Evidence map›Paper›PMID 24342522›Full record

Trial reportAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2014

Rationale and design of the DIPAK 1 study: a randomized controlled clinical trial assessing the efficacy of lanreotide to Halt disease progression in autosomal dominant polycystic kidney disease.

Esther Meijer, Joost P H Drenth, Hedwig d'Agnolo, Niek F Casteleijn, Johan W de Fijter, Tom J Gevers, Peter Kappert, Dorien J M Peters, Mahdi Salih, Darius Soonawala and 7 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01616927 (The DIPAK 1 Study), which is not on this map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
5.8field-weighted citation impact, top 4% 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.

NCT01616927 phase3unknown statusnot on this map

The DIPAK 1 Study: A Randomised, Controlled Clinical Trial Assessing the Efficacy of Lanreotide to Halt Disease Progression in ADPKD

TypeinterventionalSponsorUniversity Medical Center GroningenRan2012 to 2017Enrolled300ConditionsAutosomal Dominant Polycystic Kidney Disease (ADPKD)ArmsLanreotide
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Evolution of Clinical Trial Design in ADPKD.Kidney international reports · 2026
    Review
  9. Article
  10. Article
  11. The association of urinary epidermal growth factors with ADPKD disease severity and progression.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    Article
  12. Review
  13. Serum bicarbonate is associated with kidney outcomes in autosomal dominant polycystic kidney disease.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2021
    Article
  14. Thiazide diuretics and the rate of disease progression in autosomal dominant polycystic kidney disease: an observational study.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2021
    Observational
  15. Article
  16. Somatostatin in renal physiology and autosomal dominant polycystic kidney disease.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2020
    Review
  17. Article
  18. Article
  19. Article
  20. 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

17 authors at 5 institutions in 2 countries.

Esther MeijerDepartment of Nephrology, University Medical Center Groningen, University Hospital Groningen, Groningen, the Netherlands. Electronic address: esther.meijer@umcg.nl.
Joost P H DrenthDepartment of Gastroenterology and Hepatology, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands.
Hedwig d'AgnoloDepartment of Gastroenterology and Hepatology, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands.
Niek F CasteleijnDepartment of Nephrology, University Medical Center Groningen, University Hospital Groningen, Groningen, the Netherlands.
Johan W de FijterDepartment of Nephrology, Leiden University Medical Center, Leiden, the Netherlands.
Tom J GeversDepartment of Gastroenterology and Hepatology, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands.
Peter KappertDepartment of Radiology, University Medical Center Groningen, Groningen, the Netherlands.
Dorien J M PetersDepartment of Human Genetics, Leiden University Medical Center, Leiden, the Netherlands.
Mahdi SalihDepartment of Nephrology, Erasmus Medical Center Rotterdam, Rotterdam, the Netherlands.
Darius SoonawalaDepartment of Nephrology, Leiden University Medical Center, Leiden, the Netherlands.
Edwin M SpithovenDepartment of Nephrology, University Medical Center Groningen, University Hospital Groningen, Groningen, the Netherlands.
Vicente E TorresDepartment of Nephrology and Hypertension, Mayo Clinic, Rochester, MN.
Folkert W VisserDepartment of Nephrology, University Medical Center Groningen, University Hospital Groningen, Groningen, the Netherlands.
Jack F M WetzelsDepartment of Nephrology, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands.
Robert ZietseDepartment of Nephrology, Erasmus Medical Center Rotterdam, Rotterdam, the Netherlands.
Ron T GansevoortDepartment of Nephrology, University Medical Center Groningen, University Hospital Groningen, Groningen, the Netherlands.
DIPAK Consortium
University Medical Center Groningen · NLRadboud University Nijmegen · NLLeiden University Medical Center · NLErasmus MC · NLMayo Clinic · US

Funding

Pilot and FeasibilityP30DK090728 · NIDDK · MAYO CLINIC ROCHESTER · PI TORRES, VICENTE E · 2010 to 2019
$11.8M
NIDDK NIH HHS P30 DK090728
6 · The paper itself

Abstract

backgroundThere are limited therapeutic options to slow the progression of autosomal dominant polycystic kidney disease (ADPKD). Recent clinical studies indicate that somatostatin analogues are promising for treating polycystic liver disease and potentially also for the kidney phenotype. We report on the design of the DIPAK 1 (Developing Interventions to Halt Progression of ADPKD 1) Study, which will examine the efficacy of the somatostatin analogue lanreotide on preservation of kidney function in ADPKD. STUDY

designThe DIPAK 1 Study is an investigator-driven, randomized, multicenter, controlled, clinical trial. SETTING &

participantsWe plan to enroll 300 individuals with ADPKD and estimated glomerular filtration rate (eGFR) of 30-60 mL/min/1.73 m(2) who are aged 18-60 years.

interventionPatients will be randomly assigned (1:1) to standard care or lanreotide, 120 mg, subcutaneously every 28 days for 120 weeks, in addition to standard care. OUTCOMES: Main study outcome is the slope through serial eGFR measurements starting at week 12 until end of treatment for lanreotide versus standard care. Secondary outcome parameters include change in eGFR from pretreatment versus 12 weeks after treatment cessation, change in kidney volume, change in liver volume, and change in quality of life. MEASUREMENTS: Blood and urine will be collected and questionnaires will be filled in following a fixed scheme. Magnetic resonance imaging will be performed for assessment of kidney and liver volume.

resultsAssuming an average change in eGFR of 5.2 ± 4.3 (SD) mL/min/1.73 m(2) per year in untreated patients, 150 patients are needed in each group to detect a 30% reduction in the rate of kidney function loss between treatment groups with 80% power, 2-sided α = 0.05, and 20% protocol violators and/or dropouts. LIMITATIONS: The design is an open randomized controlled trial and measurement of our primary end point does not begin at randomization.

conclusionsThe DIPAK 1 Study will show whether subcutaneous administration of lanreotide every 4 weeks attenuates disease progression in patients with ADPKD.

Indexed as

AdolescentAdultAntineoplastic AgentsDisease ProgressionDose-Response Relationship, DrugFemaleFollow-Up StudiesGlomerular Filtration RateHumansInjections, SubcutaneousMaleMiddle AgedPeptides, CyclicPolycystic Kidney, Autosomal DominantQuality of LifeSomatostatinAntineoplastic AgentslanreotidePeptides, CyclicSomatostatincyst progressiondisease trajectoryglomerular filtration rate (GFR)kidney volumePolycystic kidney disease (PKD)quality of life (QoL)renal diseasesomatostatin analog

Identifiers

PMID24342522
PMCPMC4042404
OpenAlexW2148179170

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.