Review Article

Azilsartan: Current Evidence and Perspectives in Management of Hypertension

Table 1

Pivotal trials of ARB’s and their key findings.

ARBMajor trialsNumber of patientsYearMajor findings

LosartanLIFE [8]91932002Losartan prevents more cardiovascular morbidity and death than atenolol for similar reduction in blood pressure and is better tolerated. Losartan seems to confer benefits beyond reduction in blood pressure

TelmesartanONTARGET [9]25,6202008Telmisartan was equivalent to ramipril in patients with vascular disease or high-risk diabetes and was associated with less angioedema. The combination of the two drugs was associated with more adverse events without an increase in benefit

OlmesartanROADMAP [10]11472015Additive treatment with an angiotensin receptor blocker, olmesartan, did not improve clinical outcome in hypertensive patients with chronic heart failure (CHF) treated with angiotensin-converting enzyme (ACE) inhibitors, β-blockers, or both

ValsartanVALUE [11]15,4252004The hypothesis with equivalent amount of blood pressure control, valsartan would reduce cardiac morbidity and mortality more than amlodipine in hypertensive patients with high cardiovascular risk could not be proved
Unequal reductions in blood pressure might account for differences between the groups in cause-specific outcomes. The findings emphasise the importance of prompt blood-pressure control in hypertensive patients with high cardiovascular risk