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FORTISSIMO study Benefits of the treatment of uncontrolled hypertension by perindopril/indapamide fixed full- dose combination 1 Karpov YA; FORTISSIMO program. Poster presented at: European Society of Hypertension Congress; June 14-17, 2013; Milan, Italy.

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Page 1: FORTISSIMO study Benefits of the treatment of uncontrolled hypertension by perindopril/indapamide fixed full-dose combination 1 Karpov YA; FORTISSIMO program

FORTISSIMO study

Benefits of the treatment of uncontrolled hypertension by perindopril/indapamide

fixed full-dose combination

1

Karpov YA; FORTISSIMO program. Poster presented at: European Society of Hypertension Congress; June 14-17, 2013; Milan, Italy.

Page 2: FORTISSIMO study Benefits of the treatment of uncontrolled hypertension by perindopril/indapamide fixed full-dose combination 1 Karpov YA; FORTISSIMO program

Objectives

Evaluate the safety and efficacy of the fixed-dose combination perindopril arginine/indapamide (10/2.5 mg) in reaching the blood pressure target

In patients with uncontrolled hypertension

With previous treatment: fixed or free combination of renin-angiotensin-aldosterone system (RAAS) inhibitors + hydrochlorothiazide (HCTZ)

2

Karpov YA; FORTISSIMO program. Poster presented at: European Society of Hypertension Congress; June 14-17, 2013; Milan, Italy.

Page 3: FORTISSIMO study Benefits of the treatment of uncontrolled hypertension by perindopril/indapamide fixed full-dose combination 1 Karpov YA; FORTISSIMO program

Design and Methods

Open, prospective, multicenter, observational, noncomparative study

Inclusion criteria: uncontrolled hypertension (160-200 mm Hg)

2120 hypertensive ambulatory patients in 35 regions of Russia

12-week study (5 visits) Switch to drug combination

perindopril/indapamide (10/2.5 mg) Assessment of:

� Office blood pressure dynamics� Blood and urine assays� Quality of life � Treatment compliance

3

Karpov YA; FORTISSIMO program. Poster presented at: European Society of Hypertension Congress; June 14-17, 2013; Milan, Italy.

Page 4: FORTISSIMO study Benefits of the treatment of uncontrolled hypertension by perindopril/indapamide fixed full-dose combination 1 Karpov YA; FORTISSIMO program

Blood pressure significantly decreased over time After 3 months of treatment, 84% of patients

reached the blood pressure target

4

Karpov YA; FORTISSIMO program. Poster presented at: European Society of Hypertension Congress; June 14-17, 2013; Milan, Italy.

Results – Blood pressure

Page 5: FORTISSIMO study Benefits of the treatment of uncontrolled hypertension by perindopril/indapamide fixed full-dose combination 1 Karpov YA; FORTISSIMO program

Results - Tolerability

Treatment compliance significantly increased Only 4% of patients had adverse effects Biochemical markers showed no negative changes

5

4.345.35

5.84

3.28

1.36 1.75

4.335.14 5.18

2.82

1.41 1.56

0

1

2

3

4

5

6

7

K+ Glucose Totalcholesterol

Low-densitylipoproteincholesterol

High-densitylipoproteincholesterol

Triglycerides

mm

ol/L

At baseline

After 3 months oftreatment

Karpov YA; FORTISSIMO program. Poster presented at: European Society of Hypertension Congress; June 14-17, 2013; Milan, Italy.

Page 6: FORTISSIMO study Benefits of the treatment of uncontrolled hypertension by perindopril/indapamide fixed full-dose combination 1 Karpov YA; FORTISSIMO program

Conclusion

Rapid and sustained effect with the drug combination perindopril/indapamide (10/2.5 mg) in patients with uncontrolled hypertension

84% of patients reached the blood pressure target

Treatment: good tolerability

6

Karpov YA; FORTISSIMO program. Poster presented at: European Society of Hypertension Congress; June 14-17, 2013; Milan, Italy.