Clinical Trial | Principal Maneuver | Comparison Maneuver | Study Design | Eligibility Criteria | Enrollment Procedures | Primary Outcome |
---|---|---|---|---|---|---|
1. SHEP (Systolic Hypertension in Elderly) subgroup18 | Chlorthalidone | Placebo + Usual Care | DB | Age ≥60 years, NIDDM, BP ≥ 160/90 | IC, RC | Stroke |
2. SYST-EUR (Systolic Hypertension in Europe Trial) subgroup19 | Nitrendipine | Placebo + Usual Care | DB | Age ≥60 years, SBP ≥ 160, controlled DM | IC, RC | Stroke |
3. ALLHAT (Antihypertensive and Lipid Lowering Treatment to Prevent Heart Attacks Trial) subgroup20,21 | Chlorthalidone | Lisinopril, Amlodipine | DB | Age ≥55 years, DM, HTN + CV RFs | IC, RC | Composite CV endpoints |
4. CAPPP (Captopril Prevention Project) subgroup22 | Captopril | Usual Care | O-BE | Age 25 to 65 years, DM + DBP >100 | IC, RC | Composite CV endpoints |
5. LIFE (Losartan Intervention for Endpoint Reduction in Hypertension Study) subgroup23 | Losartan | Atenolol | DB | Age 55 to 80 years, DM, HTN + LVH | IC, RC | Composite CV endpoints |
6. STOP-2 (Swedish Trial in Old Patients with Hypertension) subgroup24 | Calcium antagonists, ACE inhibitors | Usual Care | O-BE | Age 70 to 84 years, DM + HTN | IC, RC | Composite CV endpoints |
7. INSIGHT (International Nifedipine GITS Study) subgroup25 | Nifedipine GITS | Diuretics | DB | Age 55 to 80 years, DM, HTN + CV RFs | IC, RC | Composite CV endpoints |
8. JMIC-B (Japan Multicenter Investigation for Cardiovascular Diseases) subgroup26 | Nifedipine | ACE inhibitor | O-BE | Age 55 to 75 years, DM, HTN + CAD | IC, RC | Composite CV endpoints |
9. IDNT (Irbesartan Diabetic Nephropathy Trial)27 | Irbesartan | Amlodipine + usual care | DB | Age 30 to 70 years, DM, HTN + albuminuria | IC, RC | Composite CV endpoints |
10. CONVINCE (Controlled Onset Verapamil Investigation of Cardiovascular Endpoints) subgroup28 | Verapamil | Usual care | DB | Age ≥55 years, DM + HTN | IC, RC | Composite CV endpoints |
11. BENEDICT (Bergamo Nephrologic Diabetes Complications Trial)29 | Trandolapril | Verapamil + placebo | DB | Age >40 years, DM, HTN + no micoalbuminuria | IC, RC,TPP | Microalbuminuria |
12. INVEST (International Verapamil SR-trandolapril Study) subgroup30 | Verapamil | Atenolol | O-BE | Age >70 years, DM, HTN + CAD | IC, RC,TPP | Composite CV endpoints |
13. FACET (Fosinopril versus Ampldipine Cardiovascular Events Randomized Trial) subgroup31 | Fosinopril | Amlodipine + usual care | O-BE | Age >60 years, DM + BP≥140/90 | IC, RC,TPP | Composite CV endpoints |
14. NORDIL (Nordic Diltiazam Study) subgroup32 | Diltiazam | Usual care | O-BE | Age 50 to 80 years, DM + DBP >100 | IC, RC | Composite CV endpoints |
15. Hypertension in Diabetes Study IV33 | Tight BP control | Less tight BP control | OP | Age 25 to 65 years, DM, BP ≥ 150/85 | IC, RC | Macro/Micro Vascular Complications |
16. UKPDS (United Kingdom Prospective Diabetes Study) subgroup34 | Tight BP control | Less tight BP control | OP | Age 25 to 65 years, DM + HTN | IC, RC | Death |
17. HOT (Hypertension Optimal Treatment Study) subgroup35 | Tight BP control | Less tight BP control | O-BE | Age 50 to 80 years, DM + DBP > 100 | IC, RC | Composite CV endpoints |
18. ABCD (Appropriate Blood Pressure Control in Diabetes Trial)36 | Tight BP control | Less tight BP control | OP | Age 40 to 75 years, DM + untreated DBP > 80 | IC, RC | Diabetic nephropathy |
19. Steno-2 Study37 | Intensive multi-risk factor control | Conventional strategies | OP | DM + microalbuminuria | IC, RC,TPP | Macro- or microvascular complications |
20. High Risk Patients with Diabetes: A Motivation and Teaching Intervention38 | Personalized BP goals | Usual care | OP | Age 45 to 70 years, DM + BP > 140/90 | IC, RC,TPP | Microvascular complications |
ACE, angiotensin-converting enzyme; BP, blood pressure; DB, double blinded; O-BE, open, blinded to endpoints; OP, open pragmatic; DM, diabetes mellitus; HTN, hypertension; SBP, systolic blood pressure; DBP, diastolic blood pressure; CV, cardiovascular; RF, risk factors; IC, informed consent; RC, reviewed medical charts; TPP, targeted physician practices.