Related trials
		 
			
				 
				
					AAA, 2009 - aspirin  vs placebo
				
			 
			
				 
				
					JPAD, 2008 - aspirin  vs no treatment
				
			 
			
				 
				
					POPADAD aspirin, 2008 - aspirin  vs placebo
				
			 
			
				 
				
					CHARISMA, 2006 - clopidogrel + aspirin  vs aspirin
				
			 
			
				 
				
					Womens Health Study, 2005 - aspirin  vs placebo
				
			 
			
				 
				
					Primary Prevention Project, 2001 - aspirin  vs no treatment
				
			 
			
				 
				
					Thrombosis Prevention trial (W alone), 1998 - warfarin  vs placebo
				
			 
			
				 
				
					HOT, 1998 - aspirin  vs placebo
				
			 
			
				 
				
					Thrombosis Prevention Trial, 1998 - aspirin  vs placebo
				
			 
			
				 
				
					Thrombosis Prevention trial (W+A), 1998 - warfarin + aspirin  vs placebo
				
			 
			
				 
				
					CAPRIE, 1996 - clopidogrel  vs aspirin
				
			 
			
				 
				
					Physicians Health Study, 1989 - aspirin  vs placebo
				
			 
			
				 
				
					British Doctors Trial, 1988 - aspirin  vs no treatment
				
			 
		 
		 
		 
		
		See also:
		 
			
				
					All hypertension clinical trials
				
			
			
				
					All cardiovascular prevention clinical trials
				
			
		
			
			All clinical trials of antithrombotics 
			
		
		
			
			All clinical trials of aspirin 
			
		
	 | 
	
		 
	 | 
	
		
	Treatments
	
	
		| Studied treatment | 
		
		aspirin 75 mg daily
		 
		
		
		 | 
	 
	
		| Control treatment | 
		
		placebo
		 
		
		
		 | 
	 
		
			| Remarks | 
			factorial design: 3 BP target | 
		 
	 
	
	
	
	Patients
	
		
			| Patients | 
			patients aged 50-80 with hypertension and diastolic blood pressure between 100 mmHG and 115 mmHG | 
		 
	 
	
	
	
	
	
	
	Method and design
	
	
		| Randomized effectives | 
		9399 / 9391 (studied vs. control) | 
	 
		
			| Design | 
			Factorial plan | 
		 
		
			| Blinding | 
			Double blind | 
		 
		
			| Follow-up duration | 
			mean 3.8 y (range 3.3-4.9y) | 
		 
		
			| Number of centre | 
			multicenter | 
		 
		
			| Geographic area | 
			Europe, North and South America, and Asia | 
		 
		
			| Hypothesis | 
			Superiority | 
		 
		
			| Primary endpoint | 
			non-fatal myocardial infarction, non-fatal stroke, and cardiovascular death | 
		 
	
	 
	
	
	
	
	
	
	
  
	Results	
	
	
	
		
	
	
		
			Endpoint
		
	
	
		
		Studied treat. n/N
			
	
	
		
		Control treat. n/N
		
	
	
		
			Graph
		
	
	
		
			RR [95% CI]
		
	
	
		
			
				
				Coronary event
				 
			
		
			
				
				82 / 9399 
				
			
			
				
				127 / 9391 
				
			
		
			
				
					
					
					
					
				
			
				
				
			
			
		
			
				
					0,65 [0,49;0,85]
				
			
	
	
		
			
				
				stroke (fatal and non fatal) 
				 
			
		
			
				
				146 / 9399 
				
			
			
				
				148 / 9391 
				
			
		
			
				
					
					
					
					
				
			
				
				
			
			
		
			
				
					0,99 [0,79;1,24]
				
			
	
	
		
			
				
				Haemmorhagic stroke
				 
			
		
			
				
				14 / 9399 
				
			
			
				
				15 / 9391 
				
			
		
			
				
					
					
					
					
				
			
				
				
			
			
		
			
				
					0,93 [0,45;1,93]
				
			
	
	
		
			
				
				Cardiovascular events
				 
			
		
			
				
				315 / 9399 
				
			
			
				
				368 / 9391 
				
			
		
			
				
					
					
					
					
				
			
				
				
			
			
		
			
