Место кандесартана в лечении артериальной гипертонии у коморбидных пациентов
Место кандесартана в лечении артериальной гипертонии у коморбидных пациентов
Бернс С.А., Стрюк Р.И. Место кандесартана в лечении артериальной гипертонии у коморбидных пациентов. Consilium Medicum. 2017; 19 (5): 14–19.
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Berns S.A., Striuk R.I. The role of candesartan in the treatment of arterial hypertension in comorbid patients. Consilium Medicum. 2017; 19 (5): 14–19.
Место кандесартана в лечении артериальной гипертонии у коморбидных пациентов
Бернс С.А., Стрюк Р.И. Место кандесартана в лечении артериальной гипертонии у коморбидных пациентов. Consilium Medicum. 2017; 19 (5): 14–19.
________________________________________________
Berns S.A., Striuk R.I. The role of candesartan in the treatment of arterial hypertension in comorbid patients. Consilium Medicum. 2017; 19 (5): 14–19.
К настоящему времени в условиях демографического старения населения отмечается рост числа заболеваний у одного пациента. Наболее часто встречается сочетание ишемической болезни сердца, артериальной гипертензии, хронической сердечной недостаточности, сахарного диабета и др. Все перечисленные заболевания участвуют в той или иной степени в сердечно-сосудистом континууме. Блокаторы рецепторов ангиотензина способны эффективно контролировать артериальное давление и обладают доказанными органопротективными эффектами. В статье представлен литературный обзор по применению кандесартана цилексетила у пациентов с артериальной гипертонией и коморбидной патологией. Обсуждаются особенности фармакокинетики и фарамакодинамики кандесартана. Представлена доказательная база его антигипертензивной эффективности и защиты органов-мишеней. Показана возможность использования генерика кандесартана (Гипосарт) с доказанной биоэквивалентностью оригинальному препарату.
Nowadays, in the context of demographic ageing of population, there is an increase in the number of diseases in one patient. The most common combinations are ischaemic heart disease, arterial hypertension, chronic heart failure, diabetes mellitus and others. All announced diseases are involved in cardiovascular disease continuum in varying degrees. Angiotensin receptor blockers can effectively control blood pressure and have proven organoprotective effects. This article presents the literature review concerning the application of candesartan cilexetil in patients with arterial hypertension and comorbid conditions. The authors discuss the features of pharmacokinetics and pharmacodynamics of candesartan. They present evidence base of antihypertensive efficacy and target organ protection. The authors show the possibility to use Hyposart – generic candesartan with proven bioequivalence for original drug.
1. Статистическая служба Европейского союза (Евростат), доклад «О старении населения в Европе». Всемирная организация здравоохранения, 01.10.2015. / Statisticheskaia sluzhba Evropeiskogo soiuza (Evrostat), doklad «O starenii naseleniia v Evrope». Vsemirnaia organizatsiia zdravookhraneniia, 01.10.2015. [in Russian]
2. Верткин А.Л., Румянцев М.А., Скотников А.С. Коморбидность. Клин. медицина. 2012; 10: 4–11. / Vertkin A.L., Rumiantsev M.A., Skotnikov A.S. Komorbidnost'. Klin. meditsina. 2012; 10: 4–11. [in Russian]
3. Верткин А.Л., Скотников А.С. Лечащий врач. 2009; 4: 61–7. / Vertkin A.L., Skotnikov A.S. Lechashchii vrach. 2009; 4: 61–7. [in Russian]
4. Губанова Г.В., Беляева Ю.Н., Шеметова Г.Н. Коморбидный пациент: этапы формирования, факторы риска и тактика ведения. Совр. проблемы науки и образования. 2015; 6. / Gubanova G.V., Beliaeva Iu.N., Shemetova G.N. Komorbidnyi patsient: etapy formirovaniia, faktory riska i taktika vedeniia. Sovr. problemy nauki i obrazovaniia. 2015; 6. [in Russian]
5. Charlson ME, Pompei P, Ales KL et al. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chron Dis 1987; 40: 373–83.
6. Гиляревский С.Р. Современные возможности блокады ренин-ангиотензиновой системы: остаются ли ингибиторы ангиотензинпревращающего фермента препаратами первого ряда? Consilium Medicum. 2010; 12 (5): 18–23. / Giliarevskii S.R. Sovremennye vozmozhnosti blokady renin-angiotenzinovoi sistemy: ostaiutsia li ingibitory angiotenzinprevrashchaiushchego fermenta preparatami pervogo riada? Consilium Medicum. 2010; 12 (5): 18–23. [in Russian].
