Evidence map›Paper›PMID 37289335›Full record

Trial reportClinical and experimental nephrology2023

Higher hemoglobin levels using darbepoetin alfa and kidney outcomes in advanced chronic kidney disease without diabetes: a prespecified secondary analysis of the PREDICT trial.

Shoichi Maruyama, Shimon Kurasawa, Terumasa Hayashi, Masaomi Nangaku, Ichiei Narita, Hideki Hirakata, Kenichiro Tanabe, Satoshi Morita, Yoshiharu Tsubakihara, Enyu Imai and 2 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and experimental nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01581073 (Prevention of End Stage Kidney Disease by Darbepoetin Alfa In CKD Patients With Non-diabetic Kidney Disease), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 23% 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.

NCT01581073 phase3completednot on this map

Prevention of End Stage Kidney Disease by Darbepoetin Alfa In CKD Patients With Non-diabetic Kidney Disease

TypeinterventionalSponsorTranslational Research Center for Medical Innovation, Kobe, Hyogo, JapanRan2012 to 2017Enrolled476ConditionsChronic Kidney Disease, DiabetesArmsDarbepoetin alfa
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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

12 authors at 10 institutions in 1 country.

Shoichi MaruyamaDepartment of Nephrology, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya, 466-8550, Japan. marus@med.nagoya-u.ac.jp.ORCID http://orcid.org/0000-0002-8858-632X
Shimon KurasawaDepartment of Nephrology, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya, 466-8550, Japan.
Terumasa HayashiDepartment of Kidney Disease and Hypertension, Osaka General Medical Center, Osaka, Japan.
Masaomi NangakuDivision of Nephrology and Endocrinology, The University of Tokyo, Tokyo, Japan.
Ichiei NaritaDivision of Clinical Nephrology and Rheumatology, Niigata University, Niigata, Japan.
Hideki HirakataFukuoka Renal Clinic, Fukuoka, Japan.
Kenichiro TanabeDivision of Health Data Science, Translational Research Center for Medical Innovation, Kobe, Japan.
Satoshi MoritaBiomedical Statistics and Bioinformatics, Kyoto University, Kyoto, Japan.
Yoshiharu TsubakiharaGraduate School of Health Care Sciences, Jikei Institute, Osaka, Japan.
Enyu ImaiNakayamadera Imai Clinic, Takarazuka, Japan.
Tadao AkizawaDivision of Nephrology, Showa University School of Medicine, Tokyo, Japan.
PREDICT Investigators
Kyoto University · JPGraduate School of Health Care Sciences, Jikei Institute · JPNagoya University · JPOno Clinic · JPNiigata University · JPOsaka Prefectural Medical Center · JPShowa University · JPSt. Marianna University School of Medicine · JPTakara (Japan) · JPThe University of Tokyo · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the primary analysis of the PREDICT trial, a higher hemoglobin target (11-13 g/dl) with darbepoetin alfa did not improve renal outcomes compared with a lower hemoglobin target (9-11 g/dl) in advanced chronic kidney disease (CKD) without diabetes. Prespecified secondary analyses were performed to further study the effects of targeting higher hemoglobin levels on renal outcomes.

methodsPatients with an estimated glomerular filtration rate (eGFR) 8-20 ml/min/1.73 m

resultsIn the full analysis set (high hemoglobin, n = 239; low hemoglobin, n = 240), eGFR and proteinuria slopes were not significantly different between the groups. In the per-protocol set (high hemoglobin, n = 136; low hemoglobin, n = 171), the high-hemoglobin group was associated with reduced composite renal outcome (adjusted hazard ratio: 0.64; 95% confidence interval: 0.43-0.96) and an improved eGFR slope (coefficient: + 1.00 ml/min/1.73 m

conclusionsIn the per-protocol set, the high-hemoglobin group demonstrated better kidney outcomes than the low-hemoglobin group, suggesting a potential benefit of maintaining higher hemoglobin levels in patients with advanced CKD without diabetes. CLINICAL

trial registrationClinicaltrials.gov (identifier: NCT01581073).

Indexed as

AnemiaDiabetes MellitusNeoplasmsRenal Insufficiency, ChronicDarbepoetin alfaHemoglobinsHumansKidneyProteinuriaDarbepoetin alfaHemoglobinsCKDeGFR slopeKidneyProteinuriaRenal anemia

Identifiers

PMID37289335
PMCPMC10432358
OpenAlexW4379768816

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.