				
					0,86 [0,74;0,99]
				
			
	
	
		
			
				
				Major gastrointestinal bleeding
				 
			
		
			
				
				77 / 9399 
				
			
			
				
				37 / 9391 
				
			
		
			
				
					
						classic
					
					
					
				
			
			
			
		
			
				
					2,08 [1,41;3,07]
				
			
	
	
		
			
				
				Non fatal MI
				 
			
		
			
				
				68 / 9399 
				
			
			
				
				114 / 9391 
				
			
		
			
				
					
					
					
					
				
			
				
				
			
			
		
			
				
					0,60 [0,44;0,80]
				
			
	
	
		
			
				
				Coronary death
				 
			
		
			
				
				14 / 9399 
				
			
			
				
				14 / 9391 
				
			
		
			
				
					
						classic
					
					
					
				
			
				
				
			
			
		
			
				
					1,00 [0,48;2,09]
				
			
	
	
		
			
				
				All cause death
				 
			
		
			
				
				284 / 9399 
				
			
			
				
				305 / 9391 
				
			
		
			
				
					
					
					
					
				
			
				
				
			
			
		
			
				
					0,93 [0,79;1,09]
				
			
	
	
		
			
				
				Gastrointestinal Bleeding
				 
			
		
			
				
				107 / 9399 
				
			
			
				
				55 / 9391 
				
			
		
			
				
					
						classic
					
					
					
				
			
				
				
			
			
		
			
				
					1,94 [1,41;2,69]
				
			
	
	
		
			
				
				myocardial  infarction (fatal and non fatal) 
				 
			
		
			
				
				82 / 9399 
				
			
			
				
				127 / 9391 
				
			
		
			
				
					
					
					
					
				
			
				
				
			
			
		
			
				
					0,65 [0,49;0,85]
				
			
	
	
		
			
				
				Cardiovascular death
				 
			
		
			
				
				133 / 9399 
				
			
			
				
				140 / 9391 
				
			
		
			
				
					
					
					
					
				
			
				
				
			
			
		
			
				
					0,95 [0,75;1,20]
				
			
	
	
		
		
		
		
		
			
				0
			
		
		
		
		
		
				2
		
		
		
		
		
			1.0
		
	
  
 
	 
		
	
		
		
				
					| 
						Relative risks
					 | 
				 
			
			| Endpoint | 
			Events (%) | 
			Relative Risk | 
			95% CI | 
			Endpoint definition in the trial | 
			Ref | 
			 
			
			| Studied treat. | 
			Control treat. | 
			 
					
						| 
							Coronary event
						 | 
						82 / 9399 (0,9%) | 
						127 / 9391 (1,4%) | 
						0,65 | 
						[0,49;0,85] | 
						  | 
						  | 
					 
					
						| 
							stroke (fatal and non fatal) 
						 | 
						146 / 9399 (1,6%) | 
						148 / 9391 (1,6%) | 
						0,99 | 
						[0,79;1,24] | 
						  | 
						  | 
					 
					
						| 
							Haemmorhagic stroke
						 | 
						14 / 9399 (0,1%) | 
						15 / 9391 (0,2%) | 
						0,93 | 
						[0,45;1,93] | 
						  | 
						  | 
					 
					
						| 
							Cardiovascular events
						 | 
						315 / 9399 (3,4%) | 
						368 / 9391 (3,9%) | 
						0,86 | 
						[0,74;0,99] | 
						  | 
						  | 
					 
					
					
					
						| 
							Non fatal MI
						 | 
						68 / 9399 (0,7%) | 
						114 / 9391 (1,2%) | 
						0,60 | 
						[0,44;0,80] | 
						  | 
						10916  | 
					 