7. Mancia G, Fagard R, Narkiewicz K et al. Task Force Members. 2013 ESH 'ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens 2013; 31 (7): 1281–357.
8. Барышникова Г.А. Сравнительный метаанализ эффективности сартанов при лечении артериальной гипертензии. РМЖ. Кардиология. 2010; 18 (22). / Baryshnikova G.A. Sravnitel'nyi meta-analiz effektivnosti sartanov pri lechenii arterial'noi gipertenzii. RMZh. Kardiologiia. 2010; 18 (22). [in Russian]
9. Hermida RC, Ayala DE, Vojon A et al. Influence of circadian time of hypertension treatment on cardiovascular risk: result of the MAPEC study. Chronobiol Int 2010; 27: 1629–51.
10. Сиренко Ю.Н., Донченко Н.В. Место кандесартана в современной терапии сердечно-сосудистых заболеваний: обзор доказательств. Артериальная гипертензия. 2011; 4 (18): 114–26. / Sirenko Iu.N., Donchenko N.V. Mesto kandesartana v sovremennoi terapii serdechno-sosudistykh zabolevanii: obzor dokazatel'stv. Arterial'naia gipertenziia. 2011; 4 (18): 114–26. [in Russian]
11. Захарова Н.В., Кузьмина-Крутецкая С.Р. Клиническая фармакология сартанов: класс-эффект и фармакодинамические особенности препаратов. Системные гипертензии. 2011; 7 (3): 12–7. / Zakharova N.V., Kuz'mina-Krutetskaia S.R. Klinicheskaia farmakologiia sartanov: klass-effekt i farmakodinamicheskie osobennosti preparatov. Systemic Hypertension. 2011; 7 (3): 12–7. [in Russian]
12. Морозова Т.Е. Сартаны в лечении больных артериальной гипертензией высокого риска: возможности кандесартана. Системные гипертензии. 2013; 9 (2): 34–9. / Morozova T.E. Sartany v lechenii bol'nykh arterial'noi gipertenziei vysokogo riska: vozmozhnosti kandesartana. Systemic Hypertension. 2013; 9 (2): 34–9. [in Russian]
13. Гиляревский С.Р., Голшмид М.В., Кузьмина И.М. Доказательная история кандесартана: прошлое, будущее и настоящее. Сердечная недостаточность. 2015; 16 (5): 303–10. / Giliarevskii S.R., Golshmid M.V., Kuz'mina I.M. Dokazatel'naia istoriia kandesartana: proshloe, budushchee i nastoiashchee. Serdechnaia nedostatochnost'. 2015; 16 (5): 303–10. [in Russian]
14. Oparll S. Newly emerging pharmacologic differences in angiotensin II receptor blockers. Am J Hypertens 2000; 13 (1 Pt 2): 188–248.
15. Евдокимова А.Г., Ложкина М.В., Коваленко Е.В. Особенности применения кандесартана в клинической практике. Consilium Medicum. 2016; 18 (1): 54–9. / Evdokimova A.G., Lozhkina M.V., Kovalenko E.V. Key features of candesartan application in clinical practice. Consilium Medicum. 2016; 18 (1): 54–9. [in Russian]
16. Le MT, De Bakcer JP, Hanyady L et al. Ligand binding and functional properties of human angiotensin AT I receptors in transiently and stably expressed CHO-K1 cell. Eur J Pharmacol 2005; 513 (1–2): 35–45.
