers, Abdul Salam, William Cushman, Asita de Silva, Gian Luca Di Tanna, Sonali R Gnanenthiran, Diederick Grobbee, Krzysztof Narkiewicz, Dike Ojji, Suzanne Oparil and 7 more

Open access · goldAbstract read
In one paragraph

Article in Global heart, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Low-Dose Triple-Pill of Telmisartan, Amlodipine, and Indapamide for Initial Hypertension Treatment: A GRADE-Assessed Meta-analysis of Randomized Trials.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026
    Pooled it
  2. Pooled it
  3. Low-Dose Telmisartan/Amlodipine in Essential Hypertension: A Phase III Trial.Journal of clinical hypertension (Greenwich, Conn.) · 2026
    Trial
  4. Trial
  5. Evolution in the targets for blood pressure treatment.Current opinion in nephrology and hypertension · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. 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

17 authors at 14 institutions in 9 countries.

Anthony RodgersThe George Institute for Global Health, University of New South Wales, Australia.ORCID 0000-0003-1282-1896
Abdul SalamThe George Institute for Global Health, University of New South Wales, India.ORCID 0000-0002-5870-7936
William CushmanUniversity of Tennessee Health Science Center, USA.ORCID 0000-0001-7162-2972
Asita de SilvaUniversity of Kelaniya, Sri Lanka.ORCID 0000-0003-2544-6861
Gian Luca Di TannaUniversity of Applied Sciences and Arts of Southern Switzerland, Switzerland.ORCID 0000-0002-5470-3567
Sonali R GnanenthiranThe George Institute for Global Health, University of New South Wales, Australia.ORCID 0000-0003-4145-6461
Diederick GrobbeeUniversity Medical Center Utrecht, Utrecht University, The Netherlands.ORCID 0000-0003-4472-4468
Krzysztof NarkiewiczMedical University of Gdańsk, Poland.ORCID 0000-0001-5949-5018
Dike OjjiUniversity of Abuja, Nigeria.ORCID 0000-0002-2084-1988
Suzanne OparilUniversity of Alabama at Birmingham, USA.ORCID 0000-0002-7505-2599
Neil PoulterImperial College, London, UK.ORCID 0000-0002-6292-997X
Markus P SchlaichThe University of Western Australia, Australia.ORCID 0000-0002-1765-0195
Aletta E SchutteThe George Institute for Global Health, University of New South Wales, Australia.ORCID 0000-0001-9217-4937
Wilko SpieringUniversity Medical Center Utrecht, Utrecht University, The Netherlands.ORCID 0000-0002-2493-6407
Bryan WilliamsUniversity College London, UK.ORCID 0000-0002-8094-1841
Jackson T WrightUniversity Hospitals Cleveland Medical Center, Case Western Reserve University, USA.ORCID 0000-0003-2557-7239
Paul WheltonDepartment of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, USA.ORCID 0000-0002-2225-383X
University of Kelaniya · LKUNSW Sydney · AUUtrecht University · NLGdańsk Medical University · PLImperial College London · GBManipal Academy of Higher Education · INThe University of Western Australia · AUTulane University · USUniversity College London · GBUniversity Hospitals of Cleveland · USUniversity of Abuja · NGUniversity of Alabama at Birmingham · USUniversity of Applied Sciences and Arts of Southern Switzerland · CHUniversity of Tennessee Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Two recent large trials showed the potential of single pill combinations (SPCs) with ≥3 low-dose components among people with hypertension who were untreated or receiving monotherapy. In both trials, these 'hypertension polypills' were superior to usual care, achieving >80% BP control without increasing withdrawal due to side effects. However, there are no such products available for prescribers. To address this unmet need, George Medicines developed GMRx2 with telmisartan/amlodipine/indapamide in three strengths (mg): 10/1.25/0.625, 20/2.5/1.25; 40/5/2.5. Two pivotal trials are ongoing to support FDA submission for the treatment of hypertension, including initial treatment. These assess efficacy and safety of GMRx2 compared to: placebo, and each of the three possible dual combinations. Regulatory submissions are planned for 2024, with the aim of providing access to GMRx2 in developed and developing regions. Wider implementation of GMRx2-based treatment strategies will be guided by further research to inform access and appropriate scale up.

Indexed as

HypertensionIndapamideAntihypertensive AgentsBlood PressureHumansTreatment OutcomeAntihypertensive AgentsIndapamideblood pressurefixed dosehypertensionpolypillsingle pill combination

Identifiers

PMID38371656
PMCPMC10870947
OpenAlexW4391826540

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.