Evidence map›Paper›PMID 39829064›Full record

ReviewTherapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy2025

Tenapanor: A novel therapeutic agent for dialysis patients with hyperphosphatemia.

Tadao Akizawa, Natsuki Urano, Kazuaki Ikejiri, Kaoru Nakanishi, Masafumi Fukagawa

Abstract readReview
In one paragraph

Review in Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. Tenapanor: A novel therapeutic agent for dialysis patients with hyperphosphatemia.Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy · 2025
    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

5 authors.

Tadao AkizawaDivision of Nephrology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-6150-9201
Natsuki UranoDevelopment Division, Kyowa Kirin Co., Ltd., Tokyo, Japan.ORCID https://orcid.org/0000-0001-7398-2672
Kazuaki IkejiriDevelopment Division, Kyowa Kirin Co., Ltd., Tokyo, Japan.ORCID https://orcid.org/0000-0001-6096-4723
Kaoru NakanishiDevelopment Division, Kyowa Kirin Co., Ltd., Tokyo, Japan.ORCID https://orcid.org/0009-0009-2609-8054
Masafumi FukagawaDivision of Nephrology, Endocrinology, and Metabolism, Department of Internal Medicine, Tokai University School of Medicine, Isehara, Kanagawa, Japan.ORCID https://orcid.org/0000-0002-7832-2339

Funding

Kyowa Kirin
6 · The paper itself

Abstract

Patients on dialysis often develop hyperphosphatemia, contributing to an increased risk of cardiovascular events and mortality. Currently, several types of phosphate binders (PBs) exist for the treatment of hyperphosphatemia, but they are sometimes associated with drug-specific side effects and high pill burden, making it difficult to control serum phosphorus appropriately. Tenapanor, which has a novel mechanism to reduce serum phosphorus via selective sodium/proton exchange transporter 3 inhibition, was approved for hyperphosphatemia in Japan in 2023. Four phase 3 studies of tenapanor have been performed in Japan and have demonstrated its efficacy and safety as a single-agent drug, add-on effects to PBs for patients with refractory hyperphosphatemia that cannot be improved with PBs alone, and reduction of the pill burden associated with PBs. This review provides an overview of the characteristics and previous clinical studies of tenapanor and describes the clinical benefits of tenapanor over current therapy in patients on dialysis.

Indexed as

HyperphosphatemiaRenal DialysisSulfonamidesChelating AgentsHumansIsoquinolinesJapanChelating AgentsIsoquinolinesSulfonamidestenapanordialysis patientshyperphosphatemiaintestinal phosphate absorption inhibitorNHE3 inhibitortenapanor

Identifiers

PMID39829064
PMCPMC11879479

What OpenQuestion holds

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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.