BPROAD
Blood Pressure Control Targets in Diabetes
Patient / Population Intervention / Exposure Comparison Outcome
In 12,821 patients with type 2 diabetes, intensive blood-pressure control to below 120 mm Hg reduced major cardiovascular events compared with a target below 140 mm Hg.
N
12,821
Design
Open-label RCT
Endpoint
Major cardiovascular events
Relevance
2
ResultHR 0.79 (21 % RRR); more hyperkalaemia in the intensive arm.
Bi Y, et al. N Engl J Med. 2025;392(12):1155-1167. 10.1056/NEJMoa2412006
Discussion & critique
Overturns the neutral ACCORD-BP result and extends the intensive target to diabetes. Chinese cohort; monitoring for AKI and hyperkalaemia is essential.