Abstract | BACKGROUND: METHODS: The antihypertensive efficacy of olmesartan medoxomil (OM) ± hydrochlorothiazide ( HCTZ) was investigated in prespecified subgroups (age <65/≥65 years, Blacks/non-Blacks, males/females, or stage 1/stage 2 hypertension) of patients with hypertension and type 2 diabetes enrolled in an open-label, single-arm study (n = 192). Patients started treatment with OM 20 mg/day and were uptitrated at 3-week intervals to OM 40, OM/ HCTZ 40/12.5, and OM/ HCTZ 40/25 mg/day if BP was ≥120/70 mmHg. The primary endpoint was the change in mean 24-hour ambulatory SBP from baseline to week 12, assessed by mean 24-hour ambulatory BP monitoring. Secondary endpoints included changes in mean 24-hour ambulatory DBP, mean daytime ambulatory BP, mean nighttime ambulatory BP, and mean office seated BP, and the proportions of patients achieving prespecified ambulatory BP targets. SETTING: This was a multicenter study (24 sites) that took place between November 2006 and November 2007 in the US. RESULTS: BP reductions were significant (p < 0.0001) and similar among subgroups of patients with type 2 diabetes. Following dose titration to OM/ HCTZ 40/25 mg/day, similar proportions of patients in the age, race, and sex subgroups (approximately 60-64% across these subgroups) achieved an ambulatory BP target of <130/80 mmHg. A larger proportion of patients with type 2 diabetes and stage 1 hypertension achieved this same goal compared with patients with stage 2 hypertension (75% vs 46.3%). The combination of OM/ HCTZ was well tolerated in all patient subgroups irrespective of age, race, sex, or hypertension severity. CONCLUSIONS: In this open-label study, OM/ HCTZ combination therapy was efficacious and well tolerated in subgroups of patients with diabetes and hypertension. [Clinical Trials Registry Number: NCT00403481].
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Authors | Joel M Neutel, Dean J Kereiakes, BENIFICIARY Investigators |
Journal | American journal of cardiovascular drugs : drugs, devices, and other interventions
(Am J Cardiovasc Drugs)
Vol. 10
Issue 5
Pg. 289-303
( 2010)
ISSN: 1175-3277 [Print] New Zealand |
PMID | 20712386
(Publication Type: Clinical Trial, Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't)
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Chemical References |
- Antihypertensive Agents
- Imidazoles
- Tetrazoles
- Olmesartan Medoxomil
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Topics |
- Adult
- Age Factors
- Aged
- Algorithms
- Antihypertensive Agents
(therapeutic use)
- Blood Pressure
(drug effects)
- Diabetes Mellitus, Type 2
(complications, physiopathology)
- Female
- Humans
- Hypertension
(drug therapy, ethnology)
- Imidazoles
(therapeutic use)
- Male
- Middle Aged
- Olmesartan Medoxomil
- Prospective Studies
- Sex Characteristics
- Tetrazoles
(therapeutic use)
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