The Ongoing Telmisartan Alone and in Combination with RamiprilGlobal Endpoint Trial (ONTARGET, NCT00153101
[ClinicalTrials.gov]
), reported by Yusufet al.1 in this issue of the Journal, has important lessonsfor clinical practice and also illustrates the complexitiesof designing, conducting, analyzing, and interpreting trialscomparing new treatments that act in a manner similar to thatof established therapies. As the fourth and largest comparativetrial, the ONTARGET study confirms, beyond doubt, that angiotensin-receptorblockers (ARBs) are not better than angiotensin-converting–enzyme(ACE) inhibitors at reducing fatal and nonfatal cardiovascularevents. Of course, physicians and patients might still chooseto use an . . . [Full Text of this Article]
Source Information
From the British Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, Scotland.
This article (10.1056/NEJMe0801925) was published at www.nejm.org on March 31, 2008. It will appear in the April 10 issue of the Journal.
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