Evidence map›Paper›PMID 26614406›Full record

ReviewClinical journal of the American Society of Nephrology : CJASN2016

Lessons Learned from EVOLVE for Planning of Future Randomized Trials in Patients on Dialysis.

Patrick S Parfrey, Geoffrey A Block, Ricardo Correa-Rotter, Tilman B Drüeke, Jürgen Floege, Charles A Herzog, Gerard M London, Kenneth W Mahaffey, Sharon M Moe, David C Wheeler and 1 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Clinical journal of the American Society of Nephrology : CJASN, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. The Role of Analysis Populations and Estimands in Clinical Trials.Journal of the American Society of Nephrology : JASN · 2026
    Article
  3. Article
  4. Design considerations for future renoprotection trials in the era of multiple therapies for chronic kidney disease.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Article
  5. Article
  6. Review
  7. Review
  8. Calcimimetics versus parathyroidectomy: What is preferable?International urology and nephrology · 2018
    Review
  9. Observational
  10. Review
  11. Managing hyperparathyroidism in hemodialysis: role of etelcalcetide.International journal of nephrology and renovascular disease · 2018
    Review
  12. Article
  13. Patient Engagement in Kidney Research: Opportunities and Challenges Ahead.Canadian journal of kidney health and disease · 2017
    Review
  14. Pragmatic Clinical Trials in CKD: Opportunities and Challenges.Journal of the American Society of Nephrology : JASN · 2016
    Review
  15. 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

11 authors at 1 institution in 1 country.

Patrick S ParfreyDue to the number of contributing authors, the affiliations are provided in the Supplemental Material. pparfrey@mun.ca.
Geoffrey A BlockDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Ricardo Correa-RotterDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Tilman B DrüekeDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Jürgen FloegeDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Charles A HerzogDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Gerard M LondonDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Kenneth W MahaffeyDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Sharon M MoeDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
David C WheelerDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Glenn M ChertowDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Health Sciences Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The effect of the calcimimetic cinacalcet on cardiovascular disease in patients undergoing hemodialysis with secondary hyperparathyroidism was assessed in the Evaluation of Cinacalcet Hydrochloride Therapy to Lower Cardiovascular Events trial. This was the largest (in size) and longest (in duration) randomized controlled clinical trial undertaken in this population. During planning, execution, analysis, and reporting of the trial, many lessons were learned, including those related to the use of a composite cardiovascular primary endpoint, definition of endpoints (particularly heart failure and severe unremitting hyperparathyroidism), importance of age for optimal stratification at randomization, use of unadjusted and adjusted intention-to-treat analysis for the primary outcome, how to respond to a lower-than-predicted event rate during the trial, development of a prespecified analytic plan that accounted for nonadherence and for cointerventions that diminished the power of the trial to observe a treatment effect, determination of the credibility of a subgroup effect, use of adverse effects database to investigate rare diseases, collection of blood for biomarker measurement not designated before trial initiation, and interpretation of the benefits-to-harms ratio for individual patients. It is likely that many of these issues will arise in the planning of future trials in CKD.

Indexed as

Research DesignCalcimimetic AgentsCardiovascular DiseasesCinacalcetHumansHyperparathyroidism, SecondaryRandomized Controlled Trials as TopicRenal DialysisRenal Insufficiency, ChronicRisk FactorsTreatment OutcomeCalcimimetic AgentsCinacalcetcardiovascular diseasecardiovascular diseaseschronic kidney diseasecinacalcethemodialysishumanshyperparathyroidismparathyroid hormonerandomized controlled trials as topic

Identifiers

PMID26614406
PMCPMC4791832
OpenAlexW2176616064

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.