Evidence map›Paper›PMID 20089507›Full record

ArticleClinical journal of the American Society of Nephrology : CJASN2010

The HALT polycystic kidney disease trials: design and implementation.

Arlene B Chapman, Vicente E Torres, Ronald D Perrone, Theodore I Steinman, Kyongtae T Bae, J Philip Miller, Dana C Miskulin, Frederic Rahbari Oskoui, Amirali Masoumi, Marie C Hogan and 6 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Clinical journal of the American Society of Nephrology : CJASN, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01932450 (A Randomized, Open-label Study Investigating the Effect of Bilateral Renal Artery Sympathetic Denervation by Catheter-based Radiofrequency Ablation on Blood Pressure and Disease Progression in Autosomal Dominant Polycystic Kidney Disease), which is not on this map. Cited by 78 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 2 pooled it
7.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01932450 phase2unknown statusnot on this mapstarted 2013, after this paper: background citation

A Randomized, Open-label Study Investigating the Effect of Bilateral Renal Artery Sympathetic Denervation by Catheter-based Radiofrequency Ablation on Blood Pressure and Disease Progression in Autosomal Dominant Polycystic Kidney Disease

TypeinterventionalSponsorMei changlinRan2013 to 2015Enrolled100ConditionsAutosomal Dominant Polycystic Kidney Disease, HypertensionArmsrenal sympathetic denervation, antihypertensive drugs
3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 2 syntheses or guidelines pooled it, 144 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Patterns of Kidney Function Decline in Autosomal Dominant Polycystic Kidney Disease: A Post Hoc Analysis From the HALT-PKD Trials.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2018
    Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Endothelial dysfunction and oxidative stress in polycystic kidney disease.American journal of physiology. Renal physiology · 2014
    Trial
  9. Trial
  10. Trial
  11. Health-related quality of life in patients with autosomal dominant polycystic kidney disease and CKD stages 1-4: a cross-sectional study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2014
    Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Renal blood flow and progression to kidney failure in ADPKD.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Observational
  17. Evolution of Clinical Trial Design in ADPKD.Kidney international reports · 2026
    Review
  18. Article
  19. ADPKD Progression by Variant Type and Molecular Domain Among Participants in the HALT PKD Trial.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Article
  20. Article

18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 11 institutions in 1 country.

Arlene B ChapmanEmory University School of Medicine, Atlanta, GA 30322, USA. Arlene_chapman@emory.org
Vicente E Torres
Ronald D Perrone
Theodore I Steinman
Kyongtae T Bae
J Philip Miller
Dana C Miskulin
Frederic Rahbari Oskoui
Amirali Masoumi
Marie C Hogan
Franz T Winklhofer
William Braun
Paul A Thompson
Catherine M Meyers
Cass Kelleher
Robert W Schrier
University of Colorado Anschutz Medical Campus · USEmory University · USHypertension Institute · USTufts University · USCleveland Clinic · USHarvard University Press · USNational Institutes of Health · USUniversity of Kansas · USUniversity of Pittsburgh · USUniversity of South Dakota · USWashington University in St. Louis · US

