Evidence mapPaperPMID 21545397Full record

Trial reportJournal of clinical hypertension (Greenwich, Conn.)2011

Effectiveness and safety of valsartan in children aged 6 to 16 years with hypertension.

Thomas Wells, Jeffrey Blumer, Kevin E C Meyers, Jose P R Neto, Rejane Meneses, Mieczysław Litwin, Johan Vande Walle, Susan Solar-Yohay, Victor Shi, Guangyang Han and 1 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical hypertension (Greenwich, Conn.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00171041 (A Double-Blind, Randomized, Multi-Center Study Followed By 12 Months Open-Label Treatment To Evaluate The Dose Response And Safety Of Valsartan In Pediatric Hypertensive Patients), which is not on this map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 7% of its field
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.

NCT00171041 phase3completednot on this map

A Double-Blind, Randomized, Multi-Center Study Followed By 12 Months Open-Label Treatment To Evaluate The Dose Response And Safety Of Valsartan In Pediatric Hypertensive Patients

TypeinterventionalSponsorNovartisRan2002 to 2006Enrolled265ConditionsHypertensionArmsvalsartan
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pharmacological interventions for hypertension in children.The Cochrane database of systematic reviews · 2014
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Pharmacologic Treatment of Pediatric Hypertension.Current hypertension reports · 2016
    Review
  17. Article
  18. Anti-hypertensive drugs in children and adolescents.World journal of cardiology · 2014
    Review
  19. Update on the pharmacologic treatment of hypertension in pediatrics.Journal of clinical hypertension (Greenwich, Conn.) · 2012
    Review
  20. Article
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

11 authors at 7 institutions in 4 countries.

Thomas WellsUniversity of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, AR, USA.
Jeffrey Blumer
Kevin E C Meyers
Jose P R Neto
Rejane Meneses
Mieczysław Litwin
Johan Vande Walle
Susan Solar-Yohay
Victor Shi
Guangyang Han
Valsartan Pediatric Hypertension Study Group
AZ Sint-Lucas · BECase Western Reserve University · USChildren's Hospital of Philadelphia · USChildren's Memorial Health Institute · PLHospital Erasto Gaertner · BRInstituto de Medicina Integral Professor Fernando Figueira · BRUniversity of Arkansas for Medical Sciences · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The effectiveness and safety of valsartan have not been assessed in hypertensive children. Therefore, hypertensive patients aged 6 to 16 years (n=261) were randomized to receive weight-stratified low- (10/20 mg), medium- (40/80 mg), or high-dose (80/160 mg) valsartan for 2 weeks. After 2 weeks, patients were randomized to a 2-week placebo-controlled withdrawal phase. Dose-dependent reductions in sitting systolic blood pressure (SSBP) and sitting diastolic blood pressure (SDBP) were observed after 2 weeks (low dose, -7.9/-4.6 mm Hg; medium dose, -9.6/-5.8 mm Hg; high dose, -11.5/-7.4 mm Hg [P<.0001 for all groups]). During the withdrawal phase, SSBP and SDBP were both lower in the pooled valsartan group than in the pooled placebo group (SSBP, -2.7 mm Hg [P=.0368]; SDBP, -3.0 mm Hg [P=.0047]). Similar efficacy was observed in all subgroups. Valsartan was well tolerated and headache was the most commonly observed adverse event during both the double-blind and 52-week open-label phases.

Indexed as

AdolescentAngiotensin II Type 1 Receptor BlockersBlood PressureChildDose-Response Relationship, DrugDouble-Blind MethodFemaleHeadacheHumansHypertensionIncidenceLongitudinal StudiesMaleProspective StudiesTetrazolesTreatment OutcomeAngiotensin II Type 1 Receptor BlockersTetrazolesValineValsartan

Identifiers

PMID21545397
PMCPMC8108898
OpenAlexW1569397321

What Socratic holds

Textmetadata
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.