Additive Beneficial Effects of Valsartan Combined with Rosuvastatin in the Treatment of Hypercholesterolemic Hypertensive Patients

作者：Jang Ji Yong; Lee Sang Hak; Kim Byung Soo; Seo Hong Seog; Kim Woo Shik; Ahn Youngkeun; Lee Nae Hee; Koh Kwang Kon; Kang Tae Soo; Jo Sang Ho; Hong Bum Kee; Bae Jang Ho; Yang Hyoung Mo; Cha Kwang Soo; Kim Bum Soo; Kwak Choong Hwan; Cho Deok Kyu; Kim Ung; Zo Joo Hee; Kang Duk Hyun; Pyun Wook Bum; Chun Kook Jin; Namgung June; Cha Tae Joon; Juhn Jae Hyeon; Jung YeiLi; Jang Yangsoo^*

来源：Korean Circulation Journal, 2015, 45(3): 225-233.

DOI：10.4070/kcj.2015.45.3.225

• Valsartan
• Rosuvastatin
• Drug therapy
• combination
• Controlled clinical trials
• randomized
• Blood pressure

Background and Objectives: We compared the efficacy and safety of valsartan and rosuvastatin combination therapy with each treatment alone in hypercholesterolemic hypertensive patients.
Subjects and Methods: Patients who met inclusion criteria were randomized to receive 1 of the following 2-month drug regimens: valsartan 160 mg plus rosuvastatin 20 mg, valsartan 160 mg plus placebo, or rosuvastatin 20 mg plus placebo. The primary efficacy variables were change in sitting diastolic blood pressure (sitDBP) and sitting systolic blood pressure (sitSBP), and percentage change in low-density lipoprotein-cholesterol (LDL-C) in the combination, valsartan, and rosuvastatin groups. Adverse events (AEs) during the study were analyzed.
Results: A total of 354 patients were screened and 123 of them were finally randomized. Changes of sitDBP by least squares mean (LSM) were -11.1, -7.2, and -3.6 mm Hg, respectively, and was greater in the combination, as compared to both valsartan (p=0.02) and rosuvastatin (p<0.001). Changes of sitSBP by LSM were -13.2, -10.8, and -4.9 mm Hg, and was greater in the combination, as compared to rosuvastatin (p=0.006) and not valsartan (p=0.42). Percentage changes of LDL-C by LSM were -52, -4, and -47% in each group, and was greater in the combination, as compared to valsartan (p<0.001), similar to rosuvastatin (p=0.16). Most AEs were mild and resolved by the end of the study.
Conclusion: Combination treatment with valsartan and rosuvastatin exhibited an additive blood pressure-lowering effect with acceptable tolerability, as compared to valsartan monotherapy. Its lipid lowering effect was similar to rosuvatatin monotherapy.

• 出版日期2015-5