Funding

MAYO CLINIC CENTER FOR TRANSLATIONAL SCIENCE ACTIVITIESUL1RR024150 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$66.4M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
ZOPOLRESTAT PHARMACOKINETICS IN DIABETICS WITH VARYING RENAL FUNCTIONM01RR000051 · NCRR · UNIVERSITY OF COLORADO DENVER · PI ALBERT, RICHARD K · 1985 to 2008
$52.6M
Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
ZESTRIL VS. VERAPAMIL IN THE TREATMENT OF HYPERTENSIONM01RR000585 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 1985 to 2006
$30.4M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
X LINKED NYSTAGMUS SYNDROME WITH FEATURES OF ALBINISMM01RR000039 · NCRR · EMORY UNIVERSITY · PI QUYYUMI, ARSHED A · 1985 to 2007
$21.3M
TUFTS CLINICAL AND TRANSLATION SCIENCE INSTITUTE (UL1): BPCAUL1RR025752 · NCRR · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2008 to 2011
$17.6M
ZIDOVUDINE &LAMIVUDINE ALONE OR IN COMBINATION ON BODY COMPOSITIONM01RR000054 · NCRR · TUFTS MEDICAL CENTER · PI MENON, VANDANA · 1985 to 2005
$12.2M
Controlled Trial of Renin Angiotensin Blockade in ADPKDU01DK062410 · NIDDK · MAYO CLINIC ROCHESTER · PI TORRES, VICENTE E · 2002 to 2013
$9.7M
NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR000454NCRR NIH HHS M01 RR000039NCRR NIH HHS M01 RR000051NCRR NIH HHS M01 RR000054NCRR NIH HHS M01 RR000585NCRR NIH HHS M01 RR023940NCRR NIH HHS RR000039NCRR NIH HHS RR000051NCRR NIH HHS RR000054NCRR NIH HHS RR00585NCRR NIH HHS RR024150NCRR NIH HHS RR024992NCRR NIH HHS RR025008NCRR NIH HHS RR025752NCRR NIH HHS RR025780NCRR NIH HHS RR23940NCRR NIH HHS UL1 RR024150NCRR NIH HHS UL1 RR024992NCRR NIH HHS UL1 RR025008NCRR NIH HHS UL1 RR025752NCRR NIH HHS UL1 RR025780NIDDK NIH HHS DK62401NIDDK NIH HHS DK62402NIDDK NIH HHS DK62408NIDDK NIH HHS DK62410NIDDK NIH HHS DK62411NIDDK NIH HHS U01 DK062401NIDDK NIH HHS U01 DK062402NIDDK NIH HHS U01 DK062408NIDDK NIH HHS U01 DK062410NIDDK NIH HHS U01 DK062411
6 · The paper itself

Abstract

BACKGROUND AND

objectivesTwo HALT PKD trials will investigate interventions that potentially slow kidney disease progression in hypertensive autosomal dominant polycystic kidney disease (ADPKD) patients. Studies were designed in early and later stages of ADPKD to assess the impact of intensive blockade of the renin-angiotensin-aldosterone system and level of BP control on progressive renal disease. Design, settings, participants, and measurements: PKD-HALT trials are multicenter, randomized, double-blind, placebo-controlled trials studying 1018 hypertensive ADPKD patients enrolled over 3 yr with 4 to 8 yr of follow-up. In study A, 548 participants, estimated GFR (eGFR) of >60 ml/min per 1.73 m(2) were randomized to one of four arms in a 2-by-2 design: combination angiotensin converting enzyme inhibitor (ACEi) and angiotensin receptor blocker (ARB) therapy versus ACEi monotherapy at two levels of BP control. In study B, 470 participants, eGFR of 25 to 60 ml/min per 1.73 m2 compared ACEi/ARB therapy versus ACEi monotherapy, with BP control of 120 to 130/70 to 80 mmHg. Primary outcomes of studies A and B are MR-based percent change kidney volume and a composite endpoint of time to 50% reduction of baseline estimated eGFR, ESRD, or death, respectively.

resultsThis report describes design issues related to (1) novel endpoints such as kidney volume, (2) home versus office BP measures, and (3) the impact of RAAS inhibition on kidney and patient outcomes, safety, and quality of life.

conclusionsHALT PKD will evaluate potential benefits of rigorous BP control and inhibition of the renin-angiotensin-aldosterone system on kidney disease progression in ADPKD.

Indexed as

Angiotensin Receptor AntagonistsAngiotensin-Converting Enzyme InhibitorsDisease ProgressionDouble-Blind MethodDrug Therapy, CombinationHumansHypertensionKidney DiseasesMiddle AgedMulticenter Studies as TopicPolycystic Kidney, Autosomal DominantRandomized Controlled Trials as TopicAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor Antagonists

Identifiers

PMID20089507
PMCPMC2801653
OpenAlexW2146420434

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.