Evidence map›Paper›PMID 29575006›Full record

Trial reportBritish journal of clinical pharmacology2018

First-in-man-proof of concept study with molidustat: a novel selective oral HIF-prolyl hydroxylase inhibitor for the treatment of renal anaemia.

M Böttcher, S Lentini, E R Arens, A Kaiser, D van der Mey, U Thuss, D Kubitza, G Wensing

Open access · bronzeAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in British journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
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

23 citing papers in PubMed, 37 citations in OpenAlex.

  1. Molidustat for the treatment of anemia in Japanese patients undergoing peritoneal dialysis: a single-arm, open-label, phase 3 study.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
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  2. Molidustat for anemia correction in Japanese patients undergoing hemodialysis: a single-arm, phase 3 study.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 · 2021
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  14. The HIF-PHI BAY 85-3934 (Molidustat) Improves Anemia and Is Associated With Reduced Levels of Circulating FGF23 in a CKD Mouse Model.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2021
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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

8 authors at 1 institution in 1 country.

M BöttcherClinical Sciences, Clinical Pharmacology Cardiovascular/Hematology, Global Drug Discovery, Bayer AG, Wuppertal, Germany.ORCID 0000-0001-8931-4564
S LentiniClinical Sciences, Clinical Pharmacology Cardiovascular/Hematology, Global Drug Discovery, Bayer AG, Wuppertal, Germany.
E R ArensClinical Sciences, Clinical Pharmacology Cardiovascular/Hematology, Global Drug Discovery, Bayer AG, Wuppertal, Germany.
A KaiserResearch and Clinical Science Statistics, Clinical Pharmacology Cardiovascular/Hematology, Global Drug Discovery, Bayer AG, Berlin, Germany.
D van der MeyClinical Sciences, Clinical Pharmacology Cardiovascular/Hematology, Global Drug Discovery, Bayer AG, Wuppertal, Germany.
U ThussDrug Metabolism and Pharmacokinetics, Global Early Development, Global Drug Discovery, Bayer AG, Wuppertal, Germany.
D KubitzaClinical Sciences, Clinical Pharmacology Cardiovascular/Hematology, Global Drug Discovery, Bayer AG, Wuppertal, Germany.
G WensingClinical Sciences, Clinical Pharmacology Cardiovascular/Hematology, Global Drug Discovery, Bayer AG, Wuppertal, Germany.
Bayer (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsInsufficient erythropoietin (EPO) synthesis is a relevant cause of renal anaemia in patients with chronic kidney disease. Molidustat, a selective hypoxia-inducible factor prolyl hydroxylase (HIF-PH) inhibitor, increases endogenous EPO levels dose dependently in preclinical models. We examined the pharmacokinetics, safety, tolerability and effect on EPO levels of single oral doses of molidustat in healthy male volunteers.

methodsThis was a single-centre, randomized, single-blind, placebo-controlled, group-comparison, dose-escalation study. Molidustat was administered at doses of 5, 12.5, 25, 37.5 or 50 mg as a polyethylene glycol-based solution.

resultsIn total, 45 volunteers received molidustat and 14 received placebo. Molidustat was absorbed rapidly, and the mean maximum plasma concentration and area under the concentration-time curve increased dose dependently. The mean terminal half-life was 4.64-10.40 h. A significant increase in endogenous EPO was observed following single oral doses of molidustat of 12.5 mg and above. Geometric mean peak EPO levels were 14.8 IU l

conclusionsOral administration of molidustat to healthy volunteers elicited a dose-dependent increase in endogenous EPO. These results support the ongoing development of molidustat as a potential new treatment for patients with renal anaemia.

Indexed as

Administration, OralAdultAnemiaArea Under CurveErythropoietinHalf-LifeHealthy VolunteersHumansHypoxia-Inducible Factor 1, alpha SubunitHypoxia-Inducible Factor-Proline DioxygenasesMaleProlyl-Hydroxylase InhibitorsProof of Concept StudyPyrazolesRenal Insufficiency, ChronicSingle-Blind MethodEPO protein, humanErythropoietinHIF1A protein, humanHypoxia-Inducible Factor 1, alpha SubunitHypoxia-Inducible Factor-Proline DioxygenasesmolidustatProlyl-Hydroxylase InhibitorsPyrazolesTriazolesBAY 85-3934erythropoietin stimulationHIF-PH inhibitormolidustatpharmacokineticsrenal anaemia

Identifiers

PMID29575006
PMCPMC6005617
OpenAlexW2792181574

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.