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缬沙坦与瑞舒伐他汀固定剂量复方制剂(Rovatitan 片)治疗高血压合并高脂血症患者的有效性和安全性:一项观察性研究。

Effectiveness and Safety of a Fixed-Dose Combination of Valsartan and Rosuvastatin (Rovatitan Tablet) in Patients with Concomitant Hypertension and Hyperlipidemia: An Observational Study.

机构信息

Department of Internal Medicine, Chung-Ang University Hospital, Seoul, Korea.

Department of Internal Medicine, Daegu Catholic University Medical Center, Daegu, Korea.

出版信息

Drug Des Devel Ther. 2023 Apr 6;17:1047-1062. doi: 10.2147/DDDT.S391288. eCollection 2023.

Abstract

PURPOSE

This study aimed to assess the effectiveness and safety of a fixed-dose combination of rosuvastatin and valsartan (Rovatitan) in Korean patients with concomitant hypertension and hyperlipidemia.

PATIENTS AND METHODS

A total of 1008 eligible patients with concomitant hypertension and hyperlipidemia were enrolled and treated for 12 weeks. Both upward and downward drug dose titrations were allowed based on the investigator's discretion. This study evaluated the effectiveness of the study drug, defined by the percentage of patients achieving the blood pressure (BP) and low-density lipoprotein cholesterol (LDL-C) treatment targets. Additionally, regression analyses were conducted to evaluate the factors associated with the effectiveness and safety of the study drug. Of the 1008 patients enrolled in the study, 911 were analyzed for clinical effectiveness.

RESULTS

At 12 weeks, 84.6% and 75.9% of patients treated with the study drug achieved their BP and LDL-C targets, respectively, and 64.8% of patients achieved both targets simultaneously. Furthermore, the percentage of patients who achieved their BP and LDL-C treatment targets demonstrated a trend across the respective risk groups; the higher the risk group, the lower the success of attaining the respective target. This trend was also observed regardless of the prior antihypertensive and/or lipid-lowering treatments. According to regression analysis, poor metabolic profiles, including a higher body mass index (BMI) and higher BP and LDL-C levels at baseline, were significantly associated with treatment failure for BP. Among the 1005 patients included in the safety analysis, 17 patients (1.7%) experienced serious adverse events; however, none were considered related to the study drug.

CONCLUSION

The study drug used for the treatment of concomitant hypertension and hyperlipidemia in a real-world setting was effective and was well tolerated. Therefore, the study drug is suggested as a good alternative to increase patient convenience and compliance, particularly in those taking multiple medications.

摘要

目的

本研究旨在评估瑞舒伐他汀和缬沙坦固定剂量复方制剂(Rovatitan)在同时患有高血压和高血脂的韩国患者中的疗效和安全性。

方法

共纳入 1008 例同时患有高血压和高血脂的合格患者,并接受治疗 12 周。根据研究者的判断,允许进行药物剂量的上调和下调滴定。本研究通过评估达到血压(BP)和低密度脂蛋白胆固醇(LDL-C)治疗目标的患者比例来评估研究药物的疗效。此外,还进行了回归分析,以评估研究药物疗效和安全性的相关因素。在这项研究中,共纳入了 1008 例患者,其中 911 例患者进行了临床疗效分析。

结果

治疗 12 周后,分别有 84.6%和 75.9%的患者达到了 BP 和 LDL-C 目标,64.8%的患者同时达到了这两个目标。此外,达到 BP 和 LDL-C 治疗目标的患者比例在各风险组中呈现出一种趋势,风险越高,达到相应目标的成功率越低。这一趋势在考虑了既往抗高血压和/或降脂治疗后仍然存在。根据回归分析,代谢谱较差,包括基线时较高的体重指数(BMI)和较高的 BP 和 LDL-C 水平,与 BP 治疗失败显著相关。在纳入安全性分析的 1005 例患者中,有 17 例(1.7%)患者发生严重不良事件;然而,没有任何事件被认为与研究药物有关。

结论

在真实世界环境中,用于治疗同时患有高血压和高血脂的研究药物是有效的,且具有良好的耐受性。因此,该研究药物被建议作为增加患者便利性和依从性的良好替代方案,特别是对于那些需要服用多种药物的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca47/10084874/d253813fcb4e/DDDT-17-1047-g0001.jpg

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