Evidence map›Paper›PMID 40739095›Full record

Trial reportNature communications2025

Effects of sacubitril/valsartan on hypertensive heart disease: the REVERSE-LVH randomized phase 2 trial.

Vivian Lee, Mayank Dalakoti, Qishi Zheng, Desiree-Faye Toh, Redha Boubertakh, Jennifer A Bryant, Tar-Choon Aw, Chi-Hang Lee, A Mark Richards, Javed Butler and 6 more

Abstract readRandomized Controlled TrialClinical Trial, Phase II
In one paragraph

Trial report in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Article
  5. 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

16 authors.

Vivian Lee *National Heart Research Institute of Singapore, National Heart Centre Singapore, Singapore, Singapore.ORCID http://orcid.org/0009-0009-0447-9956
Mayank Dalakoti *Department of Cardiology, National University Heart Centre Singapore, National University Health System, Singapore, Singapore.ORCID http://orcid.org/0000-0002-7091-7880
Qishi ZhengCochrane Singapore, Singapore, Singapore.
Desiree-Faye TohNational Heart Research Institute of Singapore, National Heart Centre Singapore, Singapore, Singapore.
Redha BoubertakhNational Heart Research Institute of Singapore, National Heart Centre Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0002-6498-2846
Jennifer A BryantDepartment of Cardiology, National Heart Centre Singapore, Singapore, Singapore.
Tar-Choon AwDepartment of Laboratory Medicine, Changi General Hospital, Singapore, Singapore.
Chi-Hang LeeDepartment of Cardiology, National University Heart Centre Singapore, National University Health System, Singapore, Singapore.
A Mark RichardsChristchurch Heart Institute, University of Otago, Christchurch, New Zealand.ORCID http://orcid.org/0000-0002-2023-8177
Javed ButlerBaylor Scott and White Research Institute, Dallas, TX, USA.
Javier DíezCentre of Applied Medical Research (CIMA) and School of Medicine, University of Navarra, Pamplona, Spain.
Roger FooDepartment of Cardiology, National University Heart Centre Singapore, National University Health System, Singapore, Singapore.ORCID http://orcid.org/0000-0002-8079-4618
Stuart A CookNational Heart Research Institute of Singapore, National Heart Centre Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0001-6628-194X
Carolyn Sp LamNational Heart Research Institute of Singapore, National Heart Centre Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0003-1903-0018
Thu-Thao LeNational Heart Research Institute of Singapore, National Heart Centre Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0003-0221-6094
Calvin Wl ChinNational Heart Research Institute of Singapore, National Heart Centre Singapore, Singapore, Singapore. cchin03m@gmail.com.ORCID http://orcid.org/0000-0002-9867-4390

Funding

MOH | National Medical Research Council (NMRC) MOH-CTGIIT17may-0001
6 · The paper itself

Abstract

Diffuse interstitial fibrosis is associated with adverse outcomes in hypertensive heart disease and may be reversible. Sacubitril/valsartan could offer greater anti-fibrotic effects than valsartan alone. In the REVERSE-LVH phase 2 open-labelled trial (clinicaltrials.gov NCT: 03553810; funded by the National Medical Research Council of Singapore), 78 patients with essential hypertension and left ventricular hypertrophy (LVH) were randomized 1:1 to sacubitril/valsartan or valsartan for 52 weeks. Primary endpoint was a change in interstitial volume, assessed using cardiovascular magnetic resonance. Despite similar 24-hour systolic blood pressure at 52 weeks (125 ± 11 vs. 126 ± 11 mmHg; P = 0.762), sacubitril/valsartan resulted in a greater absolute reduction in interstitial volume compared to valsartan (-5.2 ± 5.4 vs. -2.5 ± 3.1 mL; P = 0.006). Secondary endpoints showed significant differences favoring sacubitril/valsartan in LV mass, left atrial volume, estimated LV filling pressure, and improved cardiac circulating biomarkers (N-terminal pro-B-type natriuretic peptide and high-sensitivity troponin T). Other markers of cardiac volumes, function and mechanics were similar between the two treatment arms. Here we show the potential myocardial benefits of sacubitril/valsartan beyond blood pressure control, though larger studies are needed to confirm their clinical relevance.

Indexed as

AminobutyratesAngiotensin Receptor AntagonistsHypertensionHypertrophy, Left VentricularTetrazolesValsartanAgedAntihypertensive AgentsBiphenyl CompoundsBlood PressureDrug CombinationsFemaleHumansMaleMiddle AgedNatriuretic Peptide, BrainAminobutyratesAngiotensin Receptor AntagonistsAntihypertensive AgentsBiphenyl CompoundsDrug CombinationsNatriuretic Peptide, Brainsacubitril and valsartan sodium hydrate drug combinationTetrazolesValsartan

Identifiers

PMID40739095
PMCPMC12311090

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.