Heart failure & cardiomyopathies

Analysis of the PARAGON-HF Study Results Using Win Ratio

Circ Heart FailPublished Secondary analysis of the PARAGON-HF randomised trial

Primary resultResult — go to the resultWin ratio 1.13 95% CI 1.04–1.23

Authors' conclusion

Employing the innovative win ratio approach, sacubitril-valsartan demonstrated significant clinical benefits among patients with HF with preserved ejection fraction. Notably, this benefit was observed irrespective of left ventricular ejection fraction and sex.

Study context

Population
Patients with HFpEF
Participants
4,822 patients
Comparison
Sacubitril-valsartan vs valsartan
Primary endpoint
Hierarchical composite of:
  1. Time to CV death
  2. Total heart failure (HF) hospitalizations
  3. Time to first HF hospitalization
  4. Time to renal composite outcome
  5. Change in KCCQ total symptom score at 8 months
(win ratio)
Methodological detailswin ratio analysis
  • Win ratio analysis

Primary result

As reported in the abstract

Win ratio

1.13

95% CI 1.04–1.23

P = 0.005

Sacubitril-valsartanvs Valsartan
win ratio 1.13 (95% CI 1.04–1.23); P = 0.005

Further findings

Win ratio by LVEF (above vs below median 57%) and by sex (subgroups)

Benefit regardless of LVEF above or below median (57%) and regardless of sex
  • Interaction P=0.76 for LVEF
  • Interaction P=0.73 for sex

Original publication

Analysis of the PARAGON-HF Study Results Using Win Ratio. Circ Heart Fail. Published 28 August 2024. doi:10.1161/circheartfailure.124.011860

Composed by AI from the published abstract and checked against it. How Briefs are made →

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