Evidence map›Paper›PMID 26124642›Full record

ArticleDrug design, development and therapy2015

Characterization of renal biomarkers for use in clinical trials: effect of preanalytical processing and qualification using samples from subjects with diabetes.

David A Brott, Stephen T Furlong, Scott H Adler, James W Hainer, Ramin B Arani, Mark Pinches, Peter Rossing, Nish Chaturvedi, DIRECT Programme Steering Committee

Open access · goldAbstract readComparative Study
In one paragraph

Article in Drug design, development and therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. The Promise of Systems Biology for Diabetic Kidney Disease.Advances in chronic kidney disease · 2018
    Review
  4. Article
  5. The ZDSD rat: a novel model of diabetic nephropathy.American journal of translational research · 2017
    Article
  6. Article
  7. Urinary Markers of Tubular Injury in Early Diabetic Nephropathy.International journal of nephrology · 2016
    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

9 authors at 4 institutions in 2 countries.

David A BrottEnabling Safety Sciences, Wilmington, DE, USA.
Stephen T FurlongEnabling Safety Sciences, Wilmington, DE, USA.
Scott H AdlerEnabling Safety Sciences, Wilmington, DE, USA.
James W HainerAstraZeneca Pharmaceuticals, Wilmington, DE, USA.
Ramin B AraniAstraZeneca Pharmaceuticals, Wilmington, DE, USA.
Mark PinchesDrug Safety and Metabolism, AstraZeneca Pharmaceuticals, Alderley Park, UK.
Peter RossingSteno Diabetes Center, Gentofte, Denmark ; Aarhus University, Aarhus, Denmark ; University of Copenhagen, Denmark.
Nish ChaturvediInstitute of Cardiovascular Sciences, University College London, London, UK.
DIRECT Programme Steering Committee
AstraZeneca (United Kingdom) · GBAstraZeneca (United States) · USUniversity College London · GBWilmington University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdentifying the potential for drug-induced kidney injury is essential for the successful research and development of new drugs. Newer and more sensitive preclinical drug-induced kidney injury biomarkers are now qualified for use in rat toxicology studies, but biomarkers for clinical studies are still undergoing qualification. The current studies investigated biomarkers in healthy volunteer (HV) urine samples with and without the addition of stabilizer as well as in urine from patients with normoalbuminuric diabetes mellitus (P-DM).

methodsUrine samples from 20 male HV with stabilizer, 69 male HV without stabilizer, and 95 male DM without stabilizer (39 type 1 and 56 type 2) were analyzed for the following bio-markers using multiplex assays: α-1-microglobulin (A1M), β-2-microglobulin, calbindin, clusterin, connective tissue growth factor (CTGF), creatinine, cystatin-C, glutathione S-transferase α (GSTα), kidney injury marker-1 (KIM-1), microalbumin, neutrophil gelatinase-associated lipocalin, osteopontin, Tamm-Horsfall urinary glycoprotein (THP), tissue inhibitor of metalloproteinase 1, trefoil factor 3 (TFF3), and vascular endothelial growth factor.

resultsCTGF and GSTα assays on nonstabilized urine were deemed nonoptimal (>50% of values below assay lower limits of quantification). "Expected values" were determined for HV with stabilizer, HV without stabilizer, and P-DM without stabilizer. There was a statistically significant difference between HV with stabilizer compared to HV without stabilizer for A1M, CTGF, GSTα, and THP. DM urine samples differed from HV (without stabilizer) for A1M CTGF, GSTα, KIM-1, microalbumin, osteopontin, and TFF3. A1M also correctly identified HV and DM with an accuracy of 89.0%. SUMMARY: These studies: 1) determined that nonstabilized urine can be used for assays under qualification; and 2) documented that A1M, CTGF, GSTα, KIM-1, microalbumin, osteopontin, and TFF3 were significantly increased in urine from P-DM. In addition, the 89.0% accuracy of A1M in distinguishing P-DM from HV may allow this biomarker to be used to monitor efficacy of potential renal protective agents.

Indexed as

AdolescentAdultAgedClinical Trials as TopicDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diagnosis, DifferentialHealthy VolunteersHumansKidneyKidney DiseasesMaleMiddle AgedPredictive Value of TestsReproducibility of ResultsResearch Designdrug developmenthealthy volunteerskidney

Identifiers

PMID26124642
PMCPMC4482374
OpenAlexW1510403691

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LicenceCC BY-NC
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Registered trials

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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.