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. 2022 Aug 24;11(17):e026143. doi: 10.1161/JAHA.122.026143

Table 1.

Characteristics of Included Randomized Controlled Trials of Adults With COVID‐19

Trial name Country Inclusion criteria Intervention Control No. Follow‐up, d
ACEI‐COVID 9 Germany; Austria
  • Symptomatic COVID‐19

  • ACEI/ARB use before admission

  • Hemodynamically stable

Continue ACEI/ARB Discontinue ACEI/ARB 204 30
BRACE CORONA 7 Brazil
  • Hospitalization with COVID‐19

  • ACEI/ARB use before admission

Continue ACEI/ARB Discontinue ACEI/ARB 659 30
RAAS‐COVID 15 Canada
  • Hospitalization with COVID‐19

  • ACEI/ARB use before admission

Continue ACEI/ARB Discontinue ACEI/ARB 46 30
REPLACE‐COVID 8 United States, Canada, Mexico, Sweden, Peru, Bolivia, and Argentina
  • Hospitalization with COVID‐19

  • ACEI/ARB use before admission

Continue ACEI/ARB Discontinue ACEI/ARB 152 5
SWITCH‐COVID Brazil
  • Hospitalization with COVID‐19

  • Hypertension requiring ACEI/ARB use before admission

Continue ACEI/ARB Discontinue ACEI/ARB 18 30
ALPS‐COVID IP 14 United States
  • Hospitalization with a respiratory SOFA ≥1 and increased oxygen requirement compared with baseline among those on home O2

Losartan Placebo 205 28
ALPS‐COVID OP 13 United States
  • Outpatients not requiring hospitalization

  • Symptomatic (within 24 h of informed consent)

Losartan Placebo 117 28
ARB use to minimize progression to respiratory failure 11 United States
  • Mild to moderate hypoxia

  • SpO2<96% on ≥L/min O2 by nasal cannula but not requiring mechanical ventilation

Losartan Standard care 31 10
COVERAGE‐France France
  • No indication for hospitalization or acute oxygen therapy

  • Age ≥60 years or 50 to 59 years with

  • At least 1 of the following risk factors: hypertension, obesity, diabetes, CAD, CCF, stroke, COPD, CKD, solid tumors, or malignant blood diseases that are progressive or were diagnosed <5 years ago or immunodeficiency

Telmisartan Vitamin supplement 69 14
COVID MED United States
  • Hospitalized patients

Losartan Placebo 12 30
Evaluation of the effect of losartan in COVID‐19 12 Iran
  • Hospitalized patients

  • Hypertension: systolic BP 130 to 140 mm Hg and diastolic BP 85 to 90 mm Hg who were managed by nonpharmacological strategies or were newly diagnosed

Losartan Amlodipine 80 30
PRAETORIAN‐COVID The Netherlands
  • Hospitalized patients

Valsartan Placebo 23 14
STAR‐COVID Mexico
  • Hospitalized with hypoxic respiratory failure: SpO2≤94% on room air or tachypnea (respiratory rate≥22 breaths/min)

Telmisartan Standard care 64 30
Telmisartan for treatment of patients with COVID‐19 10 Argentina
  • Hospitalization with COVID‐19

  • Symptomatic COVID‐19

Telmisartan Standard care 141 30

ACEI indicates angiotensin‐converting enzyme inhibitor; ACEI‐COVID, the stopping ACE‐inhibitors in COVID‐19 trial; ALPS‐COVID OP, angiotensin receptor blocker based lung protective strategy for COVID‐19 outpatient trial; ALPS‐COVIDIP, Angiotensin receptor blocker based lung protective strategy for COVID‐19inpatient trial; ARB, angiotensin II receptor blocker; BP, blood pressure; BRACE CORONA, blockers of angiotensin receptor and angiotensin‐converting enzyme inhibitors suspension in hospitalized patients with coronavirus infection; CAD, coronary artery disease; CCF, congestive cardiac failure; CKD, chronic kidney disease; COPD, chronic obstructive pulmonary disease; COVERAGE‐France, randomized trial to evaluate the safety and efficacy of outpatient treatments to reduce the risk of worsening in individuals with COVID‐19 with risk factors; COVID MED, comparison of therapeutics for hospitalized patients infected with SARS‐CoV‐2; PRAETORIAN‐COVID, randomized clinical trial with valsartan for prevention of acute respiratory distress syndrome in hospitalized patients with SARS‐COV‐2 Infection Disease; RAAS‐COVID, renin‐angiotensin aldosterone system inhibitors in COVID‐19; REPLACE COVID, the randomized elimination or prolongation of angiotensin converting enzyme inhibitors and angiotensin receptor blockers in coronavirus disease 2019; SOFA, sequential organ failure assessment; STAR‐COVID, telmisartanin respiratory failure due to COVID‐19; and SWITCH‐COVID, switch of renin‐angiotensin system inhibitors in patients with COVID‐19.