F. Gueyffier et al., INDANA - A METAANALYSIS ON INDIVIDUAL PATIENT DATA IN HYPERTENSION - PROTOCOL AND PRELIMINARY-RESULTS, Therapie, 50(4), 1995, pp. 353-362
The overall effect of antihypertensive drug treatment has been well do
cumented The proportion of patients who benefit varies according to th
eir baseline cardiovascular risk, and is small for the majority of peo
ple treated. Some investigators propose limiting the treatment target
population to patients at high cardiovascular risk, but several assump
tions must be made to justify this procedure. The INDANA project is a
meta-analysis based on individual patient data, and thus offers the op
portunity to check the validity of these assumptions. Its main objecti
ve is to identify responders (and non-responders) in the drug treatmen
t of hypertension. The rationale and methods for such an approach are
presented here, with the solution for some technical problems. The con
clusion of the data collection has shown that the project is feasible.
The results of the main analysis should be available in 1996, and sho
uld contribute to the selection of responders and to the individualiza
tion of the treatment of hypertension.