Evidence map›Paper›PMID 34089122›Full record

Trial reportClinical and experimental nephrology2021

Effect of tolvaptan in Japanese patients with autosomal dominant polycystic kidney disease: a post hoc analysis of TEMPO 3:4 and TEMPO Extension Japan.

Satoru Muto, Tadashi Okada, Yoshiyuki Shibasaki, Tatsuki Ibuki, Shigeo Horie

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and experimental nephrology, 2021. 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 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–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.

NCT00428948 phase3completednot on this map

A Phase 3, Multi-center, Double-blind, Placebo-controlled, Parallel-arm Trial to Determine Long-term Safety and Efficacy of Oral Tolvaptan Tablets Regimens in Adult Subjects With Autosomal Dominant Polycystic Kidney Disease

TypeinterventionalSponsorOtsuka Pharmaceutical Development & Commercialization, Inc.Ran2007 to 2012Enrolled1,445ConditionsPolycystic Kidney Disease, Autosomal DominantArmsTolvaptan, Placebo
NCT01280721 phase3completednot on this map

A Multicenter, Open-label Extension Study to Investigate the Long-term Safety and Efficacy of Tolvaptan in Patients With Autosomal Dominant Polycystic Kidney Disease (ADPKD) [Extension of Trial 156-04-251 in Japan]

TypeinterventionalSponsorOtsuka Pharmaceutical Co., Ltd.Ran2010 to 2014Enrolled135ConditionsAutosomal Dominant Polycystic Kidney Disease (ADPKD)Armstolvaptan
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. 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

5 authors.

Satoru MutoDepartment of Advanced Informatics for Genetic Disease, Juntendo University Graduate School of Medicine, Hongo 2-1-1, Bunkyo-ku, Tokyo, 113-8421, Japan. s-muto@juntendo.ac.jp.
Tadashi OkadaDepartment of Clinical Development, Otsuka Pharmaceutical Co., Ltd., Osaka, Japan.
Yoshiyuki ShibasakiMedical Affairs, Otsuka Pharmaceutical Co., Ltd., Tokyo, Japan.
Tatsuki IbukiMedical Affairs, Otsuka Pharmaceutical Co., Ltd., Tokyo, Japan.
Shigeo HorieDepartment of Advanced Informatics for Genetic Disease, Juntendo University Graduate School of Medicine, Hongo 2-1-1, Bunkyo-ku, Tokyo, 113-8421, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutosomal dominant polycystic kidney disease (ADPKD) is a progressive condition that eventually leads to end-stage renal disease. A phase 3 trial of tolvaptan (TEMPO 3:4; NCT00428948) and its open-label extension (TEMPO Extension Japan: TEMPO-EXTJ; NCT01280721) were conducted in patients with ADPKD. In this post hoc analysis, effects on renal function and the safety profile of tolvaptan were assessed over a long-term period that included the 3-year TEMPO 3:4 and the approximately 3-year TEMPO-EXTJ trials.

methodsPatients from Japanese trial sites who completed TEMPO 3:4 were offered participation in TEMPO-EXTJ. Patients whose efficacy parameters were measured at year 2 in TEMPO-EXTJ for efficacy evaluation were included. The annual slope of the estimated glomerular filtration rate (eGFR) and growth in total kidney volume (TKV) were analyzed.

resultsIn patients who received tolvaptan in TEMPO 3:4 and TEMPO-EXTJ, the annual slope of eGFR (mL/min/1.73 m

conclusionThe TEMPO-EXTJ trial supports a sustained beneficial effect of tolvaptan on eGFR. In patients who received a placebo in TEMPO 3:4, initiation of tolvaptan in TEMPO-EXTJ was associated with a significant slowing of eGFR decline.

Indexed as

AdultAntidiuretic Hormone Receptor AntagonistsFemaleGlomerular Filtration RateHumansJapanKidneyMaleMiddle AgedOrgan SizePolycystic Kidney, Autosomal DominantTolvaptanAntidiuretic Hormone Receptor AntagonistsTolvaptanAutosomal dominant polycystic kidney disease (ADPKD)Estimated glomerular filtration rate (eGFR)TEMPO 3:4TEMPO Extension Japan (TEMPO-EXTJ)TolvaptanTotal kidney volume (TKV)

Identifiers

PMID34089122
PMCPMC8357671

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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.