Evidence map›Paper›PMID 31725015›Full record

ReviewCurrent opinion in nephrology and hypertension2020

Pharmacologic epigenetic modulators of alkaline phosphatase in chronic kidney disease.

Mathias Haarhaus, Dean Gilham, Ewelina Kulikowski, Per Magnusson, Kamyar Kalantar-Zadeh

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Current opinion in nephrology and hypertension, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT02586155. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.5field-weighted citation impact, top 17% 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.

NCT02586155 phase3completed

A Phase III Multi-Center, Double-Blind, Randomized, Parallel Group, Placebo-Controlled Clinical Trial in High-Risk Type 2 Diabetes Mellitus (T2DM) Subjects With Coronary Artery Disease (CAD) to Determine Whether Bromodomain Extraterminal Domain (BET) Inhibition Treatment With RVX000222 Increases the Time to Major Adverse Cardiovascular Events (MACE)

Ran2015Enrolled2,425Registered outcomes14Posted comparisons5ConditionsCoronary Artery Disease, Diabetes Mellitus, Type 2ArmsApabetalone, Atorvastatin, Placebo, Rosuvastatin
PMID 32219359other papers from this trial
Open the trial in the graph
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
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  4. Observational
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  9. Review
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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

5 authors at 4 institutions in 3 countries.

Mathias HaarhausDivision of Renal Medicine and Baxter Novum, Karolinska Institutet, Karolinska University Hospital, Stockholm Department of Clinical Chemistry, and Department of Experimental and Clinical Medicine, Linköping University, Linköping Diaverum Sweden AB, Stockholm, Sweden Resverlogix Corp. Research and Development, Calgary, Alberta, Canada Division of Nephrology and Hypertension, Harold Simmons Center for Kidney Disease Research and Epidemiology, University of California Irvine, Orange Nephrology Section, Tibor Rubin Veterans Affairs Medical Center, Long Beach Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, California, USA.
Dean Gilham
Ewelina Kulikowski
Per Magnusson
Kamyar Kalantar-Zadeh
Resverlogix (Canada) · CAKarolinska University Hospital · SELinköping University · SEUniversity of California, Irvine · US

Funding

MALNUTRITION, DIET AND RACIAL DISPARITIES IN CKDK24DK091419 · NIDDK · UNIVERSITY OF CALIFORNIA-IRVINE · PI KALANTAR-ZADEH, KAMYAR · 2011 to 2020
$1.8M
Comparative Effectiveness of Dialysis ModalitiesR01DK095668 · NIDDK · UNIVERSITY OF WASHINGTON · PI KALANTAR-ZADEH, KAMYAR, MEHROTRA, RAJNISH · 2012 to 2014
$1.0M
NIDDK NIH HHS K24 DK091419NIDDK NIH HHS R01 DK095668
6 · The paper itself

Abstract

purpose of reviewIn chronic kidney disease (CKD), disturbance of several metabolic regulatory mechanisms cause premature ageing, accelerated cardiovascular disease (CVD), and mortality. Single-target interventions have repeatedly failed to improve the prognosis for CKD patients. Epigenetic interventions have the potential to modulate several pathogenetic processes simultaneously. Alkaline phosphatase (ALP) is a robust predictor of CVD and all-cause mortality and implicated in pathogenic processes associated with CVD in CKD. RECENT

findingsIn experimental studies, epigenetic modulation of ALP by microRNAs or bromodomain and extraterminal (BET) protein inhibition has shown promising results for the treatment of CVD and other chronic metabolic diseases. The BET inhibitor apabetalone is currently being evaluated for cardiovascular risk reduction in a phase III clinical study in high-risk CVD patients, including patients with CKD (ClinicalTrials.gov Identifier: NCT02586155). Phase II studies demonstrate an ALP-lowering potential of apabetalone, which was associated with improved cardiovascular and renal outcomes. SUMMARY: ALP is a predictor of CVD and mortality in CKD. Epigenetic modulation of ALP has the potential to affect several pathogenetic processes in CKD and thereby improve cardiovascular outcome.

Indexed as

Epigenesis, GeneticAlkaline PhosphataseCardiovascular DiseasesGene Expression Regulation, EnzymologicHumansQuinazolinonesRenal Insufficiency, ChronicAlkaline PhosphataseapabetaloneQuinazolinones

Identifiers

PMID31725015
PMCPMC6903384
OpenAlexW2989195101

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.