Evidence map›Paper›PMID 41141510›Full record

ArticleKidney international reports2025

Randomized Trial of Dapagliflozin in Patients With Nondiabetic Stage 4 CKD.

Matias Trillini, Alessandro Villa, Annalisa Perna, Tobia Peracchi, Diego Fidone, Nadia Rubis, Chiara Guarinoni, Davide Martinetti, Annamaria Chiappa, Tiziano Gamba and 8 more

Registry-linked trialAbstract 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. It is linked to trial NCT07663773 (Deciphering the Role of Thyroid Hormones in Severe Non-ADPKD Chronic Kidney Disease), which is not on this 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.

NCT07663773 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Deciphering the Role of Thyroid Hormones in Severe Non-ADPKD Chronic Kidney Disease

TypeobservationalSponsorMario Negri Institute for Pharmacological ResearchRan2026 to 2027Enrolled51ConditionsChronic Kidney Disease (Stages 4 and 5)ArmsLaboratory measurements
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

18 authors.

Matias TrilliniDepartment of renal Medicine, Centro di Ricerche Cliniche per le Malattie Rare "Aldo e Cele Daccò," Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy.
Alessandro VillaDepartment of renal Medicine, Centro di Ricerche Cliniche per le Malattie Rare "Aldo e Cele Daccò," Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy.
Annalisa PernaDepartment of renal Medicine, Centro di Ricerche Cliniche per le Malattie Rare "Aldo e Cele Daccò," Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy.
Tobia PeracchiDepartment of renal Medicine, Centro di Ricerche Cliniche per le Malattie Rare "Aldo e Cele Daccò," Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy.
Diego FidoneDepartment of renal Medicine, Centro di Ricerche Cliniche per le Malattie Rare "Aldo e Cele Daccò," Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy.
Nadia RubisDepartment of renal Medicine, Centro di Ricerche Cliniche per le Malattie Rare "Aldo e Cele Daccò," Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy.
Chiara GuarinoniDepartment of renal Medicine, Centro di Ricerche Cliniche per le Malattie Rare "Aldo e Cele Daccò," Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy.
Davide MartinettiDepartment of renal Medicine, Centro di Ricerche Cliniche per le Malattie Rare "Aldo e Cele Daccò," Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy.
Annamaria ChiappaDepartment of renal Medicine, Centro di Ricerche Cliniche per le Malattie Rare "Aldo e Cele Daccò," Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy.
Tiziano GambaDepartment of renal Medicine, Centro di Ricerche Cliniche per le Malattie Rare "Aldo e Cele Daccò," Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy.
Elena PerticucciDepartment of Medicine, Unit of Nephrology, Azienda Socio-Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Italy.
Vincenzo GambaraDepartment of Medicine, Unit of Nephrology, Azienda Socio-Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Italy.
Stefano RotaDepartment of Internal Medicine 2, San Giovanni Bianco Hospital, Azienda Socio-Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Italy.
Nadia StucchiDepartment of renal Medicine, Centro di Ricerche Cliniche per le Malattie Rare "Aldo e Cele Daccò," Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy.
Fabiola CarraraDepartment of renal Medicine, Centro di Ricerche Cliniche per le Malattie Rare "Aldo e Cele Daccò," Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy.
Giuseppe RemuzziDepartment of renal Medicine, Centro di Ricerche Cliniche per le Malattie Rare "Aldo e Cele Daccò," Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy.
Piero RuggenentiDepartment of renal Medicine, Centro di Ricerche Cliniche per le Malattie Rare "Aldo e Cele Daccò," Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy.
ADAPT Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Sodium-glucose cotransporter-2 (SGLT2) inhibitors are nephroprotective in patients with chronic kidney disease (CKD) and mild-to-moderate renal insufficiency. Methods: This prospective, randomized, cross-over, placebo-controlled, double-blind study compared the effects of 6-week dapagliflozin (10 mg/d) with placebo treatment in 31 consenting nondiabetic Caucasian adults with stage 4 CKD and proteinuria > 0.5 g/24 h. Participants were identified at the Nephrology Unit of Papa Giovanni XXIII Hospital and treated at Mario Negri Institute (Bergamo, Italy) between December 2021 and December 2023. Normalized glomerular filtration rate (GFR) (using iohexol plasma clearance) and 24-hour proteinuria (median of 3 urinary measurements) were co-primary outcomes. Analyses were by modified intention-to-treat. Results: At 6 weeks, dapagliflozin significantly decreased GFR by 1.88 ± 5.00 ml/min per 1.73 m Conclusion: Dapagliflozin safely ameliorates (compensatory) glomerular hyperfiltration and proteinuria and is glycosuric in nondiabetic patients with preterminal CKD. GFR reduction is likely because of postglomerular vasodilation rather than preglomerular vasoconstriction.

Indexed as

CKDdapagliflozinGFRhyperfiltrationproteinuriaSGLT2 inhibitors

Identifiers

PMID41141510
PMCPMC12545560

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Registered trials

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.