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. 2020 Mar 24;2(2):73–90. doi: 10.36628/ijhf.2020.0002

Table 2. Study dose titration in PIONEER-HF.

• Starting dose level based on SBP algorithm
- If SBP 100 to <120 mmHg: sacubitril-valsartan 24/26 mg or enalapril 2.5 mg twice daily
- If ≥120 mmHg: sacubitril-valsartan 49/51 mg or enalapril 5 mg twice daily
• At week 1, dose titrated upwards if SBP >110 mmHg
• At week 2,4,6, dose titrated upwards if SBP >100 mmHg
• Target dose
- Sacubitril-valsartan 97/103 mmHg or enalapril 10 mg twice daily
• Clinical assessment and judgment permitted

PIONEER-HF = Comparison of Sacubitril-Valsartan versus Enalapril on Effect on N-terminal pro-B-type natriuretic peptide (NT-proBNP) in Patients Stabilized from an Acute Heart Failure Episode; SBP = systolic blood pressure.