17. Остроумова О.Д., Бондарец О.В., Гусева Т.Ф. Преимущества кандесартана в лечении артериальной гипертонии. Системные гипертензии. 2014; 10 (2): 62–6. / Ostroumova O.D., Bondarets O.V., Guseva T.F. The benefits of candesartan usage in the treatment of arterial hypertension. Systemic Hypertension. 2014; 10 (2): 62–6. [in Russian]
18. Lee HY, Hong BK, Chung WJ et al. Phase IV, 8-week, multicenteral, randomized, active treatment-controlled, parallel grope, efficacy and tolerability of candesartan cilexetil combined with hydrochlorothiazide in Korean adults with stage II hypertension. Clin Ther 2011; 33 (8): 1043–56.
19. Easthope SE, Jarvis B. Candesartan cilexetil in update of its use in essential hypertension. Drugs 2002; 62: 1253–87.
20. Vidi DG, While WB, Ridley E et al and the CLAIM Study Investigators. A forsed titration study of antihypertensive efficacy of candesartanin cilexetil in comparison to losartan. CLAIM Study II. J Hum Hypertens 2001; 15: 475–80.
21. Hasegawa H, Takano H, Kameda E et al. Effect of switching from telmisartan, valsartan, olmesartan or losartan, to candesartan on morning hypertension. Clin Exp Hypertens 2012; 34 (2): 86–91.
22. Minatoquchi S, Aoyama T, Kawai N et al. Comparative effect of candesartan and amlodipine, and effect of switching from valsartan, losartan, telmisartan and olmesartan to candesartan, on early morning hypertension and heart rate. Blood Press 2013; 22.
23. Ogihara T, Fujimoto A, Nakao K, Saruta T. CASE-J Trial Group. ARB candesartan and CCB amlodipine in hypertensive patients: the CASE-J trial. Exp Rev Cardiovasc Ther 2008; 6 (9): 1195–201.
24. Ogihara T, Nakao K, Fukui T et al. Effects of candesartan compared with amlodipine in hypertensive patients with high cardiovascular risks: candesartan antihypertensive survival evaluation in Japan trial. Hypertension 2008; 51 (2): 393–8.
25. Penicka M, Gregor P, Kerekes R et al. Candesartan use in Hypertrophic And Non-obstructive Cardiomyopathy Estate (CHANCE) Study. The effects of candesartan on left ventricular hypertrophy and function in nonobstructive hypertrophic cardiomyopathy: a pilot, randomized study. J Mol Diagn 2009; 11: 35–41.
26. Wolf-Maier K, Cooper RS, Banegas JR et al. Hypertension prevalence and blood pressure levels in 6 European countries, Canada, and the United States. JAMA 2003; 289: 2363–9.
27. Kurata A, Nishizawa H, Kihara S et al. Blockade of angiotensin II type-1 receptor reduces oxidative stress in adipose tissue and ameliorates adipocytokine dysregulation. Kidney Int 2006; 70: 1717–24.
28. Rudziftski W, Swiat M, Tomaszewski M et al. Cerebral hemodynamics and investigations of cerebral blood flow regulation. Nucl Med Rev Cent East Eur 2007; 10: 29–42.
29. Lithell H, Hansson L, Skoog I et al. SCOPE Study Group. The Study on Cognition and Prognosis in the Elderly (SCOPE): principal results of a randomized double-blind intervention trial. J Hypertens 2003; 21: 875–86.
30. Schrader J, Kulschewski A et al. Acute Candesartan Cilexetil Therapy in Stroke Survivors Study Group. The ACCESS Study: evaluation of Acute Candesartan Cilexetil Therapy in Stroke Survivors. Stroke 2003; 34: 1699–703.
31. Kasanuki H, Hagiwara N, Hosoda S et al. Angiotensin II receptor blocker-based vs non-angiotensin II receptor blocker-based therapy in patients with angiographically documented coronary artery disease and hypertension: the Heart Institute of Japan Candesartan Randomized Trial for Evaluation in Coronary Artery Disease (HIJ-CREATE). Eur Heart J 2009; 30 (10): 1203–12.
32. Burnier M. Managing 'resistance': is adherence a target for treatment? Curr Opin Nephrol Hypertens 2014; 23 (5): 439–43.
33. Fliser D, Wagner K, Loss A et al. Chronic angiotensin II receptor blockade reduces (intra)renal vascular resistance in patients with type 2 diabetes. J Am Soc Nephrol 2005; 16: 1135–40.
