Evidence map›Paper›PMID 23999454›Full record

Trial reportEuropean heart journal2013

Effects of serelaxin in subgroups of patients with acute heart failure: results from RELAX-AHF.

Marco Metra, Piotr Ponikowski, Gad Cotter, Beth A Davison, G Michael Felker, Gerasimos Filippatos, Barry H Greenberg, Tsushung A Hua, Thomas Severin, Elaine Unemori and 2 more

Open access · greenAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in European heart journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
7.9field-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.

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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Serelaxin in acute heart failure patients with and without atrial fibrillation: a secondary analysis of the RELAX-AHF trial.Clinical research in cardiology : official journal of the German Cardiac Society · 2017
    Trial
  6. Trial
  7. Article
  8. Article
  9. Review
  10. Geographical differences in heart failure characteristics and treatment across Europe: results from the BIOSTAT-CHF study.Clinical research in cardiology : official journal of the German Cardiac Society · 2020
    Article
  11. Article
  12. Review
  13. Heart Disease and Relaxin: New Actions for an Old Hormone.Trends in endocrinology and metabolism: TEM · 2018
    Review
  14. The actions of relaxin on the human cardiovascular system.British journal of pharmacology · 2017
    Review
  15. Review
  16. Effects of serelaxin in acute heart failure patients with renal impairment: results from RELAX-AHF.Clinical research in cardiology : official journal of the German Cardiac Society · 2016
    Article
  17. Renal impairment and worsening of renal function in acute heart failure: can new therapies help? The potential role of serelaxin.Clinical research in cardiology : official journal of the German Cardiac Society · 2015
    Review
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 10 institutions in 5 countries.

Marco MetraCardiology, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
Piotr Ponikowski
Gad Cotter
Beth A Davison
G Michael Felker
Gerasimos Filippatos
Barry H Greenberg
Tsushung A Hua
Thomas Severin
Elaine Unemori
Adriaan A Voors
John R Teerlink
Athens State University · USDuke University · USMilitary Hospital · PKNovartis (Switzerland) · CHNovartis (United States) · USSan Francisco VA Medical Center · USTris Pharma (United States) · USUniversity of Brescia · ITUniversity of California, San Diego · USUniversity of Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimPatients hospitalized for acute heart failure (AHF) differ with respect of many clinical characteristics which may influence their prognosis and response to treatment. We have assessed possible differences in the effects of serelaxin on dyspnoea relief, 60 Day outcomes and 180 Day mortality across patient subgroups in the RELAX-AHF trial. METHODS AND

resultsSubgroups were based on pre-specified covariates (age, sex, race, geographic region, estimated glomerular filtration rate, time from presentation to randomization, baseline systolic blood pressure, history of diabetes, atrial fibrillation, ischaemic heart disease, cardiac devices, i.v. nitrates at randomization). Other covariates which may modify the efficacy of AHF treatment were also analysed. Subgroup analyses did not show any difference in the effects of serelaxin vs. placebo on dyspnoea relief or on the incidence of cardiovascular death or rehospitalizations for heart failure or renal failure at 60 days. Nominally significant interactions between some patient subgroups and the effects of serelaxin on 180 days cardiovascular and all-cause mortality were noted but should be interpreted cautiously due to the number of comparisons and the low incidence of deaths in the subgroups at lower risk.

conclusionThe effects of serelaxin vs. placebo appeared to be similar across subgroups of patients in RELAX-AHF.

Indexed as

Acute DiseaseAdultAgedCardiotonic AgentsCause of DeathDouble-Blind MethodDyspneaFemaleHeart FailureHospitalizationHumansInfusions, IntravenousMaleMiddle AgedNatriuretic Peptide, BrainPeptide FragmentsCardiotonic AgentsNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)Recombinant ProteinsRelaxinserelaxin protein, humanAcute heart failureMortalitySerelaxinSubgroups

Identifiers

PMID23999454
PMCPMC3800849
OpenAlexW2096133307

What OpenQuestion holds

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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.