Evidence map›Paper›PMID 38025238›Full record

ArticleKidney international reports2023

Comparison of the Oral Calcimimetics Evocalcet and Cinacalcet in East Asian Patients on Hemodialysis with Secondary Hyperparathyroidism.

Zhaohui Ni, Xinling Liang, Chia-Chao Wu, Kyubok Jin, Yong-Lim Kim, Kuo-Cheng Lu, Tak Mao Chan, Masafumi Fukagawa, Jun Kinoshita, Chisato Nagai and 3 more

Open access · goldAbstract read
In one paragraph

Article in Kidney international reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 21% 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, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. 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

13 authors at 9 institutions in 5 countries.

Zhaohui NiRen Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Xinling LiangGuangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, China.
Chia-Chao WuTri-Service General Hospital, Taipei, Taiwan.
Kyubok JinKeimyung University School of Medicine, Daegu, Republic of Korea.
Yong-Lim KimSchool of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Kuo-Cheng LuTaipei Tzu Chi Hospital, Taipei, Taiwan.
Tak Mao ChanThe University of Hong Kong, Hong Kong, China.
Masafumi FukagawaTokai University School of Medicine, Kanagawa, Japan.
Jun KinoshitaKyowa Kirin Co., Ltd., Tokyo, Japan.
Chisato NagaiKyowa Kirin Co., Ltd., Tokyo, Japan.
Masahiro KojimaKyowa Kirin Co., Ltd., Tokyo, Japan.
Xueqing YuGuangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, China.
Orchestra Study Group
Kyowa Kirin (Japan) · JPKyungpook National University · KRTri-Service General Hospital · TWKeimyung University · KRShanghai Jiao Tong University · CNSouthern Medical University · CNTaipei Tzu Chi Hospital · TWTokai University · JPUniversity of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Evocalcet is an oral calcimimetic agent with proven efficacy and safety in treating secondary hyperparathyroidism (SHPT) in Japanese patients on dialysis. Methods: This randomized, double-blind, intrapatient dose-adjustment, parallel-group, international multicenter study compared the efficacy and safety of evocalcet versus cinacalcet for 52 weeks in East Asian hemodialysis patients with SHPT. Results: In total, 203 and 200 patients were randomized to receive evocalcet or cinacalcet, respectively (overall, 70.1% had baseline intact parathyroid hormone (PTH) levels ≥500 pg/ml, with no between-group difference). Mean percentage changes in intact PTH levels from baseline were -34.7% and -30.2% in the evocalcet and cinacalcet groups at 52 weeks (between-group difference -4.4%, 95% confidence interval [CI] -13.1%, 4.3%, below the predefined 15% noninferiority margin). Overall, 67.3% and 58.7% of patients in the evocalcet and cinacalcet groups, respectively, achieved ≥30% decrease in intact PTH levels from baseline (between-group difference 8.6%; 95% CI -1.8%, 19.1%). No major safety concerns were observed. Gastrointestinal adverse events (AEs) were significantly less frequent with evocalcet compared with cinacalcet (33.5% vs. 50.5%, Conclusion: Evocalcet might be a better alternative to cinacalcet for East Asian patients on hemodialysis with SHPT.

Indexed as

cinacalcetEast Asiaevocalcetgastrointestinalrandomized controlled trialsecondary hyperparathyroidism

Identifiers

PMID38025238
PMCPMC10658267
OpenAlexW4386258854

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.