JAMA Editors' Summary cover image

JAMA Editors' Summary

Lorundrostat for Hypertension, Autoimmunity After COVID-19, Childhood Cancer Survivor Care, and more

Sep 26, 2023
Topics discussed in this podcast include a new hypertension treatment, the impact of COVID-19 on diabetes development, healthcare worker well-being, abortion-related risks, the use of unclaimed bodies in medical education, the risk of RH sensitization from induced first trimester abortions, legislation impacting Medicare coverage, improving healthcare quality measurement, clinical care for childhood cancer survivors, and addressing the complex driving needs of an aging population.
10:56

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Quick takeaways

  • Lorundrostat, an Aldosterone Synthase inhibitor, showed promising results in reducing blood pressure in adults with uncontrolled hypertension.
  • Children who developed SARS-CoV-2 antibodies had a higher incidence of islet autoantibodies, indicating increased vulnerability to pancreatic islet cell autoimmunity and potential link to type 1 diabetes precursor.

Deep dives

Aldosterone Synthase Inhibition with Laryundra stat for Uncontrolled Hypertension

In a dose-ranging trial, the safety and efficacy of Laryundra stat, an Aldosterone Synthase inhibitor, were evaluated in adults with uncontrolled hypertension. Participants who received the 50 and 100 milligram doses of Laryundra stat experienced significantly greater reductions in blood pressure compared to placebo, with a 10 millimeter difference at the 50 milligram dose and an 8 millimeter difference at the 100 milligram dose. The accompanying editorial suggests that targeting the synthesis of Aldosterone, as Laryundra stat does, may offer improved therapy for patients with Aldosterone excess.

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