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. 2015 Dec 15;8(12):22117–22128.

Table 1.

Characteristics of the Clinical Trials Included in the Meta-analysis

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.