학술논문

Aliskiren, the First Renin Inhibitor for Treating Hypertension: Reactive Renin Secretion May Limit Its Effectiveness
Document Type
Author abstract
Source
American Journal of Hypertension. May, 2007, Vol. 20 Issue 5, p587, 11 p.
Subject
Hypertension
Angiotensin
Language
English
ISSN
0895-7061
Abstract
To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.amjhyper.2007.04.001 Byline: Jean E. Sealey, John H. Laragh Keywords: Aliskiren; renin inhibitor; renin; renin-angiotensin; clinical trial; hypertension; renovascular hypertension; malignant hypertension; angiotensin-converting enzyme inhibitor; angiotensin II type 1 receptor blocker; diuretic Abstract: A review of six clinical trials of aliskiren involving >5,000 patients with mild to moderate hypertension indicated that this first of a new class of orally active antihypertensive drugs is no more effective than angiotensin-converting enzyme inhibitors (CEIs), angiotensin receptor blockers (ARBs), or diuretics for lowering blood pressure. The starting dose is 150 mg; 300 mg is usually more effective, but 600 mg is no better than 300 mg. Aliskiren in combination with a diuretic appeared to lower blood pressure more than an aliskiren-ARB combination, but still failed to control blood pressure ( Author Affiliation: Department of Cardiothoracic Surgery, New York Presbyterian Hospital and Weill Medical College of Cornell University, New York, New York. Article History: Received 21 February 2007; Revised 30 March 2007; Accepted 1 April 2007 Article Note: (footnote) Supported by grants from the Gelb Foundation, New York, NY, the Commonwealth Foundation, New York, NY, and the Rudin Foundation, New York, NY., Potential conflicts of interest: J.E.S. and J.H.L. are consultants for Diasorin, Inc., Stillwater, MN; J.H.L. has licensed US patent 09/657,027, "Method for Evaluating and Treating Hypertension," to Diasorin, Inc., Stillwater, MN; and J.E.S. is a consultant to Daiichi Sankyo, Inc., Parsippany, NJ.