[The prevention of the hypertension related damage in type-2 diabetes: the first step of the ADVANCE trial]

Orv Hetil. 2008 Jan 6;149(1):19-22. doi: 10.1556/OH.2008.28275.
[Article in Hungarian]

Abstract

ADVANCE (Action in Diabetes and Vascular disease: preterAx and diamicroN-MR Controlled Evaluation) is a large-scale trial designed to investigate the benefits of blood pressure lowering and intensive glucose control in patients with type 2 diabetes. After a mean of 4.3 years of follow-up, 73% of those assigned to active treatment (fix combination of 4/1.25 mg perindopril/indapamide) and 74% of those assigned to control remained on randomised treatment. Compared with patients assigned to placebo, those assigned to active therapy had a mean reduction in blood pressure of 5.6/2.2 mm Hg. The relative risk of a major macrovascular or microvascular event was reduced by 9% (861 [15.5%] active vs 938 [16.8%] placebo; hazard ratio 0.91, 95% CI 0.83-1.00, p = 0.04). The fix combination of perindopril and indapamide could be the best possible protector against hypertension-related consequences for patients with type 2 diabetes mellitus.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Antihypertensive Agents / administration & dosage
  • Antihypertensive Agents / therapeutic use*
  • Blood Pressure / drug effects
  • Diabetes Complications / prevention & control*
  • Diabetes Mellitus, Type 2 / complications*
  • Drug Combinations
  • Humans
  • Hypertension / complications
  • Hypertension / etiology*
  • Hypertension / prevention & control*
  • Indapamide / administration & dosage
  • Indapamide / therapeutic use*
  • Perindopril / administration & dosage
  • Perindopril / therapeutic use*
  • Randomized Controlled Trials as Topic
  • Treatment Outcome

Substances

  • Antihypertensive Agents
  • Drug Combinations
  • Indapamide
  • Perindopril