Evidence map›Paper›PMID 39430173›Full record

ArticleKidney international reports2024

Prospective Trial on the Pharmacokinetics of Clopidogrel in Hemodialysis Patients.

Juergen Grafeneder, Wisse van Os, Iris K Minichmayr, Katarina D Kovacevic Miljevic, Birgit Reiter, Marcus D Säemann, Veronika Machold-Fabrizii, Amro Ahmed, Paul Spechtl, Haris Omic and 4 more

Abstract read
In one paragraph

Article in Kidney international reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Observational
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.

Juergen GrafenederDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Wisse van OsDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Iris K MinichmayrDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Katarina D Kovacevic MiljevicDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Birgit ReiterDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Marcus D Säemann6th Medical Department, Nephrology and Dialysis, Clinic Ottakring, Vienna, Austria.
Veronika Machold-Fabrizii6th Medical Department, Nephrology and Dialysis, Clinic Ottakring, Vienna, Austria.
Amro Ahmed3rd Medical Department, Cardiology and Intensive Care Medicine, Clinic Ottakring, Vienna, Austria.
Paul SpechtlDepartment of Nephrology and Dialysis, Division of Medicine III, Medical University of Vienna, Vienna, Austria.
Haris OmicDepartment of Nephrology and Dialysis, Division of Medicine III, Medical University of Vienna, Vienna, Austria.
Raute Sunder-PlaßmannDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Bernd JilmaDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Christian SchoergenhoferDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Farsad EskandaryDepartment of Nephrology and Dialysis, Division of Medicine III, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Hemodialysis patients (HDPs) exhibit extensive cardiovascular risk. The widely prescribed anti-platelet agent clopidogrel is metabolically activated by cytochrome enzymes, which may be impaired by uremia and chronic low-grade inflammation, typically present in HDPs. We conducted a prospective multicenter study to investigate the pharmacokinetics and pharmacodynamics of clopidogrel in HDPs and healthy volunteers (HVs). Methods: We enrolled HDPs receiving long-term clopidogrel (75 mg) and pantoprazole treatment (40 mg). Healthy volunteers received a loading dose of 300 mg clopidogrel, followed by 75 mg once daily. Pantoprazole, a substrate and probe drug of Results: Seventeen HDPs and 16 HVs were included. The maximum concentration of clopidogrel's active metabolite was significantly lower in HDPs compared to HVs (median [interquartile range] 12.2 [4.6-23.4] vs. 24.7 [17.8-36.5] ng/ml, Conclusion: Our data demonstrate an altered metabolism of clopidogrel in HDPs in the context of lower

Indexed as

cardiovascular riskclopidogrelcytochrome P450hemodialysispharmacokineticsplatelet aggregation

Identifiers

PMID39430173
PMCPMC11489422

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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.