Preview

Cardiovascular Therapy and Prevention

Advanced search

Main results of the Russian trial «ALTAIR»

Abstract

The results of the multi-center, open, titrating trial of rilmenidine «ALTAIR» (ALbarel: effectiveness and Tolerability in ArterIal hypeRtension) are demonstrated. Aim. To assess antihypertensive effectiveness and safety of rilmenidine as monotherapy and in combination with amlodipine in out-patients with mild to moderate arterial hypertension (AH), to investigate its effects on quality of life and treatment compliance. Material and methods. The study involved 677 patients: 610 participants (90.4%) completely fulfilled the protocol, and another 67 (9.6%) dropped out. Therapy lasted for 16 weeks. Clinical visits were performed at Week 4, 8, 12 and 16 of the treatment. Results. Rilmenidine (1-2 mg/d) therapy in Stage I-II AH was associated with BP target level achievement in 46.6% of the cases, with good therapy tolerability. Adverse events were registered in 11.9% of the participants, but treatment discontinuation and study termination was necessary in 4.4% of the subjects only. Combination of rilmenidine and amlodipine (2.5-5 mg/d) resulted in responder percentage increase to 87.5%, with simultaneous increase in adverse event rates, though. Conclusion. ALTAIR trial results demonstrated high effectiveness and good tolerability of rilmenidine treatment, as monotherapy or in combination with amlodipine.

About the Authors

E. V. Shlyakhto
V.A. Almazov Research Institute of Cardiology, Russian Federal Agency of Health and Social Development. St. Petersburg
Russian Federation


A. O. Conrady
V.A. Almazov Research Institute of Cardiology, Russian Federal Agency of Health and Social Development. St. Petersburg
Russian Federation


Yu. V. Sviryaev
V.A. Almazov Research Institute of Cardiology, Russian Federal Agency of Health and Social Development. St. Petersburg
Russian Federation


References

1. Tatti P, Pahor M, Byington RP, et al. Outcome results of the fosinopril versus amlodipine cardiovascular events randomized trial (FACET) in patients with hypertension and NIDDM. Diabetes Care 1998; 21: 597-603.

2. Lindholm LH, Ibsen T Dahlof B, еt al. Cardiovascular morbidity and mortality in patents with diabetes in the Losartan Intervention For End-point reduction in hypertension study (LIFE): a randomized trial against atenolol. Lancet 2002; 359: 1004-10.

3. Bousquet P. Сentral cardiovascular effects of alpha-adrenergic drugs: differences between chatecholamine and imidazolines. J Pharmacol Exp Ter 1984; 230: 232-6.

4. Guynet PG. Do imidazoline binding sites play a role in the efficacy of clonidine and related centrally acting antihypertensive drugs? Am J Physiol 1997; 273: R1580-4.

5. Ernsberger P, Haxhiu MA. The I1-imidazoline binding site is also functional receptor mediating vasodepression vie the ventral medulla. Am J Physiol 1997; 273: R1572-9.

6. Bousquet P, Dontenwill M, Greney H, Feldman J. Imidazoline Receptors in Cardiovascular and Metabolic Diseases. J Cardiovasc Pharmacol 2000; 35(Suppl. 4): 21-5.

7. Krentz AJ, Evans AJ. Selective Imidazoline Receptors Agonists for Metabolic Syndrome. Lancet 1998; 351: 152-4.

8. Pollare T, Lithell H, Selinus I, et al. Sensitivity to insulin during treatment with atenolol and metoprolol: a randomized, double blind study of effects on carbohydrate and lipoprotein metabolism in hypertensive patients. BMJ 1989; 298: 1152-7.

9. Рекомендации по профилактике, диагностике и лечению артериальной гипертензии. Артер гиперт 2000; 7/1, приложение.

10. Koldas L, Ayan F, Ikitimur B. Short term effects of rilmenidine on left ventricular hypertrophy and systolic and diastolic function in patients with essential hypertension. Jpn Heart J 2003; 44: 693-704.

11. Farsang C, Lengyel M, Borbas S, et al. Value of rilmenidine therapy and its combination with perindopril on blood pressure and left ventricular hypertrophy in patients with essential hypertension (VERITAS). Curr Med Res Opin 2003;19(3): 205-17.

12. Sadowski Z, Azweld H, Kuch-Wocail, et al. Regression of left ventricular hypertrophy in hypertensive patients after 1 year of treatment with rilmenidine: a double-blind, randomized, controlled study. J Hypertens 1998; 16(Suppl. 3): S29-35.

13. Anichkov DA, Shastak NA, Schastnaya OV. Comparison of rilmenidine and lisinopril on ambulatory blood pressure and plasma lipids and glucose levels in hypertensive women with metabolic syndrome. Curr Med Res 2005; 21: 113-9.

14. Небиеридзе Д.В. Рилменидин – один из первых представителей агонистов имидазолиновых рецепторов: новые возможности лечения артериальной гипертензии. Артер гиперт 2002; 8(4): 147-50.

15. Beau B, Mahieux F, Paraire M, et al. Efficacy and safety of rilmenidine for arterial hypertension. Am J Cardiol 1988; 61(7): 95D-102.

16. Luccioni R. Efficacy and Acceptability of Rilmenidine in 18235 Patients over One Year. Presse Med 1995; 124: 1827-64.


Review

For citations:


Shlyakhto E.V., Conrady A.O., Sviryaev Yu.V. Main results of the Russian trial «ALTAIR». Cardiovascular Therapy and Prevention. 2006;5(1):21-30. (In Russ.)

Views: 511


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1728-8800 (Print)
ISSN 2619-0125 (Online)