Evidence map›Paper›PMID 27339446›Full record

Trial reportClinical and experimental nephrology2017

Polyuria due to vasopressin V2 receptor antagonism is not associated with increased ureter diameter in ADPKD patients.

Niek F Casteleijn, A Lianne Messchendorp, Kyong T Bae, Eiji Higashihara, Peter Kappert, Vicente Torres, Esther Meijer, Anna M Leliveld

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and experimental nephrology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 16% 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, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. 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

8 authors at 6 institutions in 3 countries.

Niek F CasteleijnDepartment of Nephrology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. N.F.Casteleijn@umcg.nl.
A Lianne MesschendorpDepartment of Nephrology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Kyong T BaeDepartment of Radiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Eiji HigashiharaDepartment of Urology, Kyorin University School of Medicine, Mitaka, Tokyo, Japan.
Peter KappertExpertise Center for Polycystic Kidney Disease, Groningen, The Netherlands.
Vicente TorresDepartment of Nephrology and Hypertension, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Esther MeijerDepartment of Nephrology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Anna M LeliveldExpertise Center for Polycystic Kidney Disease, Groningen, The Netherlands.
Dialyse Centrum Groningen · NLUniversity of Groningen · NLKyorin University · JPUniversity Medical Center Groningen · NLUniversity of Pittsburgh · USWinnMed · US

Funding

Pilot and FeasibilityP30DK090728 · NIDDK · MAYO CLINIC ROCHESTER · PI ROMERO, MICHAEL F. · 2010 to 2019
$11.8M
RENIN ANGIOTENSIN SYSTEM IN THE PATHOGENESIS OF ADPKDR01DK044863 · NIDDK · MAYO CLINIC ROCHESTER · PI TORRES, VICENTE E · 1991 to 2019
$4.5M
NIDDK NIH HHS P30 DK090728NIDDK NIH HHS R01 DK044863
6 · The paper itself

Abstract

backgroundTolvaptan, a vasopressin V2 receptor antagonist, has been shown to reduce the rates of growth in total kidney volume (TKV) and renal function loss in ADPKD patients, but also leads to polyuria because of its aquaretic effect. Prolonged polyuria can result in ureter dilatation with consequently renal function loss. Therefore, we aimed to investigate the effect of tolvaptan-induced polyuria on ureter diameter in ADPKD patients.

methods70 ADPKD patients were included (51 were randomized to tolvaptan and 19 to placebo). At baseline and after 3 years of treatment renal function was measured (mGFR) and MRI was performed to measure TKV and ureter diameter at the levels of renal pelvis and fifth lumbar vertebral body (L5).

resultsIn these patients [65.7 % male, age 41 ± 9 years, mGFR 74 ± 27 mL/min/1.73 m

conclusionsTolvaptan-induced polyuria did not lead to an increase in ureter diameter, suggesting that tolvaptan is a safe therapy from a urological point of view.

Indexed as

AdultAntidiuretic Hormone Receptor AntagonistsBenzazepinesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNetherlandsPolycystic Kidney, Autosomal DominantPolyuriaReceptors, VasopressinRisk FactorsTime FactorsTolvaptanTreatment OutcomeAntidiuretic Hormone Receptor AntagonistsAVPR2 protein, humanBenzazepinesReceptors, VasopressinTolvaptanAutosomal dominant polycystic kidney diseasePolyuriaTolvaptanUreter

Identifiers

PMID27339446
PMCPMC5497698
OpenAlexW2469918599

What OpenQuestion holds

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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.