Evidence map›Paper›PMID 23379590›Full record

Trial reportBMC nephrology2013

Lanthanum carbonate for the treatment of hyperphosphatemia in CKD 5D: multicenter, double blind, randomized, controlled trial in mainland China.

Jing Xu, Yi-Xiang Zhang, Xue-Qing Yu, Zhi-Hong Liu, Li-Ning Wang, Jiang-Hua Chen, Ya-Ping Fan, Zhao-Hui Ni, Mei Wang, Fa-Huan Yuan and 4 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC nephrology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 6 pooled it
1.8field-weighted citation impact, top 16% 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

16 citing papers in PubMed, 6 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  6. Pooled it
  7. Article
  8. Article
  9. Effect of cerium oxide on iron metabolism in mice.Journal of clinical biochemistry and nutrition · 2024
    Article
  10. Article
  11. Observational
  12. Observational
  13. Article
  14. Lanthanum carbonate: safety data after 10 years.Nephrology (Carlton, Vic.) · 2016
    Review
  15. Article
  16. The elements of life and medicines.Philosophical transactions. Series A, Mathematical, physical, and engineering sciences · 2015
    Article
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

14 authors at 11 institutions in 1 country.

Jing XuDepartment of Nephrology, Changzheng Hospital, Second Military Medical University, Shanghai, China.
Yi-Xiang Zhang
Xue-Qing Yu
Zhi-Hong Liu
Li-Ning Wang
Jiang-Hua Chen
Ya-Ping Fan
Zhao-Hui Ni
Mei Wang
Fa-Huan Yuan
Guo-Hua Ding
Xiang-Mei Chen
Ai-Ping Zhang
Chang-Lin Mei
Second Military Medical University · CNArmy Medical University · CNChina Medical University · CNChinese PLA General Hospital · CNGeneral Hospital of Jinan Military Command · CNNanjing University · CNPeking University · CNRenji Hospital · CNRenmin Hospital of Wuhan University · CNSun Yat-sen University · CNZhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSerum phosphorus control is critical for chronic kidney disease (CKD) 5D patients. Currently, clinical profile for an oral phosphorus binder in the mainland Chinese population is not available.

objectiveTo establish the efficacy, safety, and tolerability of lanthanum carbonate in CKD 5D patients.

designMulticenter, randomized, double blind, placebo-controlled study. A central randomization center used computer generated tables to allocate treatments.

settingTwelve tertiary teaching hospitals and medical university affiliated hospitals in mainland China.

participantsOverall, 258 hemodialysis or continuous ambulatory peritoneal dialysis (CAPD) adult patients were enrolled.

interventionAfter a 0-3-week washout period and a 4-week lanthanum carbonate dose-titration period, 230 patients were randomized 1:1 to receive lanthanum carbonate (1500 mg-3000 mg) or placebo for a further 4-week maintenance phase.

main outcome measuresEfficacy and safety of lanthanum carbonate to achieve and maintain target serum phosphorus concentrations were assessed.

resultsIn the titration phase, serum phosphorus concentrations of all patients decreased significantly. About three-fifths achieved target levels without significantly disturbing serum calcium levels. At the end of the maintenance period, the mean difference in serum phosphorus was significantly different between the lanthanum carbonate and placebo-treated groups (0.63±0.62 mmol/L vs. 0.15±0.52 mmol/L, P < 0.001). The drug-related adverse effects were mild and mostly gastrointestinal in nature.

conclusionLanthanum carbonate is an efficacious and well-tolerated oral phosphate binder with a mild AE profile in hemodialysis and CAPD patients. This agent may provide an alternative for the treatment of hyperphosphatemia in CKD 5D patients in mainland China.

trial registrationNo. ChiCTR-TRC-10000817.

Indexed as

AdolescentAdultAgedChinaComorbidityDose-Response Relationship, DrugDouble-Blind MethodDrug-Related Side Effects and Adverse ReactionsFemaleHumansHyperphosphatemiaLanthanumMaleMiddle AgedPrevalenceRenal Insufficiency, ChronicLanthanumlanthanum carbonate

Identifiers

PMID23379590
PMCPMC3570485
OpenAlexW1976975615

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.