Evidence map›Paper›PMID 37740521›Full record

ArticleJournal of veterinary internal medicine

Use of molidustat, a hypoxia-inducible factor prolyl hydroxylase inhibitor, in chronic kidney disease-associated anemia in cats.

Samuel Charles, Ricarda Süssenberger, Terry Settje, Catherine Langston, Chantal Lainesse

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial, Veterinary
In one paragraph

Article in Journal of veterinary internal medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Guideline
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  6. Feline comorbidities: cardiovascular and kidney diseases.Journal of feline medicine and surgery · 2026
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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

5 authors at 5 institutions in 3 countries.

Samuel CharlesResearch and Breakthrough Innovation, Elanco Animal Health Inc., Greenfield, Indiana, USA.
Ricarda SüssenbergerProject and Portfolio Management, Elanco Animal Health Inc., Monheim, Germany.
Terry SettjeOlathe, Kansas, USA.
Catherine LangstonSmall Animal Internal Medicine, The Ohio State University, Columbus, Ohio, USA.ORCID https://orcid.org/0000-0002-7985-1961
Chantal LainesseIntegRxal Consulting Strategies, Inc., Saskatoon, Saskatchewan, Canada.ORCID https://orcid.org/0000-0003-1881-2560
Breakthrough · USDepartment of Animal Health · VNOlathe Medical Center · USThe Ohio State University · USUniversity of Saskatchewan · CA

Funding

Elanco Animal Health Inc.
6 · The paper itself

Abstract

backgroundErythropoietic effects of molidustat, a hypoxia-inducible factor prolyl hydroxylase (HIF-PH) inhibitor, were previously demonstrated in healthy cats.

objectiveTo evaluate the safety and erythropoietic effects of daily PO administration of molidustat in anemic cats with chronic kidney disease (CKD). ANIMALS: Twenty-one client-owned CKD cats (4-17 years old) with anemia.

methodsMulticenter field study; randomized, masked, and placebo-controlled. Cats were treated PO once daily for 28 days with suspensions of control product (CP; n = 6) or 5 mg/kg of molidustat (n = 15). Hematocrit (HCT) was evaluated at weekly intervals. Individual cat treatment success was defined as a ≥4% point increase in HCT compared to baseline.

resultsControl group mean HCT remained low throughout the study (20.1%-23.4%). Mean HCT of molidustat-treated cats increased weekly, and a significant increase compared to baseline (23.6%) was first observed on Day 21 (27.3%; P < .001; 95% confidence interval [CI], 1.69-5.67). Compared to CP group, mean HCT was significantly higher on Day 21 (27.3% vs 20.1%; P < .001; 95% CI, 2.91-10.75) but not significantly higher on Day 28 (27.8% vs 23.4%; P = .06; 95% CI, -0.23 to 9.88). The number of individual treatment successes on Day 28 was higher among remaining molidustat-treated cats (7/14) compared to remaining control cats (1/5), but there was no significant difference between groups. CONCLUSIONS AND CLINICAL IMPORTANCE: Daily PO molidustat administration may stimulate a clinically relevant erythropoietic response in anemic cats with CKD. This HIF-PH inhibitor may be an alternative for managing anemia in cats compared to recombinant EPO treatment.

Indexed as

AnemiaCat DiseasesProlyl-Hydroxylase InhibitorsPyrazolesRenal Insufficiency, ChronicTriazolesAnimalsCatsHypoxiaHypoxia-Inducible Factor-Proline DioxygenasesProlyl HydroxylasesHypoxia-Inducible Factor-Proline DioxygenasesmolidustatProlyl-Hydroxylase InhibitorsProlyl HydroxylasesPyrazolesTriazolesanemicerythropoietinhematocritnonregenerativePCVrenal

Identifiers

PMID37740521
PMCPMC10800191
OpenAlexW4386979894

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.