Evidence map›Paper›PMID 40932851›Full record

ReviewEClinicalMedicine2025

Use of surrogate endpoints in health technology assessment and reimbursement of treatments for the management of chronic kidney disease.

Rod S Taylor, Hiddo J L Heerspink, Marc Buyse, Oriana Ciani, Bruno Detournay, Daniel Gallego, Juan Carlos Julián Mauro, Smeeta Sinha, Marta Trapero-Bertran, Lesley A Inker

Abstract readReview
In one paragraph

Review in EClinicalMedicine, 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. Review
  2. Review
  3. Article
  4. 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

10 authors.

Rod S TaylorRobertson Centre for Biostatistics & General Practice and Primary Care, School of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Hiddo J L HeerspinkDepartment Clinical Pharmacy and Pharmacology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Marc BuyseInternational Drug Development Institute (IDD), Biostatistics, Louvain la Neuve and University of Hasselt, I-BioStat, Hasselt, Belgium.
Oriana CianiCenter for Research on Health and Social Care Management (CERGAS), SDA Bocconi, Milan, Italy.
Bruno DetournayCEMKA, Bourg-la-Reine, France.
Daniel GallegoEuropean Kidney Patients Federation, Federación Nacional ALCER, Madrid, Spain.
Juan Carlos Julián MauroEuropean Kidney Patients Federation, Nacional de Asociaciones ALCER & School of Psychology, Universidad Autónoma de Madrid, Madrid, Spain.
Smeeta SinhaDonal O'Donoghue Renal Research Centre, Northern Care Alliance NHS Foundation Trust, Salford & Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK.
Marta Trapero-BertranDepartment of Economics and Business, Faculty of Law, Economics and Tourism, Universitat de Lleida, Lleida, Spain.
Lesley A InkerTufts Medical Centre Department of Medicine, Boston, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The judicious use of surrogate endpoints as substitutes for patient relevant target outcomes can substantially reduce the size and duration of clinical trials, thereby driving down research and development costs and driving faster patient access to innovative therapies. Whilst increasingly used by regulators over the last two decades, health technology assessment (HTA) agencies and payers have been more sceptical in acceptance of surrogates in their reimbursement decisions. Central to acceptance is scientific validation and demonstration of the association in the treatment effect on the surrogate endpoint and target outcome. This review summarises the validity and utility of glomerular filtration rate (GFR) slope as a 'first in class' surrogate with robust evidence of a strong treatment effect association (i.e., R Funding: None declared.

Indexed as

Chronic kidney diseaseHealth technology assessmentReimbursementSurrogate outcomes

Identifiers

PMID40932851
PMCPMC12418889

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.