34. De Rosa ML. Cardio classics revisited – focus on the role of candesartan. Vas Health Risk Management 2010; 6: 1047–63.
35. Pfeffer MA, Swedberg K, Granger CB et al. For the CHARM Investigators and Committees. Effects of candesartan on mortality and morbidity in patients with chronic heart failure: the CHARM-Overall programme. Lancet 2003; 362: 759–66.
36. Granger CB, McMurray JJV, Yusuf S et al. For the CHARM Investigators and Committees. Effects of candesartan in patients with chronic heart failure and reduced left ventricular systolic function intolerant to angiotensin converting enzyme inhibitors: the CHARM-Alternative trial. Lancet 2003; 362: 772–6.
37. McMurray JJV, Оstergren J, Swedberg K et al. For the CHARM Investigators and Committees. Effects of candesartan in patients with chronic heart failure and reduced left ventricular systolic function taking angiotensin converting enzyme inhibitors: the CHARM-Added trial. Lancet 2003; 362: 767–71.
38. Yusuf S, Pfeffer MA, Swedberg K et al for the CHARM Investigators and Committees. Effects of candesartan in patients with chronic heart failure and preserved left ventricular ejection fraction: the CHARM-Preserved Trial. Lancet 2003; 362: 777–81.
39. Чазова И.Е., Ратова Л.Г. Первое поколение сартанов: есть ли перспективы. Системные гипертензии. 2010; 4: 3–7. / Chazova I.E., Ratova L.G. Pervoe pokolenie sartanov: est' li perspektivy. Systemic Hypertension. 2010; 4: 3–7. [in Russian]
40. Ducharme A, Swedberg K, Pfeffer MA et al. CHARM Investigators. Prevention of atrial fibrillation in patients with symptomatic chronic heart failure by candesartan in the Candesartan in Heart failure: Assessment of Reduction in Mortality and morbidity (CHARM) program. Am Heart J 2006; 152: 86–92.
41. Добрынина Н.В. Что мы знаем о кандесартане: возможности клинического применения. Consilium Medicum. 2016; 18 (5): 64–6. / Dobrynina N.V. What we know about candesartan: clinical applications. Consilium Medicum. 2016; 18 (5): 64–6. [in Russian]
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1. Statisticheskaia sluzhba Evropeiskogo soiuza (Evrostat), doklad «O starenii naseleniia v Evrope». Vsemirnaia organizatsiia zdravookhraneniia, 01.10.2015. [in Russian]
2. Vertkin A.L., Rumiantsev M.A., Skotnikov A.S. Komorbidnost'. Klin. meditsina. 2012; 10: 4–11. [in Russian]
3. Vertkin A.L., Skotnikov A.S. Lechashchii vrach. 2009; 4: 61–7. [in Russian]
4. Gubanova G.V., Beliaeva Iu.N., Shemetova G.N. Komorbidnyi patsient: etapy formirovaniia, faktory riska i taktika vedeniia. Sovr. problemy nauki i obrazovaniia. 2015; 6. [in Russian]
5. Charlson ME, Pompei P, Ales KL et al. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chron Dis 1987; 40: 373–83.
6. Giliarevskii S.R. Sovremennye vozmozhnosti blokady renin-angiotenzinovoi sistemy: ostaiutsia li ingibitory angiotenzinprevrashchaiushchego fermenta preparatami pervogo riada? Consilium Medicum. 2010; 12 (5): 18–23. [in Russian].
7. Mancia G, Fagard R, Narkiewicz K et al. Task Force Members. 2013 ESH 'ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens 2013; 31 (7): 1281–357.
8. Baryshnikova G.A. Sravnitel'nyi meta-analiz effektivnosti sartanov pri lechenii arterial'noi gipertenzii. RMZh. Kardiologiia. 2010; 18 (22). [in Russian]
9. Hermida RC, Ayala DE, Vojon A et al. Influence of circadian time of hypertension treatment on cardiovascular risk: result of the MAPEC study. Chronobiol Int 2010; 27: 1629–51.
