Evidence map›Paper›PMID 26475266›Full record

Trial reportBMC nephrology2015

Orally active prostacyclin analogue beraprost sodium in patients with chronic kidney disease: a randomized, double-blind, placebo-controlled, phase II dose finding trial.

Akio Koyama, Toshiro Fujita, Fumitake Gejyo, Hideki Origasa, Masanao Isono, Hajimu Kurumatani, Kiyonobu Okada, Hiroyuki Kanoh, Takashi Kiriyama, Shunsuke Yamada

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC nephrology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02480751 (TRK-100STP PhaseII Clinical Study -Chronic Renal Failure), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 20% 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.

NCT02480751 phase2completednot on this map

TRK-100STP PhaseII Clinical Study -Chronic Renal Failure (Primary Glomerular Disease/Nephrosclerosis)

TypeinterventionalSponsorToray Industries, IncRan2005Enrolled113ConditionsRenal Insufficiency, ChronicArmsBeraprost, Placebo
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 19 citations in OpenAlex.

  1. Prostacyclin analog beraprost sodium efficacy in primary glomerular disease or nephrosclerosis: Analysis of the Japanese subgroup in CASSIOPEIR study.Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy · 2021
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  8. PGIInternational journal of molecular sciences · 2020
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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

10 authors at 6 institutions in 2 countries.

Akio KoyamaUniversity of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8577, Japan. koyama.akio.dy@alumni.tsukuba.ac.jp.
Toshiro FujitaDivision of Clinical Epigenetics, Research Center for Advanced Science and Technology, The University of Tokyo, 4-6-1 Komaba, Meguro-ku, Tokyo, 153-8904, Japan. Toshiro.FUJITA@rcast.u-tokyo.ac.jp.
Fumitake GejyoNiigata University, 1-757, Asahimachi-dori, Chuo-ku, Niigata, 951-8510, Japan. gejyo@med.niigata-u.ac.jp.
Hideki OrigasaDivision of Biostatistics and Clinical Epidemiology, Graduate School of Medicine and Pharmaceutical Sciences, The University of Toyama, 2630 Sugitani, Toyama City, 930-0194, Japan. horigasa@las.u-toyama.ac.jp.
Masanao IsonoToray Industries, Inc., 1-1, Nihonbashi-Muromachi 2-chome, Chuo-ku, Tokyo, 103-8666, Japan. Masanao_Isono2@nts.toray.co.jp.
Hajimu KurumataniToray Industries, Inc., 1-1, Nihonbashi-Muromachi 2-chome, Chuo-ku, Tokyo, 103-8666, Japan. Hajimu_Kurumatani@nts.toray.co.jp.
Kiyonobu OkadaToray Industries, Inc., 1-1, Nihonbashi-Muromachi 2-chome, Chuo-ku, Tokyo, 103-8666, Japan. Kiyonobu_Okada@nts.toray.co.jp.
Hiroyuki KanohAstellas Pharma Inc., 2-5-1 Nihonbashi-honcho, Chuo-ku, Tokyo, 103-8411, Japan. hiroyuki.kanoh@astellas.com.
Takashi KiriyamaAstellas Pharma Inc., 2-5-1 Nihonbashi-honcho, Chuo-ku, Tokyo, 103-8411, Japan. takashi.kiriyama@astellas.com.
Shunsuke YamadaAstellas Pharma Inc., 2-5-1 Nihonbashi-honcho, Chuo-ku, Tokyo, 103-8411, Japan. shunsuke.yamada@astellas.com.
Astellas Pharma (Japan) · JPToray (United States) · USNiigata University Medical and Dental Hospital · JPThe University of Tokyo · JPUniversity of Toyama · JPUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence increasingly points to the importance of chronic hypoxia in the tubulointerstitium as a final common pathway to end-stage renal disease (ESRD). Beraprost sodium (BPS) is an orally active prostacyclin (PGI2) analogue demonstrating prevention of the progression of chronic kidney disease (CKD) in various animal models by maintaining renal blood flow and attenuating renal ischemic condition.

methodsThis multicenter, randomized, double-blind, placebo-controlled, phase II trial was designed to determine the recommended dose of the sustained-release form of BPS (TRK-100STP 120 μg/day or 240 μg/day) in Japanese patients with CKD. TRK-100STP was administered to a total of 112 patients. The primary efficacy endpoint was the difference in the slope of the regression line of reciprocal of serum creatinine (1/SCr) over time, obtained by the least-squares method.

resultsRegarding the primary endpoint, statistical superiority of TRK-100STP 240 μg over placebo was not confirmed and so a recommended dose was not determined. Compared to placebo, however, the slope of regression line of 1/SCr, elevation of SCr and serum cystatin C during the treatment period revealed greater improvement at 120 μg, at both doses, and at 240 μg, respectively. In terms of safety, both TRK-100STP treatment groups were well tolerated.

conclusionsAlthough the study failed to meet the primary endpoint, results indicate that TRK-100STP may potentially prevent the decline in renal function of CKD patients independent of blood pressure or urinary protein levels.

trial registrationNCT02480751. June 21, 2015.

Indexed as

Administration, OralAdultAgedCreatinineCystatin CDelayed-Action PreparationsDisease ProgressionDouble-Blind MethodEpoprostenolFemaleGlomerular Filtration RateHumansMaleMiddle AgedRenal Insufficiency, ChronicVasodilator AgentsberaprostCreatinineCystatin CDelayed-Action PreparationsEpoprostenolVasodilator Agents

Identifiers

PMID26475266
PMCPMC4608181
OpenAlexW1931152515

What OpenQuestion holds

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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.