Evidence map›Paper›PMID 26224879›Full record

Trial reportClinical journal of the American Society of Nephrology : CJASN2015

Pravastatin Therapy and Biomarker Changes in Children and Young Adults with Autosomal Dominant Polycystic Kidney Disease.

Jelena Klawitter, Kim McFann, Alexander T Pennington, Wei Wang, Jost Klawitter, Uwe Christians, Robert W Schrier, Berenice Gitomer, Melissa A Cadnapaphornchai

Open access · bronzeAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Clinical journal of the American Society of Nephrology : CJASN, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Inhibition of the inflammasome ameliorates orthologous polycystic kidney disease.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  5. Polycystic Kidney Disease in Children: The Current Status and the Next Horizon.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2025
    Review
  6. Article
  7. Kynurenines in polycystic kidney disease.Journal of nephrology · 2023
    Article
  8. Review
  9. Article
  10. Endocannabinoid System in Polycystic Kidney Disease.American journal of nephrology · 2022
    Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. 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

9 authors at 1 institution in 2 countries.

Jelena KlawitterDivision of Renal Diseases and Hypertension, Department of Anesthesiology, and jelena.klawitter@ucdenver.edu.
Kim McFannDivision of Renal Diseases and Hypertension.
Alexander T PenningtonDepartment of Anesthesiology, and.
Wei WangDivision of Renal Diseases and Hypertension.
Jost KlawitterDepartment of Anesthesiology, and.
Uwe ChristiansDepartment of Anesthesiology, and.
Robert W SchrierDivision of Renal Diseases and Hypertension.
Berenice GitomerDivision of Renal Diseases and Hypertension.
Melissa A CadnapaphornchaiDivision of Renal Diseases and Hypertension, Department of Pediatrics, University of Colorado, Aurora, Colorado.
Metabolism and Renal Physiology · FR

Funding

Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
NCATS NIH HHS UL1 TR001082
6 · The paper itself

Abstract

BACKGROUND AND

objectivesDisease-specific treatment options for autosomal dominant polycystic kidney disease are limited. Clinical intervention early in life is likely to have the greatest effect. In a 3-year randomized double-blind placebo-controlled phase 3 clinical trial, the authors recently showed that pravastatin decreased height-corrected total kidney volume (HtTKV) progression of structural kidney disease over a 3-year period. However, the underlying mechanisms have not been elucidated. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Participants were recruited nationally from July 2007 through October 2009. Plasma and urine samples collected at baseline, 18 months, and 36 months from 91 pediatric patients enrolled in the above-mentioned clinical trial were subjected to mass spectrometry-based biomarker analysis. Changes in biomarkers over 3 years were compared between placebo and pravastatin-treated groups. Linear regression was used to evaluate the changes in biomarkers with the percent change in HtTKV over 3 years.

resultsChanges in plasma concentrations of proinflammatory and oxidative stress markers (9- hydroxyoctadecadienoic acid, 13-hydroxyoctadecadienoic acid, and 15-hydroxyeicosatetraenoic acid [HETE]) over 3 years were significantly different between the placebo and pravastatin-treated groups, with the pravastatin group showing a lower rate of biomarker increase. Urinary 8-HETE, 9-HETE, and 11-HETE were positively associated with the changes in HtTKV in the pravastatin group.

conclusionsPravastatin therapy diminished the increase of cyclooxygenase- and lipoxygenase-derived plasma lipid mediators. The identified biomarkers and related molecular pathways of inflammation and endothelial dysfunction may present potential targets for monitoring of disease severity and therapeutic intervention of autosomal dominant polycystic kidney disease.

Indexed as

12-Hydroxy-5,8,10,14-eicosatetraenoic AcidAdolescentBiomarkersChildFemaleHumansHydroxyeicosatetraenoic AcidsHydroxymethylglutaryl-CoA Reductase InhibitorsLinoleic AcidsMaleOrgan SizeOxidative StressPolycystic Kidney, Autosomal DominantPravastatinTime FactorsYoung Adult11-hydroxy-5,8,12,14-eicosatetraenoic acid12-Hydroxy-5,8,10,14-eicosatetraenoic Acid13-hydroxy-9,11-octadecadienoic acid15-hydroxy-5,8,11,13-eicosatetraenoic acid8-hydroxyeicosatetraenoic acidBiomarkersHydroxyeicosatetraenoic AcidsHydroxymethylglutaryl-CoA Reductase InhibitorsLinoleic AcidsPravastatinangiotensin-converting enzyme inhibitorsautosomal dominant polycystic kidney diseaseoxidative stresspediatric nephrologystatins

Identifiers

PMID26224879
PMCPMC4559520
OpenAlexW2240703978

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.