The once-daily dose regimen of carvedilol: a meta-analysis approach.

Abstract:

:Establishing the overall efficacy or safety of a drug requires a unified methodological approach and analysis of all clinical trials that are intended to be summarized. As an example, this article presents the aggregated dose-response relationship and a subgroup analysis (by age) over all studies of the antihypertensive drug carvedilol. The clinical end points were change from baseline of blood pressure and pulse after 2-4 weeks of treatment with a once-daily dose regimen. All antihypertensive trials were reanalyzed using an intent-to-treat principle. Aggregated data (mean, standard deviation, sample size) for each random group within each study were then combined by means of meta-analysis. The results show that the main patient population can be treated adequately with 25 mg of carvedilol q.d. The dose-response curve shows a typical sigmoid shape: a steeper increase from 12.5 to 25 mg of carvedilol and a following flat part (25, 50, and 100 mg of carvedilol q.d.). There is a considerable variation of the results between studies, which is much bigger than the dose-response effect. Most of this variation is due to monocentric trials.

journal_name

J Cardiovasc Pharmacol

authors

Stienen U

doi

10.1097/00005344-199219001-00025

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

S128-33

eissn

0160-2446

issn

1533-4023

journal_volume

19 Suppl 1

pub_type

临床试验,杂志文章,meta分析
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    pub_type: 杂志文章,评审

    doi:

    authors: Staessen J,Fagard R,Van Hoof R,Amery A

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    pub_type: 杂志文章

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    更新日期:1992-01-01 00:00:00

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    journal_title:Journal of cardiovascular pharmacology

    pub_type: 杂志文章,评审

    doi:

    authors: Burckhardt D

    更新日期:1992-01-01 00:00:00

  • Metformin improves peripheral vascular flow in nonhyperlipidemic patients with arterial disease.

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    journal_title:Journal of cardiovascular pharmacology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00005344-198409000-00027

    authors: Sirtori CR,Franceschini G,Gianfranceschi G,Sirtori M,Montanari G,Bosisio E,Mantero E,Bondioli A

    更新日期:1984-09-01 00:00:00

  • Na-H exchange inhibition with cariporide limits functional impairment caused by repetitive ischemia.

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    journal_title:Journal of cardiovascular pharmacology

    pub_type: 杂志文章,评审

    doi:

    authors: Schmieder RE,Messerli FH

    更新日期:1990-01-01 00:00:00

  • Sodium pentobarbital effects on cardiac function and response to dobutamine.

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    journal_title:Journal of cardiovascular pharmacology

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    doi:

    authors: Gould BA,Hornung RS,Mann S,Balasubramanian V,Raftery EB

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  • Forskolin-stimulated adenylyl cyclase activity is decreased but beta 2-adrenoceptor function is unchanged in primary hypertension.

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    更新日期:1991-01-01 00:00:00

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    authors: Hanna ST,Cao K,Sun X,Wang R

    更新日期:2005-05-01 00:00:00

  • Subcellular localization of calcium release in isolated rat myocardial cells.

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    journal_title:Journal of cardiovascular pharmacology

    pub_type: 杂志文章

    doi:

    authors: Hermsmeyer K,Mason R,Puga A,Erne P

    更新日期:1991-01-01 00:00:00

  • Segmental regulation of sodium and water excretion by TRPV1 activation in the kidney.

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  • Intravenous dilevalol in the treatment of severe hypertension.

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    doi:

    authors: Bursztyn M,Gavras I,Blasucci DJ,Gavras H

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  • Blockade of cardiac ATP-sensitive K+ channel by cibenzoline targets its pore-forming subunit.

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    pub_type: 杂志文章

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    更新日期:1993-04-01 00:00:00

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    更新日期:2004-11-01 00:00:00