Interventions for preventing the progression of autosomal dominant polycystic kidney disease
- PMID: 39356039
- PMCID: PMC11445802
- DOI: 10.1002/14651858.CD010294.pub3
Interventions for preventing the progression of autosomal dominant polycystic kidney disease
Abstract
Background: Autosomal dominant polycystic kidney disease (ADPKD) is the leading inherited cause of kidney disease. Clinical management has historically focused on symptom control and reducing associated complications. Improved understanding of the molecular and cellular mechanisms involved in kidney cyst growth and disease progression has resulted in new pharmaceutical agents targeting disease pathogenesis and preventing disease progression. However, the role of disease-modifying agents for all people with ADPKD is unclear. This is an update of a review first published in 2015.
Objectives: We aimed to evaluate the benefits and harms of interventions to prevent the progression of ADPKD and the safety based on patient-important endpoints, defined by the Standardised Outcomes in NephroloGy-Polycystic Kidney Disease (SONG-PKD) core outcome set, and general and specific adverse effects.
Search methods: We searched the Cochrane Kidney and Transplants Register of Studies up to 13 August 2024 through contact with the Information Specialist using search terms relevant to this review. Studies in the Register are identified through searches of CENTRAL, MEDLINE, and EMBASE, conference proceedings, the International Clinical Trials Registry Platform (ICTRP) Search Portal, and ClinicalTrials.gov.
Selection criteria: Randomised controlled trials (RCTs) comparing any interventions for preventing the progression of ADPKD with other interventions, placebo, or standard care were considered for inclusion.
Data collection and analysis: Two authors independently assessed study risks of bias and extracted data. Summary estimates of effects were obtained using a random-effects model, and results were expressed as risk ratios (RR) and their 95% confidence intervals (CI) for dichotomous outcomes and mean difference (MD) or standardised mean difference (SMD) and 95% CI for continuous outcomes. Confidence in the evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.
Main results: We included 57 studies (8016 participants) that investigated 18 pharmacological interventions (vasopressin 2 receptor (V2R) antagonists, antihypertensive therapy, mammalian target of rapamycin (mTOR) inhibitors, somatostatin analogues, antiplatelet agents, eicosapentaenoic acids, statins, kinase inhibitors, diuretics, anti-diabetic agents, water intake, dietary intervention, and supplements) in this review. Compared to placebo, the V2R antagonist tolvaptan probably preserves eGFR (3 studies, 2758 participants: MD 1.26 mL/min/1.73 m2, 95% CI 0.73 to 1.78; I2 = 0%) and probably slows total kidney volume (TKV) growth in adults (1 study, 1307 participants: MD -2.70 mL/cm, 95% CI -3.24 to -2.16) (moderate certainty evidence). However, there was insufficient evidence to determine tolvaptan's impact on kidney failure and death. There may be no difference in serious adverse events; however, treatment probably increases nocturia, fatigue and liver enzymes, may increase dry mouth and thirst, and may decrease hypertension and urinary and upper respiratory tract infections. Data on the impact of other therapeutic interventions were largely inconclusive. Compared to placebo, somatostatin analogues probably decrease TKV (6 studies, 500 participants: SMD -0.33, 95% CI -0.51 to -0.16; I2 = 11%), probably have little or no effect on eGFR (4 studies, 180 participants: MD 4.11 mL/min/1.73 m3, 95% CI -3.19 to 11.41; I2 = 0%) (moderate certainty evidence), and may have little or no effect on kidney failure (2 studies, 405 participants: RR 0.64, 95% CI 0.16 to 2.49; I2 = 39%; low certainty evidence). Serious adverse events may increase (2 studies, 405 participants: RR 1.81, 95% CI 1.01 to 3.25; low certainty evidence). Somatostatin analogues probably increase alopecia, diarrhoea or abnormal faeces, dizziness and fatigue but may have little or no effect on anaemia or infection. The effect on death is unclear. Targeted low blood pressure probably results in a smaller per cent annual increase in TKV (1 study, 558 participants: MD -1.00, 95% CI -1.67 to -0.33; moderate certainty evidence) compared to standard blood pressure targets, had uncertain effects on death, but probably do not impact other outcomes such as change in eGFR or adverse events. Kidney failure was not reported. Data comparing antihypertensive agents, mTOR inhibitors, eicosapentaenoic acids, statins, vitamin D compounds, metformin, trichlormethiazide, spironolactone, bosutinib, curcumin, niacinamide, prescribed water intake and antiplatelet agents were sparse and inconclusive. An additional 23 ongoing studies were also identified, including larger phase III RCTs, which will be assessed in a future update of this review.
