Evidence map›Paper›PMID 30026287›Full record

Trial reportClinical journal of the American Society of Nephrology : CJASN2018

Long-Term Administration of Tolvaptan in Autosomal Dominant Polycystic Kidney Disease.

Marie E Edwards, Fouad T Chebib, Maria V Irazabal, Troy G Ofstie, Lisa A Bungum, Andrew J Metzger, Sarah R Senum, Marie C Hogan, Ziad M El-Zoghby, Timothy L Kline and 3 more

Erratum issuedOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Clinical journal of the American Society of Nephrology : CJASN, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 55 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 2 pooled it
6.7field-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

55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 92 citations in OpenAlex.

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  15. The long-term effect of tolvaptan treatment on kidney function and volume in patients with ADPKD.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Marie E EdwardsDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota; and.
Fouad T ChebibDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota; and.
Maria V IrazabalDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota; and.
Troy G OfstieDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota; and.
Lisa A BungumDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota; and.
Andrew J MetzgerDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota; and.
Sarah R SenumDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota; and.
Marie C HoganDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota; and.
Ziad M El-ZoghbyDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota; and.
Timothy L KlineDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota; and.ORCID 0000-0002-7917-9853
Peter C HarrisDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota; and.
Frank S CzerwiecOtsuka Pharmaceutical Development and Commercialization, Rockville, Maryland.
Vicente E TorresDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota; and.
Mayo Clinic · USPharmaceutical Product Development (United States) · US

Funding

Pilot and FeasibilityP30DK090728 · NIDDK · MAYO CLINIC ROCHESTER · PI TORRES, VICENTE E · 2010 to 2019
$11.8M
RENIN ANGIOTENSIN SYSTEM IN THE PATHOGENESIS OF ADPKDR01DK044863 · NIDDK · MAYO CLINIC ROCHESTER · PI TORRES, VICENTE E · 1991 to 2019
$4.5M
NIDDK NIH HHS P30 DK090728NIDDK NIH HHS R01 DK044863
6 · The paper itself

Abstract

BACKGROUND AND

objectivesIn the 3-year Tolvaptan Efficacy and Safety in Management of ADPKD and Its Outcomes (TEMPO) 3:4 and 1-year Replicating Evidence of Preserved Renal Function: an Investigation of Tolvaptan Safety and Efficacy in ADPKD (REPRISE) trials, tolvaptan slowed the decline of eGFR in patients with autosomal dominant polycystic kidney disease at early and later stages of CKD, respectively. Our objective was to ascertain whether the reduction associated with the administration of tolvaptan is sustained, cumulative, and likely to delay the need for kidney replacement therapy. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: One hundred and twenty-eight patients with autosomal dominant polycystic kidney disease participated in clinical trials of tolvaptan at the Mayo Clinic. All had the opportunity to enroll into open-label extension studies. Twenty participated in short-term studies or received placebo only. The remaining 108 were analyzed for safety. Ninety seven patients treated with tolvaptan for ≥1 year (mean±SD, 4.6±2.8; range, 1.1-11.2) were analyzed for efficacy using three approaches: (

resultsPatients treated with tolvaptan had lower eGFR slopes from baseline (mean±SD, -2.20±2.18 ml/min per 1.73 m

conclusionsFollow-up for up to 11.2 years (average 4.6 years) showed a sustained reduction in the annual rate of eGFR decline in patients treated with tolvaptan compared with controls and an increasing separation of eGFR values over time between the two groups.

Indexed as

Glomerular Filtration RateAdultAntidiuretic Hormone Receptor AntagonistsFemaleFollow-Up StudiesHumansMaleMiddle AgedPolycystic Kidney, Autosomal DominantTime FactorsTolvaptanAntidiuretic Hormone Receptor AntagonistsTolvaptanADPKDBenzazepineschronic kidney diseaseEGFR protein, humanFollow-Up Studiesglomerular filtration rateHumansPolycystic Kidney, Autosomal Dominantpolycystic kidney diseaseReceptor, Epidermal Growth FactorRenal Insufficiency, ChronicRenal Replacement TherapyTEMPOTolvaptanvasopressinVasopressin Receptor Antagonist

Identifiers

PMID30026287
PMCPMC6086720
OpenAlexW2884612391

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.