Evidence map›Paper›PMID 26707494›Full record

ArticleJournal of nephrology2017

How to improve duration and efficiency of the antiproteinuric response to Ramipril: RamiPROT-a prospective cohort study.

Paola Cianfrone, Mariadelina Simeoni, Nicola Comi, Valentina Piraina, Roberta Talarico, Annamaria Cerantonio, Innocenza Gentile, Flora Fortunata Fabiano, Gaetano Lucisano, Daniela Foti and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of nephrology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Observational
  20. 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

12 authors at 2 institutions in 2 countries.

Paola CianfroneDepartment of Nephrology and Dialysis, Magna Graecia University of Catanzaro, University Campus 'Magna Graecia', Viale Europa - Loc. Germaneto, 88100, Catanzaro, Italy.
Mariadelina SimeoniDepartment of Nephrology and Dialysis, Magna Graecia University of Catanzaro, University Campus 'Magna Graecia', Viale Europa - Loc. Germaneto, 88100, Catanzaro, Italy. adelina_simeoni@yahoo.it.
Nicola ComiDepartment of Nephrology and Dialysis, Magna Graecia University of Catanzaro, University Campus 'Magna Graecia', Viale Europa - Loc. Germaneto, 88100, Catanzaro, Italy.
Valentina PirainaDepartment of Nephrology and Dialysis, Magna Graecia University of Catanzaro, University Campus 'Magna Graecia', Viale Europa - Loc. Germaneto, 88100, Catanzaro, Italy.
Roberta TalaricoDepartment of Nephrology and Dialysis, Magna Graecia University of Catanzaro, University Campus 'Magna Graecia', Viale Europa - Loc. Germaneto, 88100, Catanzaro, Italy.
Annamaria CerantonioDepartment of Nephrology and Dialysis, Magna Graecia University of Catanzaro, University Campus 'Magna Graecia', Viale Europa - Loc. Germaneto, 88100, Catanzaro, Italy.
Innocenza GentileDepartment of Nephrology and Dialysis, Magna Graecia University of Catanzaro, University Campus 'Magna Graecia', Viale Europa - Loc. Germaneto, 88100, Catanzaro, Italy.
Flora Fortunata FabianoDepartment of Clinical Pathology, Magna Graecia University of Catanzaro, Catanzaro, Italy.
Gaetano LucisanoKidney and Transplant Unit, Imperial College Healthcare NHS Trust of London, London, UK.
Daniela FotiDepartment of Clinical Pathology, Magna Graecia University of Catanzaro, Catanzaro, Italy.
Elio GullettaDepartment of Clinical Pathology, Magna Graecia University of Catanzaro, Catanzaro, Italy.
Giorgio FuianoDepartment of Nephrology and Dialysis, Magna Graecia University of Catanzaro, University Campus 'Magna Graecia', Viale Europa - Loc. Germaneto, 88100, Catanzaro, Italy.
Magna Graecia University · ITImperial College Healthcare NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe antiproteinuric pharmacokinetics of Ramipril in response to different doses and modalities of administration has been poorly investigated so far. STUDY

designProspective, open-label and not placebo controlled study. SETTING AND

participants40 Caucasian adult patients having GFR ≥ 50 mL/min, proteinuria 1-3 g/day; SBP/DBP ≤ 150/90 mmHg were recruited between June 2014 and November 2014. FACTOR AND OUTCOME: Impact on 24 h proteinuria and fractioned proteinuria of Ramipril given at different dosages (2.5 mg/day or Ramipril 5 mg/day or Ramipril 10 mg/day) and with different daily administration modalities (single or two divided doses) for cycles of 10 days. MEASUREMENTS: At the end of each cycle, 24 h and fractioned proteinuria on three timed urinary collections (morning, afternoon and night) were measured.

resultsCompared to baseline, Ramipril significantly reduced 24 h proteinuria at each dose and modality of administration. In particular, the greatest effects were evident with the higher and divided dose of the drug. The analysis of the fractioned proteinuria showed that the greatest reduction was obtained in the night urinary collection by administering Ramipril 10 mg/day in two divided doses. LIMITATIONS: Small sample size.

conclusionsRamipril reduces proteinuria at any of the tested doses. Although the using of high and divided doses seems to maximize the antiproteinuric effect of the drug, possibly due to a better pharmacological coverage of the nocturnal period.

Indexed as

AdultAgedAngiotensin-Converting Enzyme InhibitorsDose-Response Relationship, DrugFemaleHumansMaleMiddle AgedProspective StudiesProteinuriaRamiprilTime FactorsAngiotensin-Converting Enzyme InhibitorsRamiprilACE-inhibitorsCKDPharmacodynamicsPharmacokineticsProteinuria

Identifiers

PMID26707494
OpenAlexW2214635236

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.