Evidence map›Paper›PMID 34800079›Full record

ArticleEuropean journal of heart failure2022

Patiromer for the management of hyperkalaemia in patients receiving renin-angiotensin-aldosterone system inhibitors for heart failure: design and rationale of the DIAMOND trial.

Javed Butler, Stefan D Anker, Tariq Jamal Siddiqi, Andrew J S Coats, Fabio Dorigotti, Gerasimos Filippatos, Tim Friede, Udo-Michael Göhring, Mikhail N Kosiborod, Lars H Lund and 9 more

Open access · hybridAbstract readClinical Trial Protocol
In one paragraph

Article in European journal of heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
5.7field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
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  7. 2024 update in heart failure.ESC heart failure · 2025
    Review
  8. Review
  9. Review
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  11. Steroidal or non-steroidal MRAs: should we still enable RAASi use through K binders?Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    Article
  12. Review
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  20. Advances in the area of cardiorenal medicine: clinical research highlights from selected papers published in NDT.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2022
    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

19 authors at 16 institutions in 11 countries.

Javed ButlerDepartment of Medicine, University of Mississippi, Jackson, MS, USA.
Stefan D AnkerDepartment of Cardiology (CVK); and Berlin Institute of Health Center for Regenerative Therapies (BCRT); German Center for Cardiovascular Research (DZHK) partner site Berlin; Charité Universitätsmedizin Berlin, Berlin, Germany.
Tariq Jamal SiddiqiDepartment of Internal Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Andrew J S CoatsUniversity of Warwick, Warwick, UK.
Fabio DorigottiVifor Pharma, Glattbrugg, Switzerland.
Gerasimos FilippatosNational and Kapodistrian University of Athens, School of Medicine, Athens University Hospital Attikon, Athens, Greece.
Tim FriedeUniversity Medical Center Göttingen, Göttingen, Germany.
Udo-Michael GöhringVifor Pharma, Glattbrugg, Switzerland.
Mikhail N KosiborodDepartment of Cardiovascular Disease, Saint Luke's Mid America Heart Institute and University of Missouri-Kansas City, Kansas City, MO, USA.
Lars H LundDepartment of Medicine, Unit of Cardiology, Karolinska Institute, Solna, Sweden.
Marco MetraDepartment of Cardiology, University and Civil Hospital, Brescia, Italy.
Carol Moreno QuinnVifor Pharma, Glattbrugg, Switzerland.
Ileana L PiñaCentral Michigan University, Mount Pleasant, MI, USA.
Fausto J PintoSanta Maria University Hospital, CAML, CCUL, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal.
Patrick RossignolCentre d'Investigation Clinique Plurithématique Pierre Drouin - INSERM CHU de Nancy, Nancy, France.
Peter SzecsödyVifor Pharma, Glattbrugg, Switzerland.
Peter Van Der MeerDepartment of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.
Matthew WeirDivision of Nephrology, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
Bertram PittDivision of Cardiology, University of Michigan, Ann Arbor, MI, USA.
Vifor Pharma (Switzerland) · CHCentral Michigan University · USCharité - Universitätsmedizin Berlin · DEDow University of Health Sciences · PKGerman Centre for Cardiovascular Research · DEHospital de Santa Maria · PTInserm · FRKarolinska Institutet · SENational and Kapodistrian University of Athens · GRUniversity Medical Center Groningen · NLUniversity of Brescia · ITUniversity of Maryland, Baltimore · USUniversity of Michigan · USUniversity of Mississippi · USUniversity of Missouri–Kansas City · USUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsIn patients with current or a history of hyperkalaemia, treatment with renin-angiotensin-aldosterone system inhibitors (RAASi) is often compromised. Patiromer, a novel potassium (K

methodsThe DIAMOND trial will enroll ∼820 patients with heart failure with reduced ejection fraction (HFrEF; ejection fraction ≤40%). Patients meeting the screening criteria will enter a single-blinded run-in phase where they will be started or continued on a mineralocorticoid receptor antagonist (MRA) titrated to 50 mg/day and other RAASi therapy to ≥50% target dose, and patiromer. Patiromer will be titrated up to a maximum three packs/day (8.4 g/pack) to achieve optimal doses of RAASi without hyperkalaemia. The run-in phase will last up to 12 weeks, following which patients will undergo double-blind randomization in a 1:1 ratio to receive either continued patiromer or placebo (patiromer withdrawal). The primary endpoint is the mean difference in serum K

conclusionThe DIAMOND trial is designed to determine if patiromer can favourably impact K

Indexed as

Heart FailureHyperkalemiaRenal Insufficiency, ChronicAngiotensin-Converting Enzyme InhibitorsHumansPolymersPotassiumRandomized Controlled Trials as TopicRenin-Angiotensin SystemStroke VolumeAngiotensin-Converting Enzyme InhibitorspatiromerPolymersPotassiumAdherenceHeart failureHyperkalaemiaMineralocorticoid receptor antagonistsPatiromerPotassiumRenin-angiotensin-aldosterone system inhibitorsTrial design

Identifiers

PMID34800079
PMCPMC9300159
OpenAlexW3212142286

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.