Evidence map›Paper›PMID 29203473›Full record

Trial reportJournal of the American Society of Nephrology : JASN2018

Perioperative THR-184 and AKI after Cardiac Surgery.

Jonathan Himmelfarb, Glenn M Chertow, Peter A McCullough, Thierry Mesana, Andrew D Shaw, Thoralf M Sundt, Craig Brown, David Cortville, François Dagenais, Benoit de Varennes and 3 more

Open access · bronzeAbstract readAdaptive Clinical TrialMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Society of Nephrology : JASN, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 10% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Perioperative Clinical Trials in AKI.Seminars in nephrology · 2020
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Drugs in treating paediatric acute kidney injury.Pediatric nephrology (Berlin, Germany) · 2023
    Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. New drugs for acute kidney injury.Intensive care medicine · 2022
    Article
  13. TGF-β Inhibitors for Therapeutic Management of Kidney Fibrosis.Pharmaceuticals (Basel, Switzerland) · 2022
    Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. TGF-β Pathway in Salivary Gland Fibrosis.International journal of molecular sciences · 2020
    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

13 authors at 12 institutions in 2 countries.

Jonathan HimmelfarbDepartment of Medicine, Kidney Research Institute, University of Washington, Seattle, Washington; Jhimmelfarb@nephrology.washington.edu.
Glenn M ChertowSchool of Medicine, Stanford University, Stanford, California.
Peter A McCulloughDepartment of Medicine, Baylor University Medical Center, Dallas, Texas.
Thierry MesanaUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Andrew D ShawDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee.
Thoralf M SundtDepartment of Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Craig BrownDepartment of Cardiac Surgery, New Brunswick Heart Centre, Saint John, New Brunswick, Canada.
David CortvilleDepartment of Cardiology, Cardiac and Vascular Research Center, McLaren Northern Michigan, Petoskey, Michigan.
François DagenaisDepartment of Cardiac Surgery, Institut Universitaire de Cardiologie et de Pneumologie, Quebec City, Quebec, Canada.
Benoit de VarennesDepartment of Surgery, McGill University Health Centre, Montreal, Quebec, Canada.
Manuel FontesDepartment of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut.
Jerome RossertThrasos Therapeutics, Inc., Boston, Massachusetts; and.
Jean-Claude TardifDepartment of Medicine, Montreal Heart Institute, Montreal, Quebec, Canada.
Baylor University Medical Center · USInstitut Universitaire de Cardiologie et de Pneumologie de Québec · CAMassachusetts General Hospital · USMcGill University Health Centre · CAMcLaren Northern Michigan · USMontreal Heart Institute · CASaint John Regional Hospital · CAStanford University · USUniversity of Ottawa · CAUniversity of Washington · USVanderbilt University Medical Center · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

AKI after cardiac surgery is associated with mortality, prolonged hospital length of stay, use of dialysis, and subsequent CKD. We evaluated the effects of THR-184, a bone morphogenetic protein-7 agonist, in patients at high risk for AKI after cardiac surgery. We conducted a randomized, double-blind, placebo-controlled, multidose comparison of the safety and efficacy of perioperative THR-184 using a two-stage seamless adaptive design in 452 patients between 18 and 85 years of age who were scheduled for nonemergent cardiac surgery requiring cardiopulmonary bypass and had recognized risk factors for AKI. The primary efficacy end point was the proportion of patients who developed AKI according to Kidney Disease Improving Global Outcomes (KDIGO) criteria. The proportion of patients who developed AKI within 7 days of surgery was similar in THR-184 treatment groups and placebo groups (range, 74%-79%;

Indexed as

Acute Kidney InjuryAgedAged, 80 and overBone Morphogenetic Protein 7Cardiac Surgical ProceduresDouble-Blind MethodFemaleHumansMaleMiddle AgedOligopeptidesPerioperative PeriodSeverity of Illness IndexTreatment FailureBMP7 protein, humanBone Morphogenetic Protein 7OligopeptidesTHR-184acute renal failurebone morphogenetic proteinrandomized controlled trials

Identifiers

PMID29203473
PMCPMC5791058
OpenAlexW2773694958

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.