Serveur d'exploration sur les relations entre la France et l'Australie

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Longitudinal Assessment of the Effect of Atrasentan on Thoracic Bioimpedance in Diabetic Nephropathy: A Randomized, Double-Blind, Placebo-Controlled Trial.

Identifieur interne : 000867 ( PubMed/Checkpoint ); précédent : 000866; suivant : 000868

Longitudinal Assessment of the Effect of Atrasentan on Thoracic Bioimpedance in Diabetic Nephropathy: A Randomized, Double-Blind, Placebo-Controlled Trial.

Auteurs : David J. Webb [Royaume-Uni] ; Blai Coll [États-Unis] ; Hiddo J L. Heerspink [Pays-Bas] ; Dennis Andress [États-Unis] ; Yili Pritchett [États-Unis] ; John J. Brennan [États-Unis] ; Mark Houser [États-Unis] ; Ricardo Correa-Rotter [Mexique] ; Donald Kohan [États-Unis] ; Hirofumi Makino [Japon] ; Vlado Perkovic [Australie] ; Giuseppe Remuzzi [Italie] ; Sheldon W. Tobe [Canada] ; Robert Toto [États-Unis] ; Robert Busch [États-Unis] ; Pablo Pergola [États-Unis] ; Hans-Henrik Parving [Danemark] ; Dick De Zeeuw [Pays-Bas]

Source :

RBID : pubmed:28831752

Abstract

Fluid retention is a common adverse event in patients who receive endothelin (ET) receptor antagonist therapy, including the highly selective ETA receptor antagonist, atrasentan.

DOI: 10.1007/s40268-017-0201-0
PubMed: 28831752


Affiliations:


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pubmed:28831752

Le document en format XML

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<div type="abstract" xml:lang="en">Fluid retention is a common adverse event in patients who receive endothelin (ET) receptor antagonist therapy, including the highly selective ETA receptor antagonist, atrasentan.</div>
</front>
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<DateCreated>
<Year>2017</Year>
<Month>08</Month>
<Day>23</Day>
</DateCreated>
<DateRevised>
<Year>2017</Year>
<Month>11</Month>
<Day>17</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1179-6901</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>17</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2017</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Drugs in R&D</Title>
<ISOAbbreviation>Drugs R D</ISOAbbreviation>
</Journal>
<ArticleTitle>Longitudinal Assessment of the Effect of Atrasentan on Thoracic Bioimpedance in Diabetic Nephropathy: A Randomized, Double-Blind, Placebo-Controlled Trial.</ArticleTitle>
<Pagination>
<MedlinePgn>441-448</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s40268-017-0201-0</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Fluid retention is a common adverse event in patients who receive endothelin (ET) receptor antagonist therapy, including the highly selective ETA receptor antagonist, atrasentan.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">We performed longitudinal assessments of thoracic bioimpedance in patients with type 2 diabetes mellitus and nephropathy to determine whether a decrease in bioimpedance accurately reflected fluid retention during treatment with atrasentan.</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">We conducted a randomized, double-blind, placebo-controlled study in 48 patients with type 2 diabetes mellitus and nephropathy who were receiving stable doses of renin angiotensin system inhibitors and diuretics.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Patients were randomized 1:1:1 to placebo, atrasentan 0.5 mg, or atrasentan 1.25 mg once daily for 8 weeks. Thoracic bioimpedance, vital signs, clinical exams, and serologies were taken at weeks 1, 2, 4, 6, and 8, with the exception of serum hemoglobin, which was not taken at week 1, and serum brain natriuretic peptide, which was only taken at baseline, week 4, and week 8.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Alterations in bioimpedance were more often present in those who received atrasentan than in those who received placebo, though overall differences were not statistically significant. Transient declines in thoracic bioimpedance during the first 2 weeks of atrasentan exposure occurred before or during peak increases in body weight and hemodilution (decreased serum hemoglobin).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">We conclude that thoracic bioimpedance did not reflect changes in weight gain or edema with atrasentan treatment in this study. However, the sample size was small, and it may be of interest to explore the use of thoracic bioimpedance in a larger population to understand its potential clinical use in monitoring fluid retention in patients with chronic kidney disease who receive ET receptor antagonists.</AbstractText>
</Abstract>
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<Author ValidYN="Y">
<LastName>Webb</LastName>
<ForeName>David J</ForeName>
<Initials>DJ</Initials>
<AffiliationInfo>
<Affiliation>Edinburgh Hypertension Excellence Centre, Clinical Pharmacology Unit, University of Edinburgh, E3.22, QMRI, 47 Little France Crescent, Edinburgh, EH16 4TJ, Scotland, UK. D.J.Webb@ed.ac.uk.</Affiliation>
</AffiliationInfo>
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<LastName>Coll</LastName>
<ForeName>Blai</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>AbbVie, North Chicago, IL, USA.</Affiliation>
</AffiliationInfo>
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<LastName>Heerspink</LastName>
<ForeName>Hiddo J L</ForeName>
<Initials>HJL</Initials>
<AffiliationInfo>
<Affiliation>Department of Clinical Pharmacy and Pharmacology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.</Affiliation>
</AffiliationInfo>
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<LastName>Andress</LastName>
<ForeName>Dennis</ForeName>
<Initials>D</Initials>
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<Affiliation>AbbVie, North Chicago, IL, USA.</Affiliation>
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<LastName>Pritchett</LastName>
<ForeName>Yili</ForeName>
<Initials>Y</Initials>
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<Affiliation>MedImmune, Gaithersburg, MD, USA.</Affiliation>
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<Initials>JJ</Initials>
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<Initials>M</Initials>
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<Initials>R</Initials>
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<ForeName>Donald</ForeName>
<Initials>D</Initials>
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<Affiliation>University of Utah Health Sciences Center, Salt Lake City, UT, USA.</Affiliation>
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<LastName>Makino</LastName>
<ForeName>Hirofumi</ForeName>
<Initials>H</Initials>
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<Affiliation>Okayama University Graduate School of Medicine, Okayama, Japan.</Affiliation>
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<ForeName>Vlado</ForeName>
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<ForeName>Giuseppe</ForeName>
<Initials>G</Initials>
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<Affiliation>Azienda Ospedaliera Papa Giovanni XXIII and IRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Bergamo, Italy.</Affiliation>
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<LastName>Tobe</LastName>
<ForeName>Sheldon W</ForeName>
<Initials>SW</Initials>
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<Affiliation>Sunnybrook Health Sciences Center, Toronto, ON, Canada.</Affiliation>
</AffiliationInfo>
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<LastName>Toto</LastName>
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<Affiliation>University of Texas Southwestern Medical Center, Dallas, TX, USA.</Affiliation>
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<LastName>Busch</LastName>
<ForeName>Robert</ForeName>
<Initials>R</Initials>
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<Affiliation>The Endocrine Group, New York, NY, USA.</Affiliation>
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<LastName>Pergola</LastName>
<ForeName>Pablo</ForeName>
<Initials>P</Initials>
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<Affiliation>Renal Associates, P.A., San Antonio, TX, USA.</Affiliation>
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<LastName>Parving</LastName>
<ForeName>Hans-Henrik</ForeName>
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<AffiliationInfo>
<Affiliation>University Hospital of Copenhagen, Copenhagen, Denmark.</Affiliation>
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<LastName>de Zeeuw</LastName>
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<Initials>D</Initials>
<AffiliationInfo>
<Affiliation>Department of Clinical Pharmacy and Pharmacology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
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