Evidence map›Paper›PMID 31583094›Full record

ArticleClinical kidney journal2019

Effect of renal function and dialysis modality on daprodustat and predominant metabolite exposure.

Stephen Caltabiano, Borut Cizman, Olivia Burns, Kelly M Mahar, Brendan M Johnson, Bandi Ramanjineyulu, Gulyeter Serbest, Alexander R Cobitz

2 registry-linked trialsAbstract read
In one paragraph

Article in Clinical kidney journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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.

NCT01406340 phase1terminatednot on this map

A Repeat-dose, Open-label, Parallel-group Study to Assess the Pharmacokinetics of GSK1278863 and Metabolites in Normal Subjects and Subjects With Impaired Renal Function

TypeinterventionalSponsorGlaxoSmithKlineRan2011 to 2013Enrolled22ConditionsAnaemiaArms5 mg GSK1278863
NCT02243306 phase1completednot on this map

A Repeat-Dose, Open-Label, Parallel-Group Study to Assess the Pharmacokinetics of GSK1278863 and Metabolites in Subjects With End Stage Renal Disease Undergoing Peritoneal Dialysis

TypeinterventionalSponsorGlaxoSmithKlineRan2014 to 2017Enrolled8ConditionsAnaemiaArmsGSK1278863
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Daprodustat.Hospital pharmacy · 2023
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. 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

8 authors.

Stephen CaltabianoMedicine Delivery Unit, GlaxoSmithKline, Collegeville, PA, USA.
Borut CizmanMedicine Delivery Unit, GlaxoSmithKline, Collegeville, PA, USA.
Olivia BurnsClinical Pharmacology Science and Study Operations, GlaxoSmithKline, Abbotsford, Victoria, Australia.
Kelly M MaharClinical Pharmacology Modeling and Simulation, GlaxoSmithKline, Upper Merion, PA, USA.
Brendan M JohnsonClinical Pharmacology, Roivant Pharma, Durham, NC, USA.
Bandi RamanjineyuluClinical Statistics, GlaxoSmithKline, Bangalore, Karnataka, India.
Gulyeter SerbestOncology, Daiichi Sankyo Co., Ltd, Basking Ridge, NJ, USA.
Alexander R CobitzMedicine Delivery Unit, GlaxoSmithKline, Collegeville, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent therapies for anemia of chronic kidney disease (CKD) include administration of supplemental iron (intravenous and/or oral), blood transfusions and replacement of erythropoietin through the administration of recombinant human erythropoietin (rhEPO) and rhEPO analogs, each with limitations. Daprodustat is an orally active, small molecule hypoxia-inducible factor-prolyl hydroxylase inhibitor that is currently in Phase 3 clinical studies. As it is well appreciated that the kidney represents a major route of elimination of many drugs, and daprodustat will be administered to patients with advanced CKD as well as patients with end-stage kidney disease, it is important to characterize the pharmacokinetic profile in these patient populations to safely dose this potential new medicine.

methodsThe primary objective of these studies, conducted under two separate protocols and with identical assessments and procedures, was to characterize the steady-state pharmacokinetics of daprodustat and the six predominant metabolites (i.e. metabolites present in the highest concentration in circulation) in subjects with normal renal function, anemic non-dialysis (ND)-dependent CKD subjects (CKD Stage 3/4) and anemic subjects on either hemodialysis (HD) or peritoneal dialysis (PD). All enrolled subjects were administered daprodustat 5 mg once daily for 14 days (all except HD subjects) or 15 days (for HD subjects). Blood, urine and peritoneal dialysate were collected at various times for measurement of daprodustat, predominant metabolite, erythropoietin and hepcidin levels.

resultsThe pharmacokinetic properties of steady-state daprodustat peak plasma concentration (Cmax), area under the plasma daprodustat concentration-time curve (AUC) and the time of Cmax (tmax) were comparable between all cohorts in this study. In addition, there was no clinically relevant difference in these properties in the HD subjects between a dialysis and ND day. For CKD Stage 3/4, HD (dialysis day) and PD subjects, the AUC of all daprodustat metabolites assessed was higher, while the

conclusionThese studies demonstrated no clinically meaningful change in the pharmacokinetic properties of daprodustat when administered to subjects with various degrees of renal impairment, while for CKD Stage 3/4, HD (dialysis day) and PD subjects, the

Indexed as

anemiachronic kidney diseasepharmacokineticsprolyl hydroxylase inhibitor

Identifiers

PMID31583094
PMCPMC6768310

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Registered trials

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.