PMID- 24018781 OWN - NLM STAT- MEDLINE DCOM- 20141016 LR - 20211021 IS - 1573-2576 (Electronic) IS - 0360-3997 (Linking) VI - 37 IP - 1 DP - 2014 Feb TI - Different aspects of sartan + calcium antagonist association compared to the single therapy on inflammation and metabolic parameters in hypertensive patients. PG - 154-62 LID - 10.1007/s10753-013-9724-x [doi] AB - This study aims to evaluate the effects of an angiotensin receptor blocker (ARB)/calcium channel blocker combination on blood pressure control, lipid profile, insulin sensitivity, and inflammation markers. We randomized 276 hypertensive patients to olmesartan 20 mg, amlodipine 10 mg, or a single pill containing an olmesartan/amlodipine combination 20/5 mg for 12 months. We evaluated the following: body weight, systolic and diastolic blood pressure, fasting plasma glucose, fasting plasma insulin (FPI), M value, lipid profile, adiponectin (ADN), high sensitivity C-reactive protein (Hs-CRP), monocyte chemoattractant protein-1 (MCP-1), and macrophage migration inhibitory factor-1beta (MIP-1beta). Olmesartan/amlodipine combination better reduced blood pressure, FPI, homeostasis model assessment index, and increased M value and ADN compared to olmesartan and amlodipine monotherapies. Olmesartan/amlodipine significantly decreased Hs-CRP, MCP-1, and MIP-1beta. In this multicenter, randomized, double-blind, clinical study, ARB/calcium antagonist combination resulted to be more effective than single monotherapies in reducing blood pressure, in improving insulin sensitivity, and in reducing inflammation parameters in patients with stage I essential hypertension. FAU - Derosa, Giuseppe AU - Derosa G AD - Department of Internal Medicine and Therapeutics, University of Pavia, Fondazione IRCCS Policlinico S. Matteo, P.le C. Golgi 2, 27100, Pavia, Italy, giuseppe.derosa@unipv.it. FAU - Cicero, Arrigo F G AU - Cicero AF FAU - Carbone, Anna AU - Carbone A FAU - Querci, Fabrizio AU - Querci F FAU - Fogari, Elena AU - Fogari E FAU - D'Angelo, Angela AU - D'Angelo A FAU - Maffioli, Pamela AU - Maffioli P LA - eng PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Retracted Publication PL - United States TA - Inflammation JT - Inflammation JID - 7600105 RN - 0 (Angiotensin II Type 1 Receptor Blockers) RN - 0 (Antihypertensive Agents) RN - 0 (Calcium Channel Blockers) RN - 0 (Drug Combinations) RN - 0 (Imidazoles) RN - 0 (Lipids) RN - 0 (Tetrazoles) RN - 1J444QC288 (Amlodipine) RN - 8W1IQP3U10 (olmesartan) SB - IM RIN - Derosa G, Cicero AF, Carbone A, Querci F, Fogari E, D'Angelo A, Maffioli P. Inflammation. 2016 Feb;39(1):502. PMID: 26238280 MH - Amlodipine/*therapeutic use MH - Angiotensin II Type 1 Receptor Blockers/*therapeutic use MH - Antihypertensive Agents/therapeutic use MH - Blood Pressure/drug effects MH - Body Mass Index MH - Calcium Channel Blockers/*therapeutic use MH - Drug Combinations MH - Female MH - Humans MH - Hypertension/*drug therapy MH - Imidazoles/*therapeutic use MH - Inflammation/drug therapy MH - Insulin Resistance MH - Lipids/blood MH - Male MH - Middle Aged MH - Tetrazoles/*therapeutic use EDAT- 2013/09/11 06:00 MHDA- 2014/10/17 06:00 CRDT- 2013/09/11 06:00 PHST- 2013/09/11 06:00 [entrez] PHST- 2013/09/11 06:00 [pubmed] PHST- 2014/10/17 06:00 [medline] AID - 10.1007/s10753-013-9724-x [doi] PST - ppublish SO - Inflammation. 2014 Feb;37(1):154-62. doi: 10.1007/s10753-013-9724-x.