Evidence map›Paper›PMID 30284023›Full record

Trial reportPediatric nephrology (Berlin, Germany)2019

Lisinopril versus lisinopril and losartan for mild childhood IgA nephropathy: a randomized controlled trial (JSKDC01 study).

Yuko Shima, Koichi Nakanishi, Mayumi Sako, Mari Saito-Oba, Yuko Hamasaki, Hiroshi Hataya, Masataka Honda, Koichi Kamei, Kenji Ishikura, Shuichi Ito and 8 more

Abstract readClinical Trial, Phase IIComparative StudyMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Pediatric nephrology (Berlin, Germany), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 5 pooled it
1.6field-weighted citation impact, top 19% 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

17 citing papers in PubMed, 5 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Non-immunosuppressive treatment for IgA nephropathy.The Cochrane database of systematic reviews · 2024
    Pooled it
  4. Efficacy of traditional Chinese medicineFrontiers in pharmacology · 2024
    Pooled it
  5. Pooled it
  6. Review
  7. Review
  8. Bradykinin-Mediated Angioedema Induced by Drugs.Journal of clinical medicine · 2025
    Review
  9. Article
  10. Review
  11. Non-immunosuppressive therapies for childhood IgA nephropathy.Pediatric nephrology (Berlin, Germany) · 2021
    Review
  12. Article
  13. Crescentic IgA nephropathy in children.Pediatric nephrology (Berlin, Germany) · 2020
    Article
  14. Article
  15. Review
  16. IgA nephropathy: is a new approach beyond proteinuria necessary?Pediatric nephrology (Berlin, Germany) · 2019
    Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 7 institutions in 1 country.

Yuko ShimaDepartment of Pediatrics, Wakayama Medical University, Wakayama, Japan.
Koichi NakanishiDepartment of Child Health and Welfare (Pediatrics), Graduate School of Medicine, University of the Ryukyus, 207 Uehara Nishihara-Cho, Nakagami-Gun, Okinawa, 903-0125, Japan. knakanis@med.u-ryukyu.ac.jp.ORCID 0000-0001-8681-9129
Mayumi SakoDivision of Clinical Trials, Department of Clinical Research Promotion, Clinical Research Center, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan.
Mari Saito-ObaDepartment of Medical Statistics Faculty of Medicine, Toho University, Ota-Ku, Tokyo, Japan.
Yuko HamasakiDepartment of Pediatric Nephrology, Faculty of Medicine, Toho University, Ota-Ku, Tokyo, Japan.
Hiroshi HatayaDepartment of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Fuchu, Tokyo, Japan.
Masataka HondaDepartment of Nephrology, Tokyo Metropolitan Children's Medical Center, Fuchu, Tokyo, Japan.
Koichi KameiDepartment of Nephrology and Rheumatology, National Center for Child Health and Development, Setagaya-Ku, Tokyo, Japan.
Kenji IshikuraDepartment of Nephrology and Rheumatology, National Center for Child Health and Development, Setagaya-Ku, Tokyo, Japan.
Shuichi ItoDepartment of Pediatrics, Graduate School of Medicine, Yokohama City University, Yokohama, Kanagawa, Japan.
Hiroshi KaitoDepartment of Nephrology, Hyogo Prefectural Kobe Children's Hospital, Kobe, Japan.
Ryojiro TanakaDepartment of Nephrology, Hyogo Prefectural Kobe Children's Hospital, Kobe, Japan.
Kandai NozuDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Hidefumi NakamuraClinical Research Center, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan.
Yasuo OhashiDepartment of Integrated Science and Engineering for Sustainable Society, Chuo University, Bunkyo-Ku, Tokyo, Japan.
Kazumoto IijimaDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Norishige YoshikawaClinical Research Center, Wakayama Medical University, Wakayama, Japan.
Japanese Study Group of Kidney Disease in Children (JSKDC)
National Center For Child Health and Development · JPWakayama Medical University · JPKobe Children's Hospital · JPToho University · JPKobe University · JPTokyo Metropolitan Children's Medical Center · JPUniversity of the Ryukyus · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPersistent proteinuria seems to be a risk factor for progression of renal disease. Its reduction by angiotensin-converting inhibitors (ACEIs) or angiotensin II receptor blockers (ARBs) is renoprotective. Our previous pilot study showed that 2-year lisinopril therapy is effective and safe for children with mild IgA nephropathy. When combined with ACEI and ARB, reported results are of greater decrease in proteinuria than monotherapy in chronic glomerulonephritis, including IgA nephropathy. To date, however, there have been no randomized controlled trials in children.

methodsThis is an open-label, multicenter, prospective, and randomized phase II controlled trial of 63 children with biopsy-proven proteinuric mild IgA nephropathy. We compared efficacy and safety between patients undergoing lisinopril monotherapy and patients undergoing combination therapy of lisinopril and losartan to determine better treatment for childhood proteinuric mild IgA nephropathy.

resultsThere was no difference in proteinuria disappearance rate (primary endpoint) between the two groups (cumulative disappearance rate of proteinuria at 24 months: 89.3% vs 89% [combination vs monotherapy]). Moreover, there were no significant differences in side effects between the two groups.

conclusionsWe propose lisinopril monotherapy as treatment for childhood proteinuric mild IgA nephropathy as there are no advantages of combination therapy. CLINICAL

trial registrationClinical trial registry, UMIN ID C000000006, https://www.umin.ac.jp .

Indexed as

AdolescentChildChild, PreschoolDrug Therapy, CombinationFemaleGlomerulonephritis, IGAHumansKidney GlomerulusLisinoprilLosartanMaleProspective StudiesProteinuriaSeverity of Illness IndexTreatment OutcomeLisinoprilLosartanChildrenIgA nephropathyLisinoprilLosartanRandomized controlled trial

Identifiers

PMID30284023
OpenAlexW2894898056

What OpenQuestion holds

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Registered trials

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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.