Randomized, multicenter, parallel, open, phase 4 study to compare the efficacy and safety of rosuvastatin/amlodipine polypill versus atorvastatin/amlodipine polypill in hypertension patient with dyslipidemia

Abstract The authors performed this study to investigate the efficacy and safety of a rosuvastatin (RSV)/amlodipine (AML) polypill compared with those of atorvastatin (ATV)/AML polypill. We included 259 patients from 21 institutions in Korea. Patients were randomly assigned to 1 of 3 treatment group...

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Main Authors: Hae Won Jung, Chang‐Yeon Kim, Seung‐Pyo Hong, Han‐Joon Bae, Ji Yong Choi, Jae Kean Ryu, Jin‐bae Lee, Kyoung‐Hoon Lee, Kyoo‐Rok Han, Dong‐Heon Yang, Chang‐Gyu Park, Gheol‐Woong Yu, Moo‐Yong Rhee, Sung‐Ji Park, Min‐Su Hyon, Joon‐Han Shin, Bum‐Kee Hong, Han‐Young Jin, Sung‐Yun Lee, Sang‐Hoon Seol, Sang‐Rok Lee, Song‐Yi Kim, Kwang‐Je Lee, Eun‐Joo Cho, Chang‐Wook Nam, Tae‐Ho Park, Ung Kim, Kee‐Sik Kim
Format: Article
Language:English
Published: Wiley 2023-09-01
Series:The Journal of Clinical Hypertension
Subjects:
Online Access:https://doi.org/10.1111/jch.14715
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author Hae Won Jung
Chang‐Yeon Kim
Seung‐Pyo Hong
Han‐Joon Bae
Ji Yong Choi
Jae Kean Ryu
Jin‐bae Lee
Kyoung‐Hoon Lee
Kyoo‐Rok Han
Dong‐Heon Yang
Chang‐Gyu Park
Gheol‐Woong Yu
Moo‐Yong Rhee
Sung‐Ji Park
Min‐Su Hyon
Joon‐Han Shin
Bum‐Kee Hong
Han‐Young Jin
Sung‐Yun Lee
Sang‐Hoon Seol
Sang‐Rok Lee
Song‐Yi Kim
Kwang‐Je Lee
Eun‐Joo Cho
Chang‐Wook Nam
Tae‐Ho Park
Ung Kim
Kee‐Sik Kim
author_facet Hae Won Jung
Chang‐Yeon Kim
Seung‐Pyo Hong
Han‐Joon Bae
Ji Yong Choi
Jae Kean Ryu
Jin‐bae Lee
Kyoung‐Hoon Lee
Kyoo‐Rok Han
Dong‐Heon Yang
Chang‐Gyu Park
Gheol‐Woong Yu
Moo‐Yong Rhee
Sung‐Ji Park
Min‐Su Hyon
Joon‐Han Shin
Bum‐Kee Hong
Han‐Young Jin
Sung‐Yun Lee
Sang‐Hoon Seol
Sang‐Rok Lee
Song‐Yi Kim
Kwang‐Je Lee
Eun‐Joo Cho
Chang‐Wook Nam
Tae‐Ho Park
Ung Kim
Kee‐Sik Kim
author_sort Hae Won Jung
collection DOAJ
description Abstract The authors performed this study to investigate the efficacy and safety of a rosuvastatin (RSV)/amlodipine (AML) polypill compared with those of atorvastatin (ATV)/AML polypill. We included 259 patients from 21 institutions in Korea. Patients were randomly assigned to 1 of 3 treatment groups: RSV 10 mg/AML 5 mg, RSV 20 mg/AML 5 mg, or ATV 20 mg /AML 5 mg. The primary endpoint was the efficacy of the RSV 10.20 mg/AML 5 mg via percentage changes in LDL‐C after 8 weeks of treatment, compared with the ATV 20 mg /AML 5 mg. There was a significant difference in the mean percentage change of LDL‐C at 8 weeks between the RSV 10 mg/AML 5 mg and the ATV 20 mg/AML 5 mg (full analysis set [FAS]: −7.08%, 95% CI: −11.79 to −2.38, p = .0034, per‐protocol analysis set [PPS]: −6.97%, 95% CI: −11.76 to −2.19, p = .0046). Also, there was a significant difference in the mean percentage change of LDL‐C at 8 weeks between the RSV 20 mg/AML 5 mg and the ATV 20 mg/AML 5 mg (FAS: −10.13%, 95% CI: −15.41 to −4.84, p = .0002, PPS: −10.96%, 95% CI: −15.98 to −5.93, p < .0001). There was no significant difference in the adverse events rates between RSV 10 mg/AML 5 mg, RSV 20 mg/AML 5 mg, and ATV 20 mg/AML 5 mg. In conclusion, while maintaining safety, RSV 10 mg/AML 5 mg and the RSV 20 mg/AML 5 mg more effectively reduced LDL‐C compared with the ATV 20 mg /AML 5 mg (Clinical trial: NCT03951207).
