why does it matter?

see the #NephJC background on the topic here - with the science and the evidence so far

http://www.nephjc.com/news/covidace2 

https://www.nephjc.com/news/covi... href="https://twtext.com//hashtag/ESCCongress"> #ESCCongress

2/
this is just the first of many trials ongoing to report

see summary here http://www.nephjc.com/news/covidace2 ">https://www.nephjc.com/news/covi... collated by @Ricky_Turgeon & @jordy_bc

#ESCCongress
and it begins

My bet: negative trial

#ESCCongress #COVIDACE2
He calls it rennin https://abs.twimg.com/emoji/v2/... draggable="false" alt="🤦🏽‍♂️" title="Mann schlägt sich die Hand vors Gesicht (mittlerer Hautton)" aria-label="Emoji: Mann schlägt sich die Hand vors Gesicht (mittlerer Hautton)">
Is that a cardiologist out there?

#ESCCongress
trial design
excluded Entresto-users
also those on 3 or more antiHT drugs. Hmm

Good primary outcome
#ESCCongress
Brazil had it bad - but allowed them to recruit faster

#ESCCongress
figure 1

seems reasonable

would be curious about that 1 site with GCP violations

#ESCCongress
and table 1
~ 50% obese
all HT
very few CKD

#ESCCongress #BRACECORONA
disease severeity and medications at baseline

seems OK

#ESCCongress #BRACECORONA
primary outcome

called it

#ESCCongress #BRACECORONA
No difference in all cause mortality or clinical status at 30 days

#ESCCongress #BRACECorona
Most societies also did of course, see table collated by @Jordy_bc

Great to see that sensible thinking in the scientific way turns out to be correct unlike the speculation (in BMJ, Lancet, JH)

#ESCCongress
Should these ongoing trials go on?

These trial interventions are simila to #BRACECORONA. But we don’t see any signal of harm so far. I would argue we need replication and ext validation, so they should go on #ESCCongress
And these trials are different: starting an ARB! They should happen of course - though would nicer to have one or two large RCT than many small ones of course
#ESCCongress
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