Authors' conclusions: Although many interventions have been investigated in patients with ADPKD, at present, there is little evidence that they improve patient outcomes. Tolvaptan is the only therapeutic intervention that has demonstrated the ability to slow disease progression, as assessed by eGFR and TKV change. However, it has not demonstrated benefits for death or kidney failure. In order to confirm the role of other therapeutic interventions in ADPKD management, large RCTs focused on patient-centred outcomes are needed. The search identified 23 ongoing studies, which may provide more insight into the role of specific interventions.
Trial registration: ClinicalTrials.gov NCT00309283 NCT01377246 NCT02527863 NCT02225860 NCT02697617 NCT00286156 NCT02903511 NCT00456365 NCT01616927 NCT02933268 NCT01157858 NCT02558595 NCT00283686 NCT01885559 NCT00541853 NCT00426153 NCT00565097 NCT01451827 NCT01210560 NCT02160145 NCT02964273 NCT00491517 NCT01223755 NCT00346918 NCT02656017 NCT00413777 NCT00841568 NCT00428948 NCT01233869 NCT00414440 NCT03918447 NCT04578548 NCT05281328 NCT05401409 NCT04680780 NCT03342742 NCT03523728 NCT03541447 NCT04310319 NCT03273413 NCT05372364 NCT04939935 NCT00345137 NCT01932450 NCT02127437 NCT05228574 NCT05460169 NCT05510115 NCT05521191 NCT05870007 NCT06289998 NCT06291116 NCT06391450 NCT06435858 NCT06496542 NCT04534985 NCT02055079.
Copyright © 2024 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
Conflict of interest statement
Kitty St Pierre: no relevant interests were disclosed
Brydee A Cashmore: no relevant interests were disclosed
Davide Bolignano: no relevant interests were disclosed
Carmine Zoccali: no relevant interests were disclosed
Marinella Ruospo: no relevant interests were disclosed
Jonathan C Craig: no relevant interests were disclosed
Giovanni FM Strippoli: no relevant interests were disclosed
Andrew J Mallett: no relevant interests were disclosed
Suetonia C Green: no relevant interests were disclosed
David J Tunnicliffe: no relevant interests were disclosed
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Update of
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Interventions for preventing the progression of autosomal dominant polycystic kidney disease.Cochrane Database Syst Rev. 2015 Jul 14;2015(7):CD010294. doi: 10.1002/14651858.CD010294.pub2. Cochrane Database Syst Rev. 2015. Update in: Cochrane Database Syst Rev. 2024 Oct 2;10:CD010294. doi: 10.1002/14651858.CD010294.pub3. PMID: 26171904 Free PMC article. Updated.
References
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Fassett 2010 {published data only}12608000447358
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HALT‐PKD Study B 2014 {published data only}
Higashihara 2008 {published data only}
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Kramers 2020 {published data only}6546
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LOCKCYST 2009 {published data only}
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Melemadathil 2013 {published data only}
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Mora 2013 {published data only}
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Nakamura 2001d {published data only}
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Nakamura 2001d hypertensive {published data only}
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Nakamura 2001d normotensive {published data only}
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Nakamura 2012a {published data only}
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Nowak 2020 {published data only}
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Nutahara 2005 {published data only}
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- Nutahara K, Higashihara E, Horie S, Kamura K, Tsuchiya K, Mochizuki T, et al. Calcium channel blocker versus angiotensin II receptor blocker in autosomal dominant polycystic kidney disease. Nephron 2005;99(1):c18-23. [MEDLINE: ] - PubMed
Pasari 2019 {published data only}
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- Pasari A, Balwani M, Trivedi M, Patel M. Role of metformin in ADPKD patients [abstract no: SUN-200]. KI Reports 2019;4(7 Suppl):S242. [EMBASE: 2002179303]
Perrone 2020 {published data only}
-
- Perrone R, Chapman A, Oberdhan D, Czerwiec FS, Sergeyeva O, Ouyang J, et al. A phase 2 dose-ranging study comparing pharmacokinetics (PK), pharmacodynamics (PD), and tolerability of modified release (MR) vs immediate release (IR) tolvaptan (TLV) in autosomal dominant polycystic kidney disease (ADPKD) