Heart failure & cardiomyopathies

Effects of angiotensin-neprilysin inhibition in women vs men: Insights from PARAGLIDE-HF

Am Heart JPublished Secondary analysis of the PARAGLIDE-HF randomised trial

Authors' conclusion

In patients with mildly reduced or preserved EF >40% and a recent worsening HF event, the efficacy, safety and tolerability of sac/val vs valsartan were similar in both women and men, suggesting consistent effects across appropriately selected patients regardless of sex.

Study context

Population
Patients with mildly reduced or preserved EF >40% and a recent worsening HF event; women vs men242 women · 224 men
Comparison
Sacubitril/valsartan vs valsartan, by sex
Primary endpoint
Time-averaged proportional change in NT-proBNP from baseline
Follow-up
Weeks 4 and 8
Methodological detailsprespecified subgroup analysis
  • Prespecified subgroup analysis

Primary result

As reported in the abstract

Time-averaged NT-proBNP reduction, by sex

Ratio of change

0.86

95% CI 0.69–1.070

women

Ratio of change

0.84

95% CI 0.67–1.05

men

Secondary outcomes

OutcomeRatio of change (95% CI)
Time-averaged NT-proBNP reduction, overall population0.85 (0.73–0.999)

Secondary hierarchical endpoint, by sex

Favoured sac/val over valsartan in both women and men but not statistically significant

Original publication

Effects of angiotensin-neprilysin inhibition in women vs men: Insights from PARAGLIDE-HF. Am Heart J. Published 31 March 2025. doi:10.1016/j.ahj.2025.03.017

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

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