Evidence mapPaperPMID 16603580Full record

ReviewEuropean heart journal2006

Benefits, challenges, and registerability of the polypill.

Peter Sleight, Hubert Pouleur, Faiez Zannad

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in European heart journal, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01321255 (Improving Equitable Acces and Adherence to Secondary Prevention Therapy With a Fixed-Dose Combination Drug), which is not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01321255 phase3completedstarted 2012, after this paper: background citation

Improving Equitable Acces and Adherence to Secondary Prevention Therapy With a Fixed-Dose Combination Drug

Ran2012Enrolled2,118Registered outcomes6Posted comparisons0ConditionsMyocardial InfarctionArmsFDC, Separately drugs, simvastatin, aspirin and ramipril
Open the trial in the graph
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
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  11. Review
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  15. Article
  16. Article
  17. Article
  18. Combination therapy in hypertension: An update.Diabetology & metabolic syndrome · 2010
    Article
  19. Article
  20. Issues to consider in the pharmaceutical development of a cardiovascular polypill.Nature clinical practice. Cardiovascular medicine · 2009
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Peter SleightCardiac Department, John Radcliffe Hospital, Headington, Oxford OX3 9DU, UK. peter.sleight@attglobal.net
Hubert Pouleur
Faiez Zannad

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Guidelines for the management of cardiovascular disease (CVD) stress the importance of treating global risk, rather than individual risk, factors. Patients at high cardiovascular (CV) risk, for example, benefit from a combination of aspirin, antihypertensive agents, lipid-lowering drugs, and possibly folic acid. As the number of medications that a patient requires increases, adherence and compliance to therapy are likely to decrease. The use of affordable, multiple-target, fixed-combination 'polypills', which concomitantly reduce multiple risk factors without increasing the pill burden or the risk of adverse effects, has the potential to improve CV risk factor management, thereby reducing the incidence of CVD. This review discusses the benefits of the polypill and the challenges and requirements for its success and registerability. Discussions with regulatory bodies are required in order to obtain some 'balance' between an overcautious registration approach and the potentially large public health benefits that are likely to arise from the use of polypills.

Indexed as

Drug CombinationsAdrenergic beta-AntagonistsAgedAngiotensin-Converting Enzyme InhibitorsAspirinAttitude of Health PersonnelCardiovascular DiseasesDrug ApprovalDrug CostsFolic AcidHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMiddle AgedPatient SatisfactionPlatelet Aggregation InhibitorsPractice Guidelines as TopicAdrenergic beta-AntagonistsAngiotensin-Converting Enzyme InhibitorsAspirinDrug CombinationsFolic AcidHydroxymethylglutaryl-CoA Reductase InhibitorsPlatelet Aggregation InhibitorsSodium Chloride Symporter Inhibitors

Identifiers

What Socratic holds

Texttitle and abstract
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.