See also:
All hypertension clinical trials
All clinical trials of strategy
All clinical trials of more intensive blood pressure lowering strategie
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Treatments
Studied treatment |
intensified (systolic/diastolic <130/80 mm Hg) blood-pressure control
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Control treatment |
conventional (diastolic <90 mm Hg) blood-pressure control
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Treatments description |
Achieved systolic blood |
129.6/133.7 |
Achieved diastolic blood pressure |
79.5/82.3 |
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Patients
Patients |
patients with non-diabetic proteinuric nephropathies receiving background treatment with the ACE inhibitor ramipril |
Method and design
Randomized effectives |
169 / 169 (studied vs. control) |
Blinding |
open |
Follow-up duration |
36 months |
Primary endpoint |
end-stage renal disease |
Results
Endpoint
Studied treat. n/N
Control treat. n/N
Graph
RR [95% CI]
Cardiovascular death
1 / 169
2 / 169
classic
0,50 [0,05;5,46]
Serious adverse event
39 / 169
28 / 169
classic
1,39 [0,90;2,15]
All cause death
2 / 169
3 / 169
classic
0,67 [0,11;3,94]
non cardiovascular death
1 / 169
1 / 169
classic
1,00 [0,06;15,86]
End stage renal disease
38 / 169
34 / 169
1,12 [0,74;1,69]
0
2
1.0
Relative risks
|
Endpoint |
Events (%) |
Relative Risk |
95% CI |
Endpoint definition in the trial |
Ref |
Studied treat. |
Control treat. |
Cardiovascular death
|
1 / 169 (0,6%) |
2 / 169 (1,2%) |
0,50 |
[0,05;5,46] |
|
11040 |
All cause death
|
2 / 169 (1,2%) |
3 / 169 (1,8%) |
0,67 |
[0,11;3,94] |
|
11040 |
non cardiovascular death
|
1 / 169 (0,6%) |
1 / 169 (0,6%) |
1,00 |
[0,06;15,86] |
|
11040 |
Serious adverse event
|
39 / 169 (23,1%) |
28 / 169 (16,6%) |
1,39 |
[0,90;2,15] |
|
11040 |
End stage renal disease
|
38 / 169 (22,5%) |
34 / 169 (20,1%) |
1,12 |
[0,74;1,69] |
|
11040 |
The primary endpoint (if exists) appears in blod characters
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Reference(s) used for data extraction:
11040: Arguedas JA, Perez MI, Wright JMTreatment blood pressure targets for hypertension.Cochrane Database Syst Rev 2009;:CD004349
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Endpoint |
studied treat. |
control treat. |
mean diff |
Absolute risk reduction
|
Endpoint |
Events rate |
Absolute risk reduction (ARR) |
Studied treat. |
Control treat. |
Cardiovascular death |
5,92‰ |
1,18% |
-5,9‰
|
All cause death |
1,18% |
1,78% |
-5,9‰
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non cardiovascular death |
5,92‰ |
5,92‰ |
0,0‰
|
Serious adverse event |
23,08% |
16,57% |
6,5%
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End stage renal disease |
22,49% |
20,12% |
2,4%
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Reference(s)
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Ruggenenti P, Perna A, Loriga G, Ganeva M, Ene-Iordache B, Turturro M, Lesti M, Perticucci E, Chakarski IN, Leonardis D, Garini G, Sessa A, Basile C, Alpa M, Scanziani R, Sorba G, Zoccali C, Remuzzi G.
Blood-pressure control for renoprotection in patients with non-diabetic chronic renal disease (REIN-2): multicentre, randomised controlled trial..
Lancet 2005;365:939-46
Pubmed
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Hubmed
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