Evidence map›Paper›PMID 32585670›Full record

Trial reportNephron2020

Characteristics of Patients Who Achieve Serum Phosphorus Control on Sucroferric Oxyhydroxide or Sevelamer Carbonate: A post hoc Analysis of a Phase 3 Study.

Adrian C Covic, Stuart M Sprague, Anjay Rastogi, Markus Ketteler, Sebastian Walpen, Amandine Perrin, Jürgen Floege

Open access · hybridAbstract readClinical Trial, Phase IIIControlled Clinical TrialMulticenter Study
In one paragraph

Trial report in Nephron, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 pooled it
0.3field-weighted citation impact, top 43% 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

2 citing papers in PubMed, 2 syntheses or guidelines pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Efficacy and safety of sucroferric oxyhydroxide versus sevelamer carbonate: A systematic review and meta-analysis.Hemodialysis international. International Symposium on Home Hemodialysis · 2025
    Pooled it
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

7 authors at 6 institutions in 4 countries.

Adrian C CovicNephrology Clinic and Dialysis and Transplantation Center, Grigore T. Popa University of Medicine and Pharmacy, Iași, Romania, accovic@gmail.com.
Stuart M SpragueNorthShore University Health System, University of Chicago, Pritzker School of Medicine, Evanston, Illinois, USA.
Anjay RastogiDivision of Nephrology, University of California, Los Angeles, California, USA.
Markus KettelerDepartment of General Internal Medicine and Nephrology, Robert-Bosch-Krankenhaus, Stuttgart, Germany.
Sebastian WalpenDepartment of Medical Affairs, Vifor Pharma, Glattbrugg, Switzerland.
Amandine PerrinDepartment of Biometrics, Vifor Pharma, Glattbrugg, Switzerland.
Jürgen FloegeDivision of Nephrology, RWTH University Hospital Aachen, Aachen, Germany.
Vifor Pharma (Switzerland) · CHGrigore T. Popa University of Medicine and Pharmacy · RONorthShore University HealthSystem · USRobert Bosch Hospital · DEUniversitätsklinikum Aachen · DEUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionControl of hyperphosphatemia in patients on dialysis remains a major challenge.

objectiveThis study evaluated predictors of serum phosphorus (sP) control among dialysis patients treated with noncalcium, oral phosphate binder therapy in a phase 3 clinical trial.

methodsPost hoc analyses were performed using data for patients with hyperphosphatemia who received 52 weeks of treatment with sucroferric oxyhydroxide (SFOH) or sevelamer carbonate (sevelamer). Patients were categorized into those who achieved sP control (n = 302; defined as sP ≤ 5.5 mg/dL at week 52), and those with uncontrolled sP (n = 195; sP >5.5 mg/dL at week 52). Because SFOH and sevelamer have previously demonstrated similar effects on chronic kidney disease-mineral-bone disorder parameters in this study, the treatment groups were pooled.

resultsAverage age at baseline was higher among sP-controlled versus sP-uncontrolled patients (56.9 vs. 53.4 years; p = 0.005). Baseline sP levels were significantly lower among sP-controlled versus sP-uncontrolled patients (7.30 vs. 7.85 mg/dL; p < 0.001), and sP reductions from baseline were significantly greater in the sP-controlled group (-2.89 vs. -0.99 mg/dL at week 52; p < 0.001). Logistic regression analysis identified higher baseline sP levels (odds ratio [OR] = 0.86, 95% confidence interval [CI]: 0.765-0.960), no concomitant active vitamin D therapy use (OR = 0.51, 95% CI: 0.328-0.804), and higher body mass index at baseline (OR = 0.96, 95% CI: 0.937-0.992) as significant predictors of uncontrolled sP.

conclusionThis analysis indicates that sP control may be more challenging in younger patients with high sP levels. Closer monitoring and management of serum phosphorus levels may be required in this population.

Indexed as

AdultAgedAge FactorsCalcimimetic AgentsChelating AgentsDrug CombinationsFemaleFerric CompoundsFibroblast Growth Factor-23Fibroblast Growth FactorsHumansHyperphosphatemiaLogistic ModelsMaleMiddle AgedParathyroid HormoneCalcimimetic AgentsChelating AgentsDrug CombinationsFerric CompoundsFibroblast Growth Factor-23Fibroblast Growth FactorsParathyroid HormonePhosphorusPTH protein, humanSevelamersucroferric oxyhydroxideSucroseVitamin DChronic kidney diseaseDialysisPhosphate binderSevelamer carbonateSucroferric oxyhydroxide

Identifiers

PMID32585670
PMCPMC7592954
OpenAlexW3037500181

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.