在印度用单片药组合优化治疗血压 (TOPSPIN) - - 协议设计和基线特征
Gaia Kiru1, Ambuj Roy2, Dimple Kondal3
1Imperial Clinical Trials Unit, Imperial College London, 1st Floor, Stadium House, 68 Wood Lane, London, W12 7RH, UK, United Kingdom.
International journal of cardiology. Cardiovascular risk and prevention
|November 18, 2024
概括
这项研究评估了在南亚人中治疗高血压的最佳两种药物联合治疗方法. 结果将为这群人群制定有效的血压控制策略.
科学领域:
- 心血管医学 心血管医学
- 临床试验 临床试验
- 药理学 药理学是指药理学的学科.
背景情况:
- 高血压影响了印度3亿多人,患病率越来越高.
- 目前的指导方针建议初始组合疗法用于血压 (BP) 管理.
- 对于南亚人口的最佳组合疗法存在有限的随机证据.
研究的目的:
- 确定最有效的两种药物组合,用于初始高血压治疗南亚人.
- 为了比较常规推的单片药组合 (SPC) 的功效,阿姆洛迪平,,和伊达帕米德.
- 在高血压患者中降低24小时的门诊系统血压 (ASBP).
主要方法:
- 一个多中心,单盲,随机试验,涉及1981年30-79岁的男性和女性.
- 三种常见推的两种药物的SPC与2个月后强制升级标配的比较.
- 主要终点:6个月后24小时ASBP的减少.
主要成果:
- 1981年参与者入学平均年龄为52.1岁;42.0%是女性.
- 平均基线ASBP为135.6 mmHg,平均门诊透气血压为84.5 mmHg.
- 58.1%的人有先前存在的高血压; 18.6%的人被诊断为糖尿病.
结论:
- TOPSPIN试验是对南亚人抗高血压组合疗法的第一个随机评估.
- 这些发现对在印度和外界选择一线抗高血压药物具有重要意义.
- 提供了优化全球大人口高血压管理的关键证据.
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