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spelling doaj.art-dcd367a8963148ea91c9d1000d664c1a2023-10-30T13:26:20ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762023-09-0125982884410.1111/jch.14715Randomized, multicenter, parallel, open, phase 4 study to compare the efficacy and safety of rosuvastatin/amlodipine polypill versus atorvastatin/amlodipine polypill in hypertension patient with dyslipidemiaHae Won Jung0Chang‐Yeon Kim1Seung‐Pyo Hong2Han‐Joon Bae3Ji Yong Choi4Jae Kean Ryu5Jin‐bae Lee6Kyoung‐Hoon Lee7Kyoo‐Rok Han8Dong‐Heon Yang9Chang‐Gyu Park10Gheol‐Woong Yu11Moo‐Yong Rhee12Sung‐Ji Park13Min‐Su Hyon14Joon‐Han Shin15Bum‐Kee Hong16Han‐Young Jin17Sung‐Yun Lee18Sang‐Hoon Seol19Sang‐Rok Lee20Song‐Yi Kim21Kwang‐Je Lee22Eun‐Joo Cho23Chang‐Wook Nam24Tae‐Ho Park25Ung Kim26Kee‐Sik Kim27Department of Cardiology Daegu Catholic University Medical Center Daegu Republic of KoreaDepartment of Cardiology Daegu Catholic University Medical Center Daegu Republic of KoreaDepartment of Cardiology Daegu Catholic University Medical Center Daegu Republic of KoreaDepartment of Cardiology Daegu Catholic University Medical Center Daegu Republic of KoreaDepartment of Cardiology Daegu Catholic University Medical Center Daegu Republic of KoreaDepartment of Cardiology Daegu Catholic University Medical Center Daegu Republic of KoreaDepartment of Cardiology Daegu Catholic University Medical Center Daegu Republic of KoreaDepartment of Cardiology Gachon University Gil Medical Center Incheon Republic of KoreaDepartment of Cardiology Kangdong Sacred Heart Hospital Gangdong‐gu Republic of KoreaDepartment of Cardiology Kyungpook National University Hospital Daegu Republic of KoreaDepartment of Cardiology Korea University Guro Hospital Seoul Republic of KoreaDepartment of Cardiology Korea University Anam Hospital Seoul Republic of KoreaDepartment of Cardiology Dongguk University Ilsan Medical Center Goyang Republic of KoreaDepartment of Cardiology Samsung Medical Center Gangnam‐gu Republic of KoreaDepartment of Cardiology Soonchunhyang University Seoul Hospital Seoul Republic of KoreaDepartment of Cardiology Ajou University Hospital Suwon Republic of KoreaDepartment of Cardiology Gangnam Severance Hospital Republic of KoreaDepartment of Cardiology Inje University Busan Paik Hospital Seoul Republic of KoreaDepartment of Cardiology Inje University Ilsan Paik Hospital Goyang Republic of KoreaDepartment of Cardiology Inje University Haeundae Paik Hospital Busan Republic of KoreaDepartment of Cardiology Jeonbuk National University Hospital Jeonju Republic of KoreaDepartment of Cardiology Jeju National University Hospital Jeju Republic of KoreaDepartment of Cardiology Chung‐Ang University Hospital Seoul Republic of KoreaDepartment of Cardiology Catholic University of Korea Yeouido St. Mary's Hospital Yeongdeungpo‐gu Republic of KoreaDepartment of Cardiology Keimyung University Dongsan Hospital Daegu Republic of KoreaDepartment of Cardiology Dong‐a University Hospital Busan Republic of KoreaDepartment of Cardiology Yeungnam University Medical Center Daegu Republic of KoreaDepartment of Cardiology Daegu Catholic University Medical Center Daegu Republic of KoreaAbstract The authors performed this study to investigate the efficacy and safety of a rosuvastatin (RSV)/amlodipine (AML) polypill compared with those of atorvastatin (ATV)/AML polypill. We included 259 patients from 21 institutions in