Table 1.
Trials | Patients Number | Tolvaptan dose | Mean age | Baseline medication | Inclusion criteria | Follow-up | Primary endpoint |
---|---|---|---|---|---|---|---|
Gheorghiade 2003 [17] | 254 | 30 mg/d | 67.6±10.9 | ACEI/ARB, digoxin, β-blockers, hydralazine/nitrates, furosemide | Irrespective of LVEF, signs of volume overload, (rales, JVD, edema) | 25 days | Body weigh changes, adverse event |
45 mg/d | 65.6±13.1 | ||||||
60 mg/d | 68.5±13.6 | ||||||
65.1±12.9 (placebo) | |||||||
Gheorghiade 2004 [18] | 319 | 30 mg/d | 62.0±14.0 | ACEI/ARB, digoxin, β-blockers, diuretics, calcium channe blockers, furosemide, intravenous inotropes | LVEF≤40%, systemic congestion evidences (rales, JVD, edema), NHYA classes III to IV | 60 days | Body weigh changes, adverse event |
60 mg/d | 62.0±13.0 | ||||||
90 mg/d | 62.0±14.0 | ||||||
60.0±14.0 (placebo) | |||||||
Gheorghiade 2007 [19] | TralA 2048 | 30 mg/d | 65.8±11.7 | ACEI/ARB, digoxin, β-blockers, hydralazine/nitrates, furosemide, diuretics, aldosterone-blocking agent, calcium channe blockers, nesirtide, intravenous inotropes | LVEF≤40%, signs of congestion (dyspnea, JVD, edema) | NG | Global clinical status changes |
65.6±11.9 (placebo) | |||||||
TralB 2085 | 30 mg/d | 66.0±11.7 | |||||
65.6±12.2 (placebo) | |||||||
Konstam 2007 [20] | 4133 | 30 mg/d | 65.9±11.7 | ACEI/ARB, β-blockers, diuretics, aldosterone-blockers | LVEF≤40%, signs of volume expansion, NHYA classes III to IV | 9.9 months | All-cause mortality and cardiovascular death or hospitaliz- -ation heat failure |
65.6±12.0 (placebo) | |||||||
Udelson 2007 [21] | 240 | 30 mg/d | 65.0±12.0 | ACEI/ARB, β-blockers, diuretics, aldosterone-blockers | LVEF≤30%, NHYA classes II to III | 1 year | Symptom changes |
63.0±12.0(placebo) | |||||||
Matsuzaki 2011 [22] | 117 | 15 mg/d | 66.9±9.60 | Furosemide | Signs of volume overload, (edema, JVD, hepatomegaly, et al.) | NG | Body weigh changes |
30 mg/d | 66.4±12.5 | ||||||
45 mg/d | 62.6±12.5 | ||||||
67.8±9.6 (placebo) | |||||||
Matsuzaki 2011 [23] | 124 | 15 mg/d | 71.3±10.6 | Loop diuretic/ thiazide diuretic/ Furosemide, aldosterone-blockers | Signs of volume overload, (edema, JVD, pulmonary congestion,) | 27 days | Body weigh changes |
71.0±10.9 (placebo) | |||||||
Hauptamn 2013 [24] | 4133 | 30 mg/d | 64.5±13.8 | ACEI, β-blockers, diuretics | LVEF≤40%, signs of fluid overload | NG | Body weigh changes, Serum sodium changes |
63.6±13.7 (placebo) |
D=day; ACEI=Angiotensin-Converting Enzyme Inhibitors; ARB=Angiotensin receptor blocker; LVEF=left ventricular ejection fraction; JVD=jugular venous distention; NHYA=New York Heart Association classification; NG=Not Given.