Evidence map›Paper›PMID 29688582›Full record

Trial reportBritish journal of clinical pharmacology2018

Single- and multiple-dose escalation study to assess pharmacokinetics, pharmacodynamics and safety of oral esaxerenone in healthy Japanese subjects.

Manabu Kato, Hidetoshi Furuie, Takako Shimizu, Atsuhiro Miyazaki, Fumiaki Kobayashi, Hitoshi Ishizuka

Open access · bronzeAbstract readClinical Trial, Phase IMulticenter StudyRandomized 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 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
5.5field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 51 citations in OpenAlex.

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  16. Mineralocorticoid Receptor Antagonists in Diabetic Kidney Disease.Pharmaceuticals (Basel, Switzerland) · 2021
    Review
  17. Article
  18. Management of hyperkalemia during treatment with mineralocorticoid receptor blockers: findings from esaxerenone.Hypertension research : official journal of the Japanese Society of Hypertension · 2021
    Review
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  20. Article
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

6 authors at 3 institutions in 2 countries.

Manabu KatoDaiichi Sankyo Co., Ltd., Tokyo, Japan.ORCID 0000-0002-3790-2804
Hidetoshi FuruieOsaka Pharmacology Clinical Research Hospital, Osaka, Japan.
Takako ShimizuDaiichi Sankyo Co., Ltd., Tokyo, Japan.
Atsuhiro MiyazakiDaiichi Sankyo Co., Ltd., Tokyo, Japan.
Fumiaki KobayashiDaiichi Sankyo, Inc., New Jersey, USA.
Hitoshi IshizukaDaiichi Sankyo Co., Ltd., Tokyo, Japan.
Daiichi-Sankyo (Japan) · JPDaiichi Sankyo (United States) · USOsaka Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo characterize the pharmacokinetics, pharmacodynamics and safety of esaxerenone, a mineralocorticoid receptor antagonist, in healthy adult Japanese men.

methodsDouble-blind, placebo-controlled, sequential, dose-escalation studies were conducted in subjects randomized to receive oral once-daily esaxerenone (ranges: 5-200 mg [single-dose]; 10-100 mg over 10 days [multiple-dose]) or placebo under fasting conditions. Plasma concentrations were analysed by liquid chromatograph-tandem mass spectrometry. Pharmacokinetic parameters were determined by noncompartment analysis. Plasma/urine levels of pharmacodynamic biomarkers for mineralocorticoid receptor activity were evaluated.

resultsIn total, 48/48 and 39/40 subjects completed the single- and multiple-dose studies, respectively. Exposures were generally dose-proportional. The t

conclusionsExposure levels in healthy adults receiving esaxerenone were generally dose-proportional. Dose-dependent changes in plasma pharmacodynamic biomarkers for the mineralocorticoid receptor were identified during multiple-dose treatment and support the pharmacological activity of esaxerenone. No important safety concerns were identified.

Indexed as

Administration, OralAdultArea Under CurveBiomarkers, PharmacologicalDose-Response Relationship, DrugDouble-Blind MethodHalf-LifeHealthy VolunteersHumansHypertensionJapanMaleMineralocorticoid Receptor AntagonistsPyrrolesSulfonesYoung AdultBiomarkers, PharmacologicalesaxerenoneMineralocorticoid Receptor AntagonistsPyrrolesSulfonesesaxerenonemineralocorticoid receptor antagonistpharmacodynamicspharmacokineticsphase Isafety

Identifiers

PMID29688582
PMCPMC6046505
OpenAlexW2802617131

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.