					
					
						| 
							Coronary death
						 | 
						14 / 9399 (0,1%) | 
						14 / 9391 (0,1%) | 
						1,00 | 
						[0,48;2,09] | 
						  | 
						  | 
					 
					
						| 
							All cause death
						 | 
						284 / 9399 (3,0%) | 
						305 / 9391 (3,2%) | 
						0,93 | 
						[0,79;1,09] | 
						  | 
						  | 
					 
					
						| 
							Gastrointestinal Bleeding
						 | 
						107 / 9399 (1,1%) | 
						55 / 9391 (0,6%) | 
						1,94 | 
						[1,41;2,69] | 
						  | 
						3354  | 
					 
					
						| 
							myocardial  infarction (fatal and non fatal) 
						 | 
						82 / 9399 (0,9%) | 
						127 / 9391 (1,4%) | 
						0,65 | 
						[0,49;0,85] | 
						  | 
						  | 
					 
					
						| 
							Major gastrointestinal bleeding
						 | 
						77 / 9399 (0,8%) | 
						37 / 9391 (0,4%) | 
						2,08 | 
						[1,41;3,07] | 
						  | 
						3354  | 
					 
					
						| 
							Cardiovascular death
						 | 
						133 / 9399 (1,4%) | 
						140 / 9391 (1,5%) | 
						0,95 | 
						[0,75;1,20] | 
						  | 
						  | 
					 
					
		
			| 
			The primary endpoint (if exists) appears in blod characters
			 | 
		 
		
			| 
			Reference(s) used for data extraction: 
				
					3354: Hansson L, Zanchetti A, Carruthers SG, Dahlof B, Elmfeldt D, Julius S, Menard J, Rahn KH, Wedel H, Westerling SEffects of intensive blood-pressure lowering and low-dose aspirin in patients with hypertension: principal results of the Hypertension Optimal Treatment (HOT) randomised trial. HOT Study Group.Lancet 1998 Jun 13;351:1755-62
				
				
					10916: Baigent C, Blackwell L, Collins R, Emberson J, Godwin J, Peto R, Buring J, Hennekens C, Kearney P, Meade T, Patrono C, Roncaglioni MC, Zanchetti AAspirin in the primary and secondary prevention of vascular disease: collaborative meta-analysis of individual participant data from randomised trials.Lancet 2009 May 30;373:1849-60
				
			 | 
		 
		 
		
		
			
			| Endpoint | 
			studied treat. | 
			control treat. | 
			mean diff | 
			 
		 
	 
	
	
	
				
					| 
						Absolute risk reduction 
					 | 
				 
	
		| Endpoint | 
		Events rate | 
		Absolute risk reduction (ARR) | 
	 
	
		| Studied treat. | 
		Control treat. | 
	 
			
				| Coronary event | 
				8,72‰ | 
				1,35% | 
				
					-4,8‰
				 | 
			 
			
				| stroke (fatal and non fatal)  | 
				1,55% | 
				1,58% | 
				
					-0,2‰
				 | 
			 
			
				| Haemmorhagic stroke | 
				1,49‰ | 
				1,60‰ | 
				
					-0,1‰
				 | 
			 
			
				| Cardiovascular events | 
				3,35% | 
				3,92% | 
				
					-5,7‰
				 | 
			 
			
				| Non fatal MI | 
				7,23‰ | 
				1,21% | 
				
					-4,9‰
				 | 
			 
			
				| Coronary death | 
				1,49‰ | 
				1,49‰ | 
				
					-0,0‰
				 | 
			 
			
				| All cause death | 
				3,02% | 
				3,25% | 
				
					-2,3‰
				 | 
			 
			
				| Gastrointestinal Bleeding | 
				1,14% | 
				5,86‰ | 
				
					5,5‰
				 | 
			 
			
				| myocardial  infarction (fatal and non fatal)  | 
				8,72‰ | 
				1,35% | 
				
					-4,8‰
				 | 
			 
			
				| Major gastrointestinal bleeding | 
				8,19‰ | 
				3,94‰ | 
				
					4,3‰
				 | 
			 
			
				| Cardiovascular death | 
				1,42% | 
				1,49% | 
				
					-0,8‰
				 | 
			 
	 	
	 
	
  
	
	
	
	
	
	
	
	
		 
		Reference(s)
	
	
	
			- 
				
			    Hansson L, Zanchetti A, Carruthers SG, Dahlof B, Elmfeldt D, Julius S, Menard J, Rahn KH, Wedel H, Westerling S. 
			    Effects of intensive blood-pressure lowering and low-dose aspirin in patients with hypertension: principal results of the Hypertension Optimal Treatment (HOT) randomised trial. HOT Study Group..
			    Lancet 1998 Jun 13;351:1755-62
 
				
					 
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