ArticleJACC. Advances2025
Efficacy and Safety of a Novel Triple Single-Pill for Uncontrolled Hypertension: The OPTION TREAT Trial.
Article in JACC. Advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05920005 (A Multicenter, Double-blind, Controlled, Randomized Trial to Evaluate the Association Candesartan Cilexetil + Chlorthalidone + Amlodipine Versus Exforge HCT®️ for Systemic Arterial Hypertension), which is not on this map. Cited by 2 papers.
What it found
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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.
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.
A Multicenter, Double-blind, Controlled, Randomized Trial to Evaluate the Association Candesartan Cilexetil + Chlorthalidone + Amlodipine Versus Exforge HCT®️ for Systemic Arterial Hypertension
Who cites it
2 citing papers in PubMed.
- Design-Assisted Chemometric UV Spectrophotometric Determination of Candesartan Cilexetil, Chlorthalidone and Amlodipine Using Principal Component Regression, Partial Least Squares and Genetic Algorithm-Partial Least Squares Models.Analytical science advances · 2026Article
- Triple drug antihypertensive single-pill combinations included as WHO essential medicines: an overview of efficacy, safety, and cost.Journal of human hypertension · 2026Review
Corrections and comments
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Authors and funding
26 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNovel single-pill combinations with blood pressure (BP)-lowering agents are needed to increase treatment options for hypertension.
objectivesThe purpose of this study was to assess the efficacy and safety of a novel single pill (candesartan cilexetil, amlodipine, and chlorthalidone) compared with an active control (valsartan, amlodipine, and hydrochlorothiazide) for uncontrolled hypertension.
methodsOPTION TREAT (Efficacy and Safety of a Novel Triple Single-Pill Combination Therapy Compared with an Active Control in Patients with Uncontrolled Hypertension) was a randomized, double-blind, double-dummy, noninferiority trial conducted across 19 sites in Brazil. Participants with an office systolic BP of 140 to 180 mm Hg and a diastolic BP of 90 to 110 mm Hg despite dual therapy were randomized in a 1:1 ratio to receive either the experimental treatment or the active control for 12 weeks. The primary outcome was the mean change in office systolic BP from baseline to week 12. The prespecified noninferiority margin was 3 mm Hg. Secondary outcomes included mean changes in diastolic BP and adverse events.
resultsOverall, 703 participants were included (mean age 57.8 years, 62.7% women, baseline office BP of 153.0/95.6 mm Hg). At 12 weeks, the least square mean change in systolic BP was -22.6 mm Hg in the experimental group vs -18.2 mm Hg in the control group (between-group difference -4.4 mm Hg; 90% CI -6.3 to -2.5 mm Hg; P < 0.001). Diastolic BP was also reduced in both groups, with greater reductions in the experimental group (-13.8 mm Hg vs -12.0 mm Hg; P = 0.008). Adherence was high, and serious adverse events were rare.
conclusionsIn patients with uncontrolled hypertension, a novel triple single-pill containing candesartan cilexetil, amlodipine, and chlorthalidone improved BP control at 12 weeks and had a reasonable safety profile. (Candesartan Cilexetil + Chlorthalidone + Amlodipine Versus Exforge HCT for Systemic Arterial Hypertension [OPTION TREAT]; NCT05920005).
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