Evidence map›Paper›PMID 23243212›Full record

Trial reportJournal of the American Society of Nephrology : JASN2013

Endothelin-A receptor antagonism modifies cardiovascular risk factors in CKD.

Neeraj Dhaun, Vanessa Melville, Scott Blackwell, Dinesh K Talwar, Neil R Johnston, Jane Goddard, David J Webb

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Society of Nephrology : JASN, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.9field-weighted citation impact, top 9% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
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  3. Novel protein biomarkers for risk stratification and personalized medicine.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
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  19. Chronic blockade of endothelin A and B receptors using macitentan in experimental renovascular disease.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2015
    Article
  20. Endothelin receptors and their antagonists.Seminars in nephrology · 2015
    Review
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

7 authors at 3 institutions in 1 country.

Neeraj DhaunDepartment of Renal Medicine, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom. bean.dhaun@ed.ac.uk
Vanessa Melville
Scott Blackwell
Dinesh K Talwar
Neil R Johnston
Jane Goddard
David J Webb
The Queen's Medical Research Institute · GBGlasgow Royal Infirmary · GBUniversity of Edinburgh · GB

Funding

British Heart Foundation PG/05/91
6 · The paper itself

Abstract

Arterial stiffness and impaired nitric oxide (NO) bioavailability contribute to the high risk for cardiovascular disease in CKD. Both asymmetric dimethylarginine (ADMA), an endogenous inhibitor of NO production, and endothelin-1 (ET-1) oppose the actions of NO, suggesting that ET-1 receptor antagonists may have a role in cardiovascular protection in CKD. We conducted a randomized, double-blind, three-way crossover study in 27 patients with proteinuric CKD to compare the effects of the ET(A) receptor antagonist sitaxentan, nifedipine, and placebo on proteinuria, BP, arterial stiffness, and various cardiovascular biomarkers. After 6 weeks of treatment, placebo and nifedipine did not affect plasma urate, ADMA, or urine ET-1/creatinine, which reflects renal ET-1 production; in contrast, sitaxentan led to statistically significant reductions in all three of these biomarkers. No treatment affected plasma ET-1. Reductions in proteinuria and BP after sitaxentan treatment was associated with increases in urine ET-1/creatinine, whereas reduction in pulse-wave velocity, a measure of arterial stiffness, was associated with a decrease in ADMA. Taken together, these data suggest that ET(A) receptor antagonism may modify risk factors for cardiovascular disease in CKD.

Indexed as

Endothelin Receptor AntagonistsAdultBiomarkersBlood PressureCardiovascular DiseasesCross-Over StudiesDouble-Blind MethodEndothelin-1FemaleHumansIsoxazolesMaleMiddle AgedNifedipineProteinuriaPulse Wave AnalysisBiomarkersEndothelin-1Endothelin Receptor AntagonistsIsoxazolesNifedipinesitaxsentanThiophenesVasodilator Agents

Identifiers

PMID23243212
PMCPMC3537212
OpenAlexW2121915301

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.