10. Sirenko Iu.N., Donchenko N.V. Mesto kandesartana v sovremennoi terapii serdechno-sosudistykh zabolevanii: obzor dokazatel'stv. Arterial'naia gipertenziia. 2011; 4 (18): 114–26. [in Russian]
11. Zakharova N.V., Kuz'mina-Krutetskaia S.R. Klinicheskaia farmakologiia sartanov: klass-effekt i farmakodinamicheskie osobennosti preparatov. Systemic Hypertension. 2011; 7 (3): 12–7. [in Russian]
12. Morozova T.E. Sartany v lechenii bol'nykh arterial'noi gipertenziei vysokogo riska: vozmozhnosti kandesartana. Systemic Hypertension. 2013; 9 (2): 34–9. [in Russian]
13. Giliarevskii S.R., Golshmid M.V., Kuz'mina I.M. Dokazatel'naia istoriia kandesartana: proshloe, budushchee i nastoiashchee. Serdechnaia nedostatochnost'. 2015; 16 (5): 303–10. [in Russian]
14. Oparll S. Newly emerging pharmacologic differences in angiotensin II receptor blockers. Am J Hypertens 2000; 13 (1 Pt 2): 188–248.
15. Evdokimova A.G., Lozhkina M.V., Kovalenko E.V. Key features of candesartan application in clinical practice. Consilium Medicum. 2016; 18 (1): 54–9. [in Russian]
16. Le MT, De Bakcer JP, Hanyady L et al. Ligand binding and functional properties of human angiotensin AT I receptors in transiently and stably expressed CHO-K1 cell. Eur J Pharmacol 2005; 513 (1–2): 35–45.
17. Ostroumova O.D., Bondarets O.V., Guseva T.F. The benefits of candesartan usage in the treatment of arterial hypertension. Systemic Hypertension. 2014; 10 (2): 62–6. [in Russian]
18. Lee HY, Hong BK, Chung WJ et al. Phase IV, 8-week, multicenteral, randomized, active treatment-controlled, parallel grope, efficacy and tolerability of candesartan cilexetil combined with hydrochlorothiazide in Korean adults with stage II hypertension. Clin Ther 2011; 33 (8): 1043–56.
19. Easthope SE, Jarvis B. Candesartan cilexetil in update of its use in essential hypertension. Drugs 2002; 62: 1253–87.
20. Vidi DG, While WB, Ridley E et al and the CLAIM Study Investigators. A forsed titration study of antihypertensive efficacy of candesartanin cilexetil in comparison to losartan. CLAIM Study II. J Hum Hypertens 2001; 15: 475–80.
21. Hasegawa H, Takano H, Kameda E et al. Effect of switching from telmisartan, valsartan, olmesartan or losartan, to candesartan on morning hypertension. Clin Exp Hypertens 2012; 34 (2): 86–91.
22. Minatoquchi S, Aoyama T, Kawai N et al. Comparative effect of candesartan and amlodipine, and effect of switching from valsartan, losartan, telmisartan and olmesartan to candesartan, on early morning hypertension and heart rate. Blood Press 2013; 22.
23. Ogihara T, Fujimoto A, Nakao K, Saruta T. CASE-J Trial Group. ARB candesartan and CCB amlodipine in hypertensive patients: the CASE-J trial. Exp Rev Cardiovasc Ther 2008; 6 (9): 1195–201.
24. Ogihara T, Nakao K, Fukui T et al. Effects of candesartan compared with amlodipine in hypertensive patients with high cardiovascular risks: candesartan antihypertensive survival evaluation in Japan trial. Hypertension 2008; 51 (2): 393–8.
25. Penicka M, Gregor P, Kerekes R et al. Candesartan use in Hypertrophic And Non-obstructive Cardiomyopathy Estate (CHANCE) Study. The effects of candesartan on left ventricular hypertrophy and function in nonobstructive hypertrophic cardiomyopathy: a pilot, randomized study. J Mol Diagn 2009; 11: 35–41.
26. Wolf-Maier K, Cooper RS, Banegas JR et al. Hypertension prevalence and blood pressure levels in 6 European countries, Canada, and the United States. JAMA 2003; 289: 2363–9.
