Evidence map›Paper›PMID 41656849›Full record

Observational studyPharmacoepidemiology and drug safety2026

Effectiveness of Indapamide Prolonged-Release and Perindopril Versus Perindopril Monotherapy for Treated Uncontrolled Hypertension: A Target Trial Emulation.

Céline Darricarrere, Virginie Simon, Manel Pladevall-Vila, Emmanuelle Jacquot, Morgane Ballon, Marie Mangin, Dominique Procureur, Jaume Aguado, Xabier Garcia-Albeniz

Abstract readObservational StudyComparative Study
In one paragraph

Observational study in Pharmacoepidemiology and drug safety, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

9 authors.

Céline DarricarrereServier, Suresnes, France.ORCID https://orcid.org/0000-0002-5306-6906
Virginie SimonServier, Suresnes, France.ORCID https://orcid.org/0009-0003-2757-8697
Manel Pladevall-VilaRTI Health Solutions, Barcelona, Spain.ORCID https://orcid.org/0000-0002-9359-6055
Emmanuelle JacquotServier, Suresnes, France.
Morgane BallonIT&M Stats, Neuilly-sur-Seine, France.ORCID https://orcid.org/0000-0003-0584-2795
Marie ManginIT&M Stats, Neuilly-sur-Seine, France.
Dominique ProcureurR&D Life Cycle Management, Suresnes, France.
Jaume AguadoRTI Health Solutions, Barcelona, Spain.ORCID https://orcid.org/0000-0002-9575-0212
Xabier Garcia-AlbenizRTI Health Solutions, Barcelona, Spain.ORCID https://orcid.org/0000-0002-9814-2343

Funding

Servier
6 · The paper itself

Abstract

objectiveTo assess the effectiveness of indapamide prolonged release and perindopril in combination using blood pressure (BP) records collected in routine practice.

methodsUsing a target trial emulation framework, an observational retrospective cohort study was conducted. The data source was the United Kingdom's CPRD Aurum general practice database. Adults with systolic BP (SBP) ≥ 145 mmHg treated with perindopril 4/5 mg for ≥ 4 weeks at a stable dose who either added indapamide 1.5 mg to perindopril (n = 193) or continued on perindopril monotherapy (n = 14 571) were included. Balance between treatment arms was achieved with propensity score matching; results were explored in additional analyses using different eligibility criteria and alternative statistical methodologies. The primary outcome was change in SBP from baseline to Week 8 between indapamide added to perindopril versus perindopril monotherapy.

resultsIn the primary analysis, indapamide added to perindopril yielded an additional SBP reduction of -6.3 mmHg (95% confidence interval [CI] -8.7 to -3.9) over perindopril monotherapy at Week 8. Results of additional analyses were consistent with the main analysis, but effect estimates varied due to diverse underlying assumptions.

conclusionsTarget trial emulation allowed assessment of antihypertensive treatment effectiveness, and indapamide plus perindopril yielded clinically meaningful decreases in SBP over perindopril monotherapy. Secondary and sensitivity analyses support that these findings were robust.

Indexed as

Antihypertensive AgentsHypertensionIndapamidePerindoprilAgedBlood PressureCohort StudiesDelayed-Action PreparationsDrug Therapy, CombinationFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeUnited KingdomAntihypertensive AgentsDelayed-Action PreparationsIndapamidePerindoprilantihypertensive treatment effectivenesscombination therapyreal‐world evidencetarget trial emulation

Identifiers

PMID41656849
PMCPMC12884010

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Registered trials

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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.