Loading…
Omapatrilat Provides Long‐Term Control of Hypertension: A Randomized Trial of Treatment Withdrawal
Omapatrilat simultaneously inhibits neutral endopeptidase and angiotensin‐converting enzyme, increasing levels of vasodilatory peptides while decreasing production of angiotensin II. This study evaluated the clinical effects of withdrawal of omapatrilat after a patient's hypertension had been c...
Saved in:
Published in: | The journal of clinical hypertension (Greenwich, Conn.) Conn.), 2002-05, Vol.4 (3), p.169-172 |
---|---|
Main Authors: | , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c3850-1cb9bfd126781333be8cac45b050fe7b053461bf41482af9d43e07072e608c623 |
---|---|
cites | cdi_FETCH-LOGICAL-c3850-1cb9bfd126781333be8cac45b050fe7b053461bf41482af9d43e07072e608c623 |
container_end_page | 172 |
container_issue | 3 |
container_start_page | 169 |
container_title | The journal of clinical hypertension (Greenwich, Conn.) |
container_volume | 4 |
creator | Guthrie, Robert Reeves, Richard A. |
description | Omapatrilat simultaneously inhibits neutral endopeptidase and angiotensin‐converting enzyme, increasing levels of vasodilatory peptides while decreasing production of angiotensin II. This study evaluated the clinical effects of withdrawal of omapatrilat after a patient's hypertension had been controlled (seated diastolic blood pressure |
doi_str_mv | 10.1111/j.1524-6175.2002.01400.x |
format | article |
fullrecord | <record><control><sourceid>wiley_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8101813</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>JCH1400</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3850-1cb9bfd126781333be8cac45b050fe7b053461bf41482af9d43e07072e608c623</originalsourceid><addsrcrecordid>eNqNkE1OwzAQhS0EoqVwBeQLJIzjOEmRQEIRUFClIhTE0nISp3WVxJET-sOKI3BGTkLSlr8ds5mR57031ocQJmCTts7mNmGOa3nEZ7YD4NhAXAB7tYf67ROxfOJ7--38Jeqho7qeAzBKh3CIesQBl1GP9VE6KUQlGqNy0eAHoxcqlTUe63L68fYeSVPgUJeN0TnWGR6tK2kaWdZKl-f4Cj-KMtWFepUpjowSG01kpGgKWTb4WTWz1IilyI_RQSbyWp7s-gA93VxH4cgaT27vwquxldCAgUWSeBhnKXE8PyCU0lgGiUhcFgODTPpto65H4swlbuCIbJi6VIIPviM9CBLPoQN0uc2tXuJCpkn7CyNyXhlVCLPmWij-d1OqGZ_qBQ8IkO7kAAXbgMToujYy-_YS4B15PucdVN5B5R15viHPV6319PftH-MOdSu42AqWKpfrfwfz-3DUTfQTNB6Upg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Omapatrilat Provides Long‐Term Control of Hypertension: A Randomized Trial of Treatment Withdrawal</title><source>PubMed Central</source><creator>Guthrie, Robert ; Reeves, Richard A.</creator><creatorcontrib>Guthrie, Robert ; Reeves, Richard A.</creatorcontrib><description>Omapatrilat simultaneously inhibits neutral endopeptidase and angiotensin‐converting enzyme, increasing levels of vasodilatory peptides while decreasing production of angiotensin II. This study evaluated the clinical effects of withdrawal of omapatrilat after a patient's hypertension had been controlled (seated diastolic blood pressure <90 mm Hg) on omapatrilat for at least 6 months, with or without adjunctive antihypertensive medications. This double‐blind study randomized 83 patients to receive either their established omapatrilat dose or placebo for 8 weeks; any concomitant antihypertensive medications were kept constant. Patients continuing on omapatrilat had no change in blood pressure. Patients whose chronic omapatrilat treatment was replaced by placebo had clinically important increases in both systolic (+16.5 mm Hg) and diastolic (+9.6 mm Hg) blood pressures (both p<0.001). An increase in blood pressure was also seen in patients who were taking adjunctive antihypertensive medications prior to withdrawal of omapatrilat. This study demonstrates that when compared to withdrawal placebo, omapatrilat maintains clinically and statistically significant blood pressure reductions.