Evidence map›Paper›PMID 28585859›Full record

Trial reportJournal of cardiovascular pharmacology and therapeutics2017

Evaluation of the Potential for Drug Interactions With Patiromer in Healthy Volunteers.

Lawrence J Lesko, Elliot Offman, Christine Taylor Brew, Dahlia Garza, Wade Benton, Martha R Mayo, Alain Romero, Charles Du Mond, Matthew R Weir

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cardiovascular pharmacology and therapeutics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Pharmacodynamic effects of the KPhysiological reports · 2020
    Article
  13. Review
  14. Evolution of Patiromer Use: a Review.Current cardiology reports · 2020
    Review
  15. Pharmacology of new treatments for hyperkalaemia: patiromer and sodium zirconium cyclosilicate.European heart journal supplements : journal of the European Society of Cardiology · 2019
    Article
  16. Patiromer: A Review in Hyperkalaemia.Clinical drug investigation · 2018
    Review
  17. Article
  18. 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

9 authors at 3 institutions in 2 countries.

Lawrence J Lesko1 Center for Pharmacometrics and Systems Pharmacology, University of Florida College of Pharmacy, Orlando, FL, USA.
Elliot Offman2 Clinical Pharmacology and Pharmacometrics, Celerion, Montreal, Quebec, Canada.
Christine Taylor Brew3 Research Biology, Relypsa, Inc, Redwood City, CA, USA.
Dahlia Garza4 Clinical Development, Relypsa, Inc, Redwood City, CA, USA.
Wade Benton5 Consultant, Relypsa, Inc, Redwood City, CA, USA.
Martha R Mayo4 Clinical Development, Relypsa, Inc, Redwood City, CA, USA.
Alain Romero6 Medical and Scientific Affairs, Relypsa, Inc, Redwood City, CA, USA.
Charles Du Mond7 Biometrics, Relypsa, Inc, Redwood City, CA, USA.
Matthew R Weir8 Division of Nephrology, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
Celerion (Canada) · CAFlorida College · USUniversity of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatiromer is a potassium-binding polymer that is not systemically absorbed; however, it may bind coadministered oral drugs in the gastrointestinal tract, potentially reducing their absorption.

methodsTwelve randomized, open-label, 3-period, 3-sequence crossover studies were conducted in healthy volunteers to evaluate the effect of patiromer (perpetrator drug) on absorption and single-dose pharmacokinetics (PK) of drugs (victims) that might be commonly used with patiromer. Subjects received victim drug alone, victim drug administered together with patiromer 25.2 g (highest approved dose), and victim drug administered 3 hours before patiromer 25.2 g. The primary PK endpoints were area under the curve (AUC), extrapolated to infinity (AUC

resultsOverall, 370 subjects were enrolled, with 365 receiving ≥1 dose of patiromer; 351 subjects completed the studies and all required treatments. When coadministered with patiromer, the 90% CIs for AUC

conclusionFor 9 of the 12 drugs coadministered with patiromer, there were no clinically significant drug-drug interactions. For 3 drugs (ciprofloxacin, levothyroxine, and metformin), a 3-hour separation between patiromer and their administration resulted in no clinically significant drug-drug interactions.

Indexed as

AdolescentAdultArea Under CurveCross-Over StudiesDrug InteractionsFemaleHealthy VolunteersHumansMaleMiddle AgedPolymersYoung AdultpatiromerPolymersabsorptiondose separationdrug–drug interactionshyperkalemiapatiromerpotassium-binder

Identifiers

PMID28585859
PMCPMC5555446
OpenAlexW2588657471

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.