Korea. Patients were randomly assigned to 1 of 3 treatment groups: RSV 10 mg/AML 5 mg, RSV 20 mg/AML 5 mg, or ATV 20 mg /AML 5 mg. The primary endpoint was the efficacy of the RSV 10.20 mg/AML 5 mg via percentage changes in LDL‐C after 8 weeks of treatment, compared with the ATV 20 mg /AML 5 mg. There was a significant difference in the mean percentage change of LDL‐C at 8 weeks between the RSV 10 mg/AML 5 mg and the ATV 20 mg/AML 5 mg (full analysis set [FAS]: −7.08%, 95% CI: −11.79 to −2.38, p = .0034, per‐protocol analysis set [PPS]: −6.97%, 95% CI: −11.76 to −2.19, p = .0046). Also, there was a significant difference in the mean percentage change of LDL‐C at 8 weeks between the RSV 20 mg/AML 5 mg and the ATV 20 mg/AML 5 mg (FAS: −10.13%, 95% CI: −15.41 to −4.84, p = .0002, PPS: −10.96%, 95% CI: −15.98 to −5.93, p < .0001). There was no significant difference in the adverse events rates between RSV 10 mg/AML 5 mg, RSV 20 mg/AML 5 mg, and ATV 20 mg/AML 5 mg. In conclusion, while maintaining safety, RSV 10 mg/AML 5 mg and the RSV 20 mg/AML 5 mg more effectively reduced LDL‐C compared with the ATV 20 mg /AML 5 mg (Clinical trial: NCT03951207).https://doi.org/10.1111/jch.14715amlodipineatorvastatindyslipidemiahypertensionrosuvastatin
spellingShingle Hae Won Jung
Chang‐Yeon Kim
Seung‐Pyo Hong
Han‐Joon Bae
Ji Yong Choi
Jae Kean Ryu
Jin‐bae Lee
Kyoung‐Hoon Lee
Kyoo‐Rok Han
Dong‐Heon Yang
Chang‐Gyu Park
Gheol‐Woong Yu
Moo‐Yong Rhee
Sung‐Ji Park
Min‐Su Hyon
Joon‐Han Shin
Bum‐Kee Hong
Han‐Young Jin
Sung‐Yun Lee
Sang‐Hoon Seol
Sang‐Rok Lee
Song‐Yi Kim
Kwang‐Je Lee
Eun‐Joo Cho
Chang‐Wook Nam
Tae‐Ho Park
Ung Kim
Kee‐Sik Kim
Randomized, multicenter, parallel, open, phase 4 study to compare the efficacy and safety of rosuvastatin/amlodipine polypill versus atorvastatin/amlodipine polypill in hypertension patient with dyslipidemia
The Journal of Clinical Hypertension
amlodipine
atorvastatin
dyslipidemia
hypertension
rosuvastatin
title Randomized, multicenter, parallel, open, phase 4 study to compare the efficacy and safety of rosuvastatin/amlodipine polypill versus atorvastatin/amlodipine polypill in hypertension patient with dyslipidemia
title_full Randomized, multicenter, parallel, open, phase 4 study to compare the efficacy and safety of rosuvastatin/amlodipine polypill versus atorvastatin/amlodipine polypill in hypertension patient with dyslipidemia
title_fullStr Randomized, multicenter, parallel, open, phase 4 study to compare the efficacy and safety of rosuvastatin/amlodipine polypill versus atorvastatin/amlodipine polypill in hypertension patient with dyslipidemia
title_full_unstemmed Randomized, multicenter, parallel, open, phase 4 study to compare the efficacy and safety of rosuvastatin/amlodipine polypill versus atorvastatin/amlodipine polypill in hypertension patient with dyslipidemia
title_short Randomized, multicenter, parallel, open, phase 4 study to compare the efficacy and safety of rosuvastatin/amlodipine polypill versus atorvastatin/amlodipine polypill in hypertension patient with dyslipidemia
title_sort randomized multicenter parallel open phase 4 study to compare the efficacy and safety of rosuvastatin amlodipine polypill versus atorvastatin amlodipine polypill in hypertension patient with dyslipidemia
topic amlodipine
atorvastatin
dyslipidemia
hypertension
rosuvastatin
url https://doi.org/10.1111/jch.14715
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