Evidence map›Paper›PMID 41460382›Full record

Observational studyEndocrine2025

Effect of Roxadustat on bone metabolism markers in patients with renal anemia.

Jianglin Yu, Zhijie Lei, Yaxin Chen, Rui Yao, Xiaoyang Qi, Xiang Li, Yixin Chen, Wei Zhu, Xusheng Qiu

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Endocrine, 2025. 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. 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

9 authors.

Jianglin YuDepartment of Orthopedics, Nanjing Drum Tower Hospital Clinical College of Jiangsu University, Nanjing, 210008, Jiangsu Province, China.
Zhijie LeiDepartment of Orthopedics, Nanjing Drum Tower Hospital Clinical College of Jiangsu University, Nanjing, 210008, Jiangsu Province, China.
Yaxin ChenDepartment of Nephrology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, 210008, Jiangsu Province, China.
Rui YaoDepartment of Nephrology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, 210008, Jiangsu Province, China.
Xiaoyang QiDepartment of Orthopedics, Nanjing Drum Tower Hospital Clinical College of Jiangsu University, Nanjing, 210008, Jiangsu Province, China.
Xiang LiDepartment of Nephrology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, 210008, Jiangsu Province, China.
Yixin ChenDepartment of Nephrology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, 210008, Jiangsu Province, China.
Wei ZhuDepartment of Orthopedics, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, 210008, Jiangsu Province, China. zhuwell@163.com.
Xusheng QiuDepartment of Orthopedics, Nanjing Drum Tower Hospital Clinical College of Jiangsu University, Nanjing, 210008, Jiangsu Province, China. qiu_xusheng@163.com.

Funding

Clinical Trials from the Affiliated Drum Tower Hospital, Medical School of Nanjing University 2022-YXZX-GK-01Key Project supported by Medical Science and Technology Development Foundation, Nanjing Department of Health, Jiangsu, China ZKX21029
6 · The paper itself

Abstract

backgroundRoxadustat, a prolyl hydroxylase domain inhibitor that stabilizes hypoxia-inducible factor (HIF) expression, is a recently developed drug for the treatment of renal anemia. Studies have shown that HIF activation not only stimulates the production of endogenous erythropoietin but also modulates bone metabolism. Patients with chronic kidney disease (CKD) often present with abnormalities in bone metabolism in addition to concomitant anemia. However, the effect of Roxadustat on bone metabolism markers in patients with renal anemia have rarely been reported.

objective(1) To investigate the effect of Roxadustat on bone metabolism markers in patients with renal anemia; (2) To investigate the effect of Roxadustat on inflammatory and lipid metabolism markers in patients with renal anemia.

methodsThis retrospective observational study enrolled a total of 52 patients with anemia secondary to CKD, who were categorized into a roxadustat group and a control group based on whether they received roxadustat treatment. The following markers, including hemoglobin (Hb), β-C-terminal telopeptide of type I collagen (β-CTX), total type I procollagen intact N-terminal propeptide (tP1NP), parathyroid hormone (PTH), osteocalcin (OC), 25-hydroxyvitamin D (25-OHD), alkaline phosphatase (ALP), calcium (Ca), and phosphorus (P), C-reactive protein (CRP), Procalcitonin (PCT), total cholesterol (TC), low-density lipoprotein (LDL), were measured before and after treatment. The changes of bone metabolism, inflammatory and lipid metabolism markers were compared before and after treatment.

resultsAfter a period of Roxadustat treatment, β-CTX and PTH levels were significantly lower compared to pre-treatment, while tP1NP, 25-OHD, and ALP levels increased compared to pre-treatment (P < 0.05). Inflammatory markers (PCT) and lipid metabolism markers (TC, LDL) were significantly reduced (P < 0.05). No statistically significant differences were observed in the control group.

conclusionIn this study, Roxadustat treatment for renal anemia was associated with simultaneous improvements in markers of bone metabolism, inflammation, and lipid metabolism in CKD patients.

Indexed as

AnemiaBone and BonesGlycineIsoquinolinesProlyl-Hydroxylase InhibitorsRenal Insufficiency, ChronicAgedBiomarkersFemaleHumansLipid MetabolismMaleMiddle AgedParathyroid HormoneRetrospective StudiesBiomarkersGlycineIsoquinolinesParathyroid HormoneProlyl-Hydroxylase InhibitorsroxadustatBone metabolism markersInflammatory markersLipid metabolism markersRenal anemiaRoxadustat

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Registered trials

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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.