PMID- 30880492 OWN - NLM STAT- MEDLINE DCOM- 20200609 LR - 20200609 IS - 1473-4877 (Electronic) IS - 0300-7995 (Linking) VI - 35 IP - 8 DP - 2019 Aug TI - China STudy of valsartan/amlodipine fixed-dose combination-bAsed long-Term blood pressUre management in HypertenSive patients: a one-year registry (China STATUS III). PG - 1441-1449 LID - 10.1080/03007995.2019.1596630 [doi] AB - Objective: The present observational study evaluated long-term management of hypertension in patients who received treatment with valsartan and amlodipine in a single-pill combination (Val/Aml SPC) in a real-world setting in China (Chinese Clinical Trial Registry number ChiCTR1900021324). Methods: This was a prospective, observational, multicenter, real-world registry study wherein patients with hypertension who had already received Val/Aml SPC (80/5 mg) for at least 4 weeks before study enrollment were observed for 1 year. Investigators recorded patient data every 3 months and essentially five times during the 1 year follow-up period. Effectiveness was assessed by the blood pressure (BP) control rate and average duration of treatment at the end of the study. Safety was monitored by the incidence of adverse events (AEs) and serious adverse events (SAEs). Results: Overall, 985 patients were enrolled (mean +/- standard deviation [SD] age: 60.3 +/- 11.5 years); of these, 894 were included in the full analysis set, 758 of whom completed the study. At baseline, BP was controlled (<140/90 mmHg) in 64.3% of patients on Val/Aml SPC for at least 4 weeks before enrollment. Office BP control rates significantly improved from baseline in 74.1% of patients at 1 year (p < .0001). Overall, 575 (87.0%) patients remained on Val/Aml SPC at 1 year (average exposure: 311.5 days). AEs were reported in 23.3% of patients. The majority of AEs were mild to moderate, and 0.6% of patients discontinued Val/Aml SPC because of SAEs. Conclusion: This study provides evidence that Val/Aml SPC effectively reduced BP over the long term among Chinese hypertensive patients, with a good adherence and tolerability profile, and that most hypertensive patients may benefit from this combination. FAU - Huo, Yong AU - Huo Y AD - a Peking University First Hospital , Beijing , China. FAU - Gu, Ye AU - Gu Y AD - b Wuhan Puai Hospital , Wuhan , China. FAU - Ma, Genshan AU - Ma G AD - c Zhongda Hospital Southeast University , Nanjing , China. FAU - Guo, Jincheng AU - Guo J AD - d Beijing Luhe Affiliated Hospital of the Capital Medical University , Beijing , China. FAU - Xiong, Longgen AU - Xiong L AD - e The Second Affiliated Hospital of Guangzhou Medical University , Guangzhou , China. FAU - Luo, Zhurong AU - Luo Z AD - f Fuzhou General Hospital of Nanjing Military Command , Fuzhou , China. FAU - Xie, Jianhong AU - Xie J AD - g Zhejiang Provincial People's Hospital , Hangzhou , China. FAU - Li, Weimin AU - Li W AD - h First Affiliated Hospital of Harbin Medical University , Harbin , China. FAU - Zhao, Jianrong AU - Zhao J AD - i Lu Wan Branch of Ruijin Hospital, Shanghai Jiao Tong University School of Medicine , Shanghai , China. FAU - Yan, Xiaowei AU - Yan X AD - j Chinese Academy of Medical Sciences Peking Union Medical College Hospital , Beijing , China. FAU - Liu, Wei AU - Liu W AD - k Beijing Hospital , Beijing , China. FAU - Xu, Yawei AU - Xu Y AD - l Shanghai Tenth People's Hospital , Shanghai , China. FAU - Bao, Xiaomei AU - Bao X AD - m Shanghai Xuhui Hospital , Shanghai , China. FAU - Zhao, Luosha AU - Zhao L AD - n The First Affiliated Hospital of Zhengzhou University , Zhengzhou , China. FAU - Yang, Ming AU - Yang M AD - o Beijing Fuxing Hospital , Beijing , China. FAU - Wang, Bei AU - Wang B AD - p Novartis Pharmaceuticals (China) , Beijing , China. FAU - Iii Study Group, The China Status AU - Iii Study Group TCS LA - eng SI - ChiCTR/ChiCTR1900021324 PT - Journal Article PT - Multicenter Study PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20190513 PL - England TA - Curr Med Res Opin JT - Current medical research and opinion JID - 0351014 RN - 0 (Antihypertensive Agents) RN - 0 (Drug Combinations) RN - 1J444QC288 (Amlodipine) RN - 80M03YXJ7I (Valsartan) SB - IM MH - Aged MH - *Amlodipine/administration & dosage/adverse effects/therapeutic use MH - *Antihypertensive Agents/administration & dosage/adverse effects/therapeutic use MH - China MH - Drug Combinations MH - Female MH - Humans MH - Hypertension/*drug therapy MH - Male MH - Middle Aged MH - Prospective Studies MH - *Valsartan/administration & dosage/adverse effects/therapeutic use OTO - NOTNLM OT - Antihypertensive agents OT - hypertension OT - long-term OT - observational study OT - single-pill combination OT - valsartan/amlodipine EDAT- 2019/03/19 06:00 MHDA- 2020/06/10 06:00 CRDT- 2019/03/19 06:00 PHST- 2019/03/19 06:00 [pubmed] PHST- 2020/06/10 06:00 [medline] PHST- 2019/03/19 06:00 [entrez] AID - 10.1080/03007995.2019.1596630 [doi] PST - ppublish SO - Curr Med Res Opin. 2019 Aug;35(8):1441-1449. doi: 10.1080/03007995.2019.1596630. Epub 2019 May 13.