Evidence map›Paper›PMID 35169280›Full record

Trial reportHypertension research : official journal of the Japanese Society of Hypertension2022

Differential effect of a xanthine oxidase inhibitor on arterial stiffness and carotid atherosclerosis: a subanalysis of the PRIZE study.

Kazuki Shiina, Hirofumi Tomiyama, Atsushi Tanaka, Hisako Yoshida, Kazuo Eguchi, Kazuomi Kario, Toru Kato, Hiroki Teragawa, Shigeru Toyoda, Mitsuru Ohishi and 5 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Hypertension research : official journal of the Japanese Society of Hypertension, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
5.6field-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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Targeted drug delivery systems for atherosclerosis.Journal of nanobiotechnology · 2025
    Review
  8. Article
  9. Current updates and future perspectives in uric acid research, 2024.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Review
  10. Article
  11. Review
  12. Is uric acid a causal risk factor of arterial stiffness in patients with hypertension?Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Article
  13. Review
  14. 2023 update and perspectives.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Preface-special issue on hypertension in Asia: the second story.Hypertension research : official journal of the Japanese Society of Hypertension · 2022
    Article
  20. 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

15 authors at 12 institutions in 1 country.

Kazuki ShiinaDepartment of Cardiology, Tokyo Medical University, Tokyo, Japan. shiina@tokyo-med.ac.jp.
Hirofumi TomiyamaDepartment of Cardiology, Tokyo Medical University, Tokyo, Japan.
Atsushi TanakaDepartment of Cardiovascular Medicine, Saga University, Saga, Japan.
Hisako YoshidaDepartment of Medical Statistics, Osaka City University Graduate School of Medicine, Osaka, Japan.
Kazuo EguchiDepartment of General Internal Medicine, Saitama Red Cross Hospital, Saitama, Japan.
Kazuomi KarioDivision of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Shimotsuke, Japan.
Toru KatoDepartment of Clinical Research, National Hospital Organization, Tochigi Medical Center, Utsunomiya, Japan.
Hiroki TeragawaDepartment of Cardiovascular Medicine, JR Hiroshima Hospital, Hiroshima, Japan.
Shigeru ToyodaDepartment of Cardiovascular Medicine, Dokkyo Medical University, Mibu, Japan.
Mitsuru OhishiDepartment of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.
Yoshihiro FukumotoDivision of Cardiovascular Medicine, Department of Medicine, Kurume University School of Medicine, Kurume, Japan.
Bonpei TakaseDepartment of Intensive Care Medicine, National Defense Medical College, Tokorozawa, Japan.
Tomoko IshizuDepartment of Cardiology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Koichi NodeDepartment of Cardiovascular Medicine, Saga University, Saga, Japan.
PRIZE Study Investigators
Saga University · JPTokyo Medical University · JPDokkyo Medical University · JPHiroshima General Hospital · JPJichi Medical University · JPKagoshima University · JPKurume University · JPNational Defense Medical College · JPOsaka City University · JPSaitama Red Cross Hospital · JPTochigi Medical Center · JPUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atherosclerosis and arterial stiffness are phenotypes of atherosclerotic vascular damage. Atherosclerosis originates from endothelial vascular damage and forms focal morphological lesions; arterial stiffness originates from diffuse medial-layer damage in the arterial tree. Thus, the two phenomena reflect different facets of atherosclerotic vascular damage, and they both gradually progress. We conducted a subanalysis to compare the long-term effects of febuxostat on atherosclerosis and arterial stiffness in the PRIZE study (a multicenter, prospective, randomized, open-label, blinded-endpoint clinical trial to examine the effect of febuxostat on carotid atherosclerosis). Among 514 study participants, arterial stiffness parameters (brachial-ankle pulse wave velocity or cardio-ankle vascular index) were obtained at baseline, 12 months, and 24 months in 100 subjects. Among them, 48 subjects were allocated to the control group (i.e., nonpharmacological lifestyle modification for hyperuricemia), and 52 subjects were allocated to the febuxostat treatment group. While the decrease in serum uric acid was greater in the febuxostat group than in the control group, the adjusted percentage decrease in arterial stiffness parameters at month 24 was greater in the febuxostat group than in the control group, with a mean between-group difference (febuxostat - control) of -5.099% (95% confidence interval (CI) -10.009% to -0.188%, p = 0.042). Thus, long-term treatment with febuxostat may exert beneficial effects on arterial stiffness without improving carotid atherosclerosis. A long-term study to examine the effect of febuxostat on cardiovascular outcomes related to increased arterial stiffness is warranted.

Indexed as

AtherosclerosisAwards and PrizesCarotid Artery DiseasesHyperuricemiaVascular StiffnessAnkle Brachial IndexEnzyme InhibitorsFebuxostatHumansProspective StudiesPulse Wave AnalysisUric AcidXanthine OxidaseEnzyme InhibitorsFebuxostatUric AcidXanthine OxidaseArterial stiffnessAtherosclerosisFebuxostatUric acidXanthine oxidase

Identifiers

PMID35169280
OpenAlexW4213157518

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.