Evidence map›Paper›PMID 29369537›Full record

Trial reportESC heart failure2018

Evaluation of an individualized dose titration regimen of patiromer to prevent hyperkalaemia in patients with heart failure and chronic kidney disease.

Bertram Pitt, David A Bushinsky, Dalane W Kitzman, Frank Ruschitzka, Marco Metra, Gerasimos Filippatos, Patrick Rossignol, Charles Du Mond, Dahlia Garza, Lance Berman and 2 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in ESC heart failure, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
6.8field-weighted citation impact, top 2% 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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Therapeutic update on oral potassium exchange resin use in chronic kidney disease patients: a systematic review of randomized controlled clinical trials.Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques · 2023
    Pooled it
  2. Pooled it
  3. Guideline
  4. Trial
  5. Article
  6. Review
  7. Review
  8. Steroidal or non-steroidal MRAs: should we still enable RAASi use through K binders?Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    Article
  9. Article
  10. Article
  11. Hyperkalemia in patients undergoing hemodialysis: Its pathophysiology and management.Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy · 2022
    Review
  12. Article
  13. Article
  14. Management of Heart Failure Patient with CKD.Clinical journal of the American Society of Nephrology : CJASN · 2021
    Review
  15. Article
  16. Review
  17. Pharmacodynamic effects of the KPhysiological reports · 2020
    Article
  18. Article
  19. Review
  20. Narrative Review of Incremental Hemodialysis.Kidney international reports · 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

12 authors at 9 institutions in 7 countries.

Bertram PittDepartment of Medicine, Cardiovascular Center, University of Michigan, Ann Arbor, MI, USA.
David A BushinskyDivision of Nephrology, Department of Medicine, University of Rochester School of Medicine, Rochester, NY, USA.
Dalane W KitzmanCardiovascular Medicine Section, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Frank RuschitzkaClinic of Cardiology, University Heart Centre, University Hospital, Zurich, Switzerland.
Marco MetraCardiology Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
Gerasimos FilippatosHeart Failure Unit, Department of Cardiology, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
Patrick RossignolINSERM, Centre d'Investigations Cliniques-Plurithématique 1433, UMR 1116 Université de Lorraine, CHRU de Nancy, French-Clinical Research Infrastructure Network (F-CRIN) INI-CRCT, Nancy, France.
Charles Du MondBiometrics, Relypsa, Inc., a Vifor Pharma Group Company, Redwood City, CA, USA.
Dahlia GarzaMedical Affairs, Relypsa, Inc., a Vifor Pharma Group Company, Redwood City, CA, USA.
Lance BermanMedical Affairs, Relypsa, Inc., a Vifor Pharma Group Company, Redwood City, CA, USA.
Mitja LainscakDepartment of Internal Medicine, General Hospital Murska Sobota and Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Patiromer-204 Investigators
Vifor Pharma (United States) · USInserm · FRNational and Kapodistrian University of Athens · GRPomurski muzej Murska Sobota · SISurgical Specialties (Canada) · CAUniversity of Michigan–Ann Arbor · USUniversity of Rochester · USWake Forest University · USZurich Heart House · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsHyperkalaemia risk precludes optimal renin-angiotensin-aldosterone system inhibitor use in patients with heart failure (HF), particularly those with chronic kidney disease (CKD). Patiromer is a sodium-free, non-absorbed potassium (K METHODS AND

resultsThis open-label 8-week study enrolled 63 patients with CKD, serum K

conclusionsIn this open-label study, patiromer 16.8 g/day followed by individualized titration maintained serum K

Indexed as

AgedBiomarkersDose-Response Relationship, DrugDrug Therapy, CombinationFemaleFollow-Up StudiesHeart FailureHumansHyperkalemiaMaleMineralocorticoid Receptor AntagonistsPolymersPotassiumRenal Insufficiency, ChronicRetrospective StudiesSpironolactoneBiomarkersMineralocorticoid Receptor AntagonistspatiromerPolymersPotassiumSpironolactoneChronic kidney diseaseHeart failureMineralocorticoid receptor antagonistPatiromerPotassium-binding polymer

Identifiers

PMID29369537
PMCPMC5933966
OpenAlexW2796123174

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.