27. Kurata A, Nishizawa H, Kihara S et al. Blockade of angiotensin II type-1 receptor reduces oxidative stress in adipose tissue and ameliorates adipocytokine dysregulation. Kidney Int 2006; 70: 1717–24.
28. Rudziftski W, Swiat M, Tomaszewski M et al. Cerebral hemodynamics and investigations of cerebral blood flow regulation. Nucl Med Rev Cent East Eur 2007; 10: 29–42.
29. Lithell H, Hansson L, Skoog I et al. SCOPE Study Group. The Study on Cognition and Prognosis in the Elderly (SCOPE): principal results of a randomized double-blind intervention trial. J Hypertens 2003; 21: 875–86.
30. Schrader J, Kulschewski A et al. Acute Candesartan Cilexetil Therapy in Stroke Survivors Study Group. The ACCESS Study: evaluation of Acute Candesartan Cilexetil Therapy in Stroke Survivors. Stroke 2003; 34: 1699–703.
31. Kasanuki H, Hagiwara N, Hosoda S et al. Angiotensin II receptor blocker-based vs non-angiotensin II receptor blocker-based therapy in patients with angiographically documented coronary artery disease and hypertension: the Heart Institute of Japan Candesartan Randomized Trial for Evaluation in Coronary Artery Disease (HIJ-CREATE). Eur Heart J 2009; 30 (10): 1203–12.
32. Burnier M. Managing 'resistance': is adherence a target for treatment? Curr Opin Nephrol Hypertens 2014; 23 (5): 439–43.
33. Fliser D, Wagner K, Loss A et al. Chronic angiotensin II receptor blockade reduces (intra)renal vascular resistance in patients with type 2 diabetes. J Am Soc Nephrol 2005; 16: 1135–40.
34. De Rosa ML. Cardio classics revisited – focus on the role of candesartan. Vas Health Risk Management 2010; 6: 1047–63.
35. Pfeffer MA, Swedberg K, Granger CB et al. For the CHARM Investigators and Committees. Effects of candesartan on mortality and morbidity in patients with chronic heart failure: the CHARM-Overall programme. Lancet 2003; 362: 759–66.
36. Granger CB, McMurray JJV, Yusuf S et al. For the CHARM Investigators and Committees. Effects of candesartan in patients with chronic heart failure and reduced left ventricular systolic function intolerant to angiotensin converting enzyme inhibitors: the CHARM-Alternative trial. Lancet 2003; 362: 772–6.
37. McMurray JJV, Оstergren J, Swedberg K et al. For the CHARM Investigators and Committees. Effects of candesartan in patients with chronic heart failure and reduced left ventricular systolic function taking angiotensin converting enzyme inhibitors: the CHARM-Added trial. Lancet 2003; 362: 767–71.
38. Yusuf S, Pfeffer MA, Swedberg K et al for the CHARM Investigators and Committees. Effects of candesartan in patients with chronic heart failure and preserved left ventricular ejection fraction: the CHARM-Preserved Trial. Lancet 2003; 362: 777–81.
39. Chazova I.E., Ratova L.G. Pervoe pokolenie sartanov: est' li perspektivy. Systemic Hypertension. 2010; 4: 3–7. [in Russian]
40. Ducharme A, Swedberg K, Pfeffer MA et al. CHARM Investigators. Prevention of atrial fibrillation in patients with symptomatic chronic heart failure by candesartan in the Candesartan in Heart failure: Assessment of Reduction in Mortality and morbidity (CHARM) program. Am Heart J 2006; 152: 86–92.
41. Dobrynina N.V. What we know about candesartan: clinical applications. Consilium Medicum. 2016; 18 (5): 64–6. [in Russian]
Авторы
С.А.Бернс*, Р.И.Стрюк
ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И.Евдокимова» Минздрава России. 127473, Россия, Москва, ул. Делегатская, д. 20, стр. 1
*svberns@yandex.ru
________________________________________________
S.A.Berns*, R.I.Striuk
A.I.Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of the Russian Federation. 127473, Russian Federation, Moscow, ul. Delegatskaia, d. 20, str. 1
*svberns@yandex.ru