Evidence map›Paper›PMID 40630278›Full record

ArticleKidney international reports2025

Dotinurad Treatment for Patients With Hyperuricemia Complicating CKD.

Katsuyuki Tanabe, Tomokazu Nunoue, Naoki Itabashi, Akihiro Katayama, Akihiko Nakamura, Hiroyuki Ohbayashi, Yasuhiro Onishi, Kyoko Watanabe, Keisuke Maruyama, Takeshi Hosoya and 3 more

Abstract read
In one paragraph

Article in Kidney international reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Observational
  2. Review
  3. Review
  4. The Promise of Dotinurad for Hyperuricemia in CKD.Kidney international reports · 2025
    Article
  5. 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.

Katsuyuki TanabeDepartment of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.
Tomokazu NunoueNunoue Clinic, Tsuyama, Japan.
Naoki ItabashiItabashi Diabetes and Dermatology Medical Clinic, Ibaraki, Japan.
Akihiro KatayamaNHO Okayama Medical Center, Okayama, Japan.
Akihiko NakamuraOsafune Clinic, Setouchi, Japan.
Hiroyuki OhbayashiTohno Chuo Clinic, Gifu, Japan.
Yasuhiro OnishiDepartment of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.
Kyoko WatanabeJapanese Red Cross Okayama Hospital, Okayama, Japan.
Keisuke MaruyamaOkayama Saiseikai Outpatient Center Hospital, Okayama, Japan.
Takeshi HosoyaHosoya Clinic, Ibara, Japan.
Shinichi OkadaOkada Medical Clinic, Okayama, Japan.
Jun WadaDepartment of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.
DTN-CKD Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The management of hyperuricemia is important to reduce cardiovascular risk and the progression of renal injury in chronic kidney disease (CKD). This study aimed to assess the efficacy and safety of dotinurad, a novel urate transporter-1 inhibitor, in patients with hyperuricemia and CKD. Methods: In a nonrandomized, parallel interventional study, patients were grouped based on their estimated glomerular filtration rate (eGFR) at baseline. The starting dotinurad dose was 0.5 mg/d and titrated to a final dose of 2 mg/d to 4 mg/d. The primary end point was the noninferiority of the change in serum uric acid (UA) levels between the G1/G2 and G3/G4 groups at week 24. The main secondary end points were changes in eGFR and UA clearance-to-creatinine clearance ratio (C Results: Ninety-eight patients continued the dose titration. The mean percentage reduction in serum UA level at week 24 were 47.2% and 42.8% for the G1/G2 and G3/G4 groups, respectively; the between-group difference was -4.3% (95% confidence interval [CI], -9.5% to 0.9%, noninferiority Conclusion: Dotinurad therapy may be well-tolerated in patients with hyperuricemia and may have efficacy comparable with existing standard treatment in patients with CKD stages G3/G4. Randomized controlled trials in larger patient groups are needed.

Indexed as

chronic kidney diseasedotinuradefficacyhyperuricemiasafetyserum uric acid

Identifiers

PMID40630278
PMCPMC12232968

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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.