Evidence map›Paper›PMID 36991567›Full record

Trial reportClinical cardiology2023

Effect of febuxostat on the level of malondialdehyde-modified low-density lipoprotein, an oxidative stress marker: A subanalysis of the PRIZE study.

Hiroki Teragawa, Atsushi Tanaka, Yuichi Fujii, Hisako Yoshida, Tomohiro Ueda, Shuichi Nomura, Toshiaki Kadokami, Hisashi Koide, Makoto Saito, Hiroaki Sano and 4 more

Open access · goldAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Clinical cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
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

14 authors at 8 institutions in 1 country.

Hiroki TeragawaDepartment of Cardiovascular Medicine, JR Hiroshima Hospital, Hiroshima, Japan.
Atsushi TanakaDepartment of Cardiovascular Medicine, Saga University, Saga, Japan.ORCID http://orcid.org/0000-0003-3352-7661
Yuichi FujiiDepartment of Cardiovascular Medicine, JR Hiroshima Hospital, Hiroshima, Japan.
Hisako YoshidaDepartment of Medical Statistics, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
Tomohiro UedaDepartment of Cardiovascular Medicine, JR Hiroshima Hospital, Hiroshima, Japan.
Shuichi NomuraDepartment of Cardiovascular Medicine, JR Hiroshima Hospital, Hiroshima, Japan.
Toshiaki KadokamiDepartment of Cardiovascular Medicine, Saiseikai Futsukaichi Hospital, Fukuoka, Japan.
Hisashi KoideDepartment of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan.
Makoto SaitoDepartment of Internal Medicine, Nishio Municipal Hospital, Nishio, Aichi, Japan.
Hiroaki SanoDepartment of Cardiology, Nagoya Ekisaikai Hospital, Nogaya, Aichi, Japan.
Yasuko K BandoDepartment of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Toyoaki MuroharaDepartment of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Koichi NodeDepartment of Cardiovascular Medicine, Saga University, Saga, Japan.
PRIZE Study Investigators
Hiroshima General Hospital · JPNagoya University · JPSaga University · JPChiba University Hospital · JPFukui-ken Saiseikai Hospital · JPKashiwa Municipal Hospital · JPNagoya Ekisaikai Hospital · JPOsaka Metropolitan University · JP

Funding

Teijin Pharma N/A
6 · The paper itself

Abstract

backgroundFebuxostat is a selective xanthine oxidase inhibitor that reportedly exhibits antioxidant properties. We previously performed a multicentre, randomized controlled (PRIZE) study for vascular evaluation under uric acid (UA) control by febuxostat to investigate the progression of carotid lesions in asymptomatic hyperuricemic patients with carotid atherosclerosis for 2 years. HYPOTHESIS: The current subanalysis of the PRIZE study aimed to assess the effect of febuxostat on the level of malondialdehyde-modified low-density lipoprotein (MDA-LDL), an oxidative stress marker.

methodsWe recruited 383 patients (febuxostat group, n = 200; control group, n = 183) from the PRIZE trial for whom MDA-LDL measurements were available. The UA, MDA-LDL, low-density lipoprotein cholesterol (LDL-C) levels, and MDA-LDL/LDL-C ratio were identified, represented as the estimated difference from baseline to 24 months. We also evaluated the relationship between febuxostat dose (10, ≤20 to <40, and ≤40 to ≤60 mg) and changes in the MDA-LDL level, LDL-C level, or MDA-LDL/LDL-C ratios.

resultsThe estimated change in MDA-LDL/LDL-C ratio from baseline to 24 months was significantly lower in the febuxostat group than in the control group (p = .025), whereas the estimated changes in MDA-LDL (p = .235) and LDL-C (p = .323) levels did not differ between the two groups. No significant correlation existed between the febuxostat doses and the estimated change in the MDA-LDL level (p = .626), LDL-C level (p = .896), or MDA-LDL/LDL-C ratio (p = .747).

conclusionsOur findings may indicate a possibility that febuxostat can lower the MDA-LDL/LDL-C ratio, a potential marker of atherosclerosis and oxidative stress, in asymptomatic hyperuricemic patients with carotid atherosclerosis. Further studies are required to validate our findings and elucidate the clinical antioxidant effect of febuxostat.

Indexed as

Carotid Artery DiseasesHyperuricemiaCholesterol, LDLFebuxostatHumansMalondialdehydeOxidative StressUric AcidCholesterol, LDLFebuxostatMalondialdehydeUric Acidantioxidative effectfebuxostatmalondialdehyde-modified low-density lipoproteinoxidative stress marker

Identifiers

PMID36991567
PMCPMC10270262
OpenAlexW4361277535

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.