</description><identifier>ISSN: 1524-6175</identifier><identifier>EISSN: 1751-7176</identifier><identifier>DOI: 10.1111/j.1524-6175.2002.01400.x</identifier><identifier>PMID: 12045365</identifier><language>eng</language><publisher>Three Parklands Drive, Darien, CT 06820‐3652: Le Jacq Communications, Inc</publisher><subject>Adult ; Aged ; Angiotensin-Converting Enzyme Inhibitors - administration & dosage ; Blood Pressure Determination ; Dose-Response Relationship, Drug ; Drug Administration Schedule ; Female ; Follow-Up Studies ; Humans ; Hypertension - diagnosis ; Hypertension - drug therapy ; Male ; Middle Aged ; Original Papers ; Pyridines - administration & dosage ; Reference Values ; Severity of Illness Index ; Thiazepines - administration & dosage ; Time Factors ; Treatment Outcome ; Withholding Treatment</subject><ispartof>The journal of clinical hypertension (Greenwich, Conn.), 2002-05, Vol.4 (3), p.169-172</ispartof><rights>Copyright 2002 Le Jacq</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3850-1cb9bfd126781333be8cac45b050fe7b053461bf41482af9d43e07072e608c623</citedby><cites>FETCH-LOGICAL-c3850-1cb9bfd126781333be8cac45b050fe7b053461bf41482af9d43e07072e608c623</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8101813/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8101813/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12045365$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guthrie, Robert</creatorcontrib><creatorcontrib>Reeves, Richard A.</creatorcontrib><title>Omapatrilat Provides Long‐Term Control of Hypertension: A Randomized Trial of Treatment Withdrawal</title><title>The journal of clinical hypertension (Greenwich, Conn.)</title><addtitle>J Clin Hypertens (Greenwich)</addtitle><description>Omapatrilat simultaneously inhibits neutral endopeptidase and angiotensin‐converting enzyme, increasing levels of vasodilatory peptides while decreasing production of angiotensin II. This study evaluated the clinical effects of withdrawal of omapatrilat after a patient's hypertension had been controlled (seated diastolic blood pressure <90 mm Hg) on omapatrilat for at least 6 months, with or without adjunctive antihypertensive medications. This double‐blind study randomized 83 patients to receive either their established omapatrilat dose or placebo for 8 weeks; any concomitant antihypertensive medications were kept constant. Patients continuing on omapatrilat had no change in blood pressure. Patients whose chronic omapatrilat treatment was replaced by placebo had clinically important increases in both systolic (+16.5 mm Hg) and diastolic (+9.6 mm Hg) blood pressures (both p<0.001). An increase in blood pressure was also seen in patients who were taking adjunctive antihypertensive medications prior to withdrawal of omapatrilat. This study demonstrates that when compared to withdrawal placebo, omapatrilat maintains clinically and statistically significant blood pressure reductions.</description><subject>Adult</subject><subject>Aged</subject><subject>Angiotensin-Converting Enzyme Inhibitors - administration & dosage</subject><subject>Blood Pressure Determination</subject><subject>Dose-Response Relationship, Drug</subject><subject>Drug Administration Schedule</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Hypertension - diagnosis</subject><subject>Hypertension - drug therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original Papers</subject><subject>Pyridines - administration & dosage</subject><subject>Reference Values</subject><subject>Severity of Illness Index</subject><subject>Thiazepines - administration & dosage</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Withholding Treatment</subject><issn>1524-6175</issn><issn>1751-7176</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><recordid>eNqNkE1OwzAQhS0EoqVwBeQLJIzjOEmRQEIRUFClIhTE0nISp3WVxJET-sOKI3BGTkLSlr8ds5mR57031ocQJmCTts7mNmGOa3nEZ7YD4NhAXAB7tYf67ROxfOJ7--38Jeqho7qeAzBKh3CIesQBl1GP9VE6KUQlGqNy0eAHoxcqlTUe63L68fYeSVPgUJeN0TnWGR6tK2kaWdZKl-f4Cj-KMtWFepUpjowSG01kpGgKWTb4WTWz1IilyI_RQSbyWp7s-gA93VxH4cgaT27vwquxldCAgUWSeBhnKXE8PyCU0lgGiUhcFgODTPpto65H4swlbuCIbJi6VIIPviM9CBLPoQN0uc2tXuJCpkn7CyNyXhlVCLPmWij-d1OqGZ_qBQ8IkO7kAAXbgMToujYy-_YS4B15PucdVN5B5R15viHPV6319PftH-MOdSu42AqWKpfrfwfz-3DUTfQTNB6Upg</recordid><startdate>200205</startdate><enddate>200205</enddate><creator>Guthrie, Robert</creator><creator>Reeves, Richard A.</creator><general>Le Jacq Communications, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>200205</creationdate><title>Omapatrilat Provides Long‐Term Control of Hypertension: A Randomized Trial of Treatment Withdrawal</title><author>Guthrie, Robert ; Reeves, Richard A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3850-1cb9bfd126781333be8cac45b050fe7b053461bf41482af9d43e07072e608c623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Angiotensin-Converting Enzyme Inhibitors - administration & dosage</topic><topic>Blood Pressure Determination</topic><topic>Dose-Response Relationship, Drug</topic><topic>Drug Administration Schedule</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Hypertension - diagnosis</topic><topic>Hypertension - drug therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original Papers</topic><topic>Pyridines - administration & dosage</topic><topic>Reference Values</topic><topic>Severity of Illness Index</topic><topic>Thiazepines - administration & dosage</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Withholding Treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guthrie, Robert</creatorcontrib><creatorcontrib>Reeves, Richard A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The journal of clinical hypertension (Greenwich, Conn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guthrie, Robert</au><au>Reeves, Richard A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Omapatrilat Provides Long‐Term Control of Hypertension: A Randomized Trial of Treatment Withdrawal</atitle><jtitle>The journal of clinical hypertension (Greenwich, Conn.)</jtitle><addtitle>J Clin Hypertens (Greenwich)</addtitle><date>2002-05</date><risdate>2002</risdate><volume>4</volume><issue>3</issue><spage>169</spage><epage>172</epage><pages>169-172</pages><issn>1524-6175</issn><eissn>1751-7176</eissn><abstract>Omapatrilat simultaneously inhibits neutral endopeptidase and angiotensin‐converting enzyme, increasing levels of vasodilatory peptides while decreasing production of angiotensin II. This study evaluated the clinical effects of withdrawal of omapatrilat after a patient's hypertension had been controlled (seated diastolic blood pressure <90 mm Hg) on omapatrilat for at least 6 months, with or without adjunctive antihypertensive medications. This double‐blind study randomized 83 patients to receive either their established omapatrilat dose or placebo for 8 weeks; any concomitant antihypertensive medications were kept constant. Patients continuing on omapatrilat had no change in blood pressure. Patients whose chronic omapatrilat treatment was replaced by placebo had clinically important increases in both systolic (+16.5 mm Hg) and diastolic (+9.6 mm Hg) blood pressures (both p<0.001). An increase in blood pressure was also seen in patients who were taking adjunctive antihypertensive medications prior to withdrawal of omapatrilat. This study demonstrates that when compared to withdrawal placebo, omapatrilat maintains clinically and statistically significant blood pressure reductions.</abstract><cop>Three Parklands Drive, Darien, CT 06820‐3652</cop><pub>Le Jacq Communications, Inc</pub><pmid>12045365</pmid><doi>10.1111/j.1524-6175.2002.01400.x</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1524-6175 |
ispartof | The journal of clinical hypertension (Greenwich, Conn.), 2002-05, Vol.4 (3), p.169-172 |
issn | 1524-6175 1751-7176 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8101813 |
source | PubMed Central |
subjects | Adult Aged Angiotensin-Converting Enzyme Inhibitors - administration & dosage Blood Pressure Determination Dose-Response Relationship, Drug Drug Administration Schedule Female Follow-Up Studies Humans Hypertension - diagnosis Hypertension - drug therapy Male Middle Aged Original Papers Pyridines - administration & dosage Reference Values Severity of Illness Index Thiazepines - administration & dosage Time Factors Treatment Outcome Withholding Treatment |
title | Omapatrilat Provides Long‐Term Control of Hypertension: A Randomized Trial of Treatment Withdrawal |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T10%3A49%3A24IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-wiley_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Omapatrilat%20Provides%20Long%E2%80%90Term%20Control%20of%20Hypertension:%20A%20Randomized%20Trial%20of%20Treatment%20Withdrawal&rft.jtitle=The%20journal%20of%20clinical%20hypertension%20(Greenwich,%20Conn.)&rft.au=Guthrie,%20Robert&rft.date=2002-05&rft.volume=4&rft.issue=3&rft.spage=169&rft.epage=172&rft.pages=169-172&rft.issn=1524-6175&rft.eissn=1751-7176&rft_id=info:doi/10.1111/j.1524-6175.2002.01400.x&rft_dat=%3Cwiley_pubme%3EJCH1400%3C/wiley_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c3850-1cb9bfd126781333be8cac45b050fe7b053461bf41482af9d43e07072e608c623%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_id=info:pmid/12045365&rfr_iscdi=true |