Evidence map›Paper›PMID 34186056›Full record

Trial reportKidney international2021

Primary results of the randomized trial of metformin administration in polycystic kidney disease (TAME PKD).

Ronald D Perrone, Kaleab Z Abebe, Terry J Watnick, Andrew D Althouse, Kenneth R Hallows, Christina M Lalama, Dana C Miskulin, Stephen L Seliger, Cheng Tao, Peter C Harris and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Kidney international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 4 pooled it
10.7field-weighted citation impact, top 1% 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

47 citing papers in PubMed, 4 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Metformin for preventing the progression of chronic kidney disease.The Cochrane database of systematic reviews · 2024 · on this map
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Review
  8. Review
  9. Evolution of Clinical Trial Design in ADPKD.Kidney international reports · 2026
    Review
  10. Article
  11. End Point Selection in ADPKD Clinical Trials.Kidney international reports · 2025
    Review
  12. Article
  13. Review
  14. Therapies in autosomal dominant polycystic kidney disease: beyond tolvaptan.Current opinion in nephrology and hypertension · 2025
    Review
  15. Article
  16. Characterizing the ADPKD-Kidney international reports · 2025
    Article
  17. Review
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Ronald D PerroneDivision of Nephrology, Department of Medicine, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts, USA. Electronic address: rperrone@tuftsmedicalcenter.org.
Kaleab Z AbebeDivision of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Terry J WatnickDivision of Nephrology, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Andrew D AlthouseDivision of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Kenneth R HallowsUSC/UKRO Kidney Research Center and Division of Nephrology and Hypertension, Department of Medicine, University of Southern California Keck School of Medicine, Los Angeles, California, USA.
Christina M LalamaDivision of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Dana C MiskulinDivision of Nephrology, Department of Medicine, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts, USA.
Stephen L SeligerDivision of Nephrology, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Cheng TaoDepartment of Radiology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Peter C HarrisDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota, USA.
Kyongtae Ty BaeDepartment of Radiology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
University of Pittsburgh · USUniversity of Maryland, Baltimore · USMayo Clinic · USTufts Medical Center · USTufts University · USUniversity of Southern California · US

Funding

QAQC Johns Hopkins Institute for Clinical and Translational ResearchUL1TR003098 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2019 to 2023
$57.7M
Tufts Clinical and Translational Science Institute (Pilot Supplement)UL1TR002544 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2018 to 2022
$50.2M
Pilot and FeasibilityP30DK090728 · NIDDK · MAYO CLINIC ROCHESTER · PI TORRES, VICENTE E · 2010 to 2019
$11.8M
ADPKD:Disease Spectrum &Genotype-Phenotype CorrelationsR01DK058816 · NIDDK · MAYO CLINIC ROCHESTER · PI Peter C. Harris · 2001 to 2026
$11.3M
Research BaseP30DK090868 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI WATNICK, TERRY J · 2010 to 2019
$11.1M
PKD Innovation and Resource Development CoreU54DK126114 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI Feng Qian · 2020 to 2026
$7.3M
NCATS NIH HHS UL1 TR002544NCATS NIH HHS UL1 TR003098NIDDK NIH HHS P30 DK090728NIDDK NIH HHS P30 DK090868NIDDK NIH HHS R01 DK058816NIDDK NIH HHS U54 DK126114
6 · The paper itself

Abstract

Autosomal dominant polycystic kidney disease (ADPKD) is characterized by growth of kidney cysts and glomerular filtration rate (GFR) decline. Metformin was found to impact cystogenesis in preclinical models of polycystic disease, is generally considered safe and may be a promising candidate for clinical investigation in ADPKD. In this phase 2 two-year trial, we randomly assigned 97 patients, 18-60 years of age, with ADPKD and estimated GFR over 50 ml/min/1.73 m

Indexed as

CystsMetforminPolycystic Kidney, Autosomal DominantAdultDisease ProgressionGlomerular Filtration RateHumansKidneyMetforminautosomal dominant polycystic kidney diseaseclinical trialestimated glomerular filtration ratemetformintotal kidney volume

Identifiers

PMID34186056
PMCPMC8801184
OpenAlexW3176251154

What OpenQuestion holds

Textmetadata
LicenceTDM
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.