Evidence map›Paper›PMID 28699886›Full record

Trial reportClinical nephrology2017

Interleukin-1 inhibition, chronic kidney disease-mineral and bone disorder, and physical function
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Kristen L Nowak, Adriana Hung, Talat Alp Ikizler, Heather Farmer-Bailey, Natjalie Salas-Cruz, Sudipa Sarkar, Andrew Hoofnagle, Zhiying You, Michel Chonchol

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical nephrology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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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

9 authors at 5 institutions in 1 country.

Kristen L Nowak
Adriana Hung
Talat Alp Ikizler
Heather Farmer-Bailey
Natjalie Salas-Cruz
Sudipa Sarkar
Andrew Hoofnagle
Zhiying You
Michel Chonchol
Vanderbilt University Medical Center · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Colorado Denver · USUniversity of Washington · USVA Tennessee Valley Healthcare System · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Dysmetabolism of Chronic Kidney Disease and Vascular HealthI01CX000982 · VA · VETERANS HEALTH ADMINISTRATION · PI HUNG, ADRIANA · 2015 to 2018
–
CSRD VA I01 CX000982NCATS NIH HHS UL1 TR000445
6 · The paper itself

Abstract

objectiveEpidemiologic studies have suggested a link between chronic systemic inflammation and chronic kidney disease-mineral and bone disorder (CKD-MBD). Additionally, declining renal function is associated with worsening physical and cognitive function, which may potentially be explained by systemic inflammation, CKD-MBD, or both. We hypothesized that inhibiting inflammation with an interleukin-1 (IL-1) trap would improve markers of CKD-MBD as well as physical/cognitive function in patients with moderate-to-severe CKD.

methodsIn a two-site, double-blind trial, 39 patients with stage 3 - 4 CKD completed a randomized trial receiving either the IL-1 trap rilonacept (160 mg/week) or placebo for 12 weeks. The following CKD-MBD markers were assessed in serum before and after the intervention: calcium, phosphorus, 25-hydroxyvitamin D, 1,25-dihydroxyvitamin D, 24,25-dihydroxyvitamin D, intact parathyroid hormone (iPTH), and fibroblast growth factor 23 (FGF23). A battery of tests was also administered in a subgroup (n = 23) to assess multiple domains of physical function (endurance, locomotion, dexterity, balance, strength, and fatigue) and cognitive function.

resultsParticipants were 65 ± 10 years of age, 23% female, and had a mean estimated glomerular filtration rate of 38 ± 13 mL/min/1.73m

conclusionsIn conclusion, 12 weeks of IL-1 inhibition did not improve markers of CKD-MBD or physical function.
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Indexed as

AgedChronic Kidney Disease-Mineral and Bone DisorderDouble-Blind MethodFemaleFibroblast Growth Factor-23Fibroblast Growth FactorsHumansInterleukin-1MaleMiddle AgedParathyroid HormoneRecombinant Fusion ProteinsVitamin D1,25-dihydroxyvitamin D25-hydroxyvitamin DFGF23 protein, humanFibroblast Growth Factor-23Fibroblast Growth FactorsInterleukin-1Parathyroid HormoneRecombinant Fusion ProteinsrilonaceptVitamin D

Identifiers

PMID28699886
PMCPMC6595399
OpenAlexW2735187540

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.