Table 2.
Atherosclerosis | Hypertensive LVH | 2° Prevention post-MI | Stroke | Heart failure | Atrial fibrillation | Renoprotection | |
---|---|---|---|---|---|---|---|
Losartan | +/−24–28 | + (LIFE)29–32 | − (OPTIMAAL)33 | + (LIFE*)29,34 2° prevent: + (LIFE)34 |
+/− (ELITE/ ELITE II)35–37 | 1° prevent: + (LIFE)38,114 | + (RENAAL, JLIGHT, ROAD)39–41 |
Valsartan | + (MARVAL-2, VIP)42,43 | +44–47 | + (T-VENTURE, VALIANT)48,49,50 | + ( Jikei Heart*, KYOTO HEART*)51,52 | + (Val-HeFT)53,54 | 1° prevent: + (Val-HeFT)56 2° prevent: − (GISSI-AF)55 |
+ (VALERIA, SMART, HKVIN, MARVAL, MARVAL-2)42,57–60 |
Candesartan | + (CENTRO, MITEC)61,106 | + (CATCH, CASE-J)62,63 | − (E-COST)64 | + (SCOPE*)65,66 1° prevent: − (E-COST)64 2° prevent: + (E-COST)64 |
+ (RESOLVD, CHARM)67–74 | 2° prevent: − (CAPRAF)75 | +/− (DIRECT, CENTRO)61,76 |
Irbesartan | + (EPAS, ISLAND, SILVHIA)77–79 | + (SILVHIA, CVIP)80–82 | + (I-PRESERVE)83 | 2° prevent: +84,85 | +/− (IRMA-2, IDNT, IMPROVE)86–88 | ||
Telmisartan | +89,90 | + (ONTARGET/ TRANSCEND)91 | − (TRANSCEND*†)92 2° prevent: − (PRoFESS)93 |
+ (REPLACE)94 | 1° prevent: +95 | +/− (INNOVATION, TRANSCEND, ONTARGET, DETAIL)96–99 | |
Eprosartan | +100 | +102 | 2° prevent: + (MOSES)104 | + (ADEPT)105 | |||
Olmesartan | + (EUTOPIA)101 | −103 |
Note: + designates that the study achieved its primary or secondary endpoint(s); − designates that study did not meet its primary or secondary endpoint(s); this table is a summary of fully published randomized controlled trial data (ie, no data from single-arm noncomparative trials were considered), with an emphasis on large-scale trials (when available). Additional smaller studies were considered in the absence of data from large-scale clinical trials.
LVH=left ventricular hypertrophy; MI=myocardial infarction.
Stroke data were not specific to primary or secondary prevention in the main analysis.
Stroke was evaluated in a post-hoc analysis, not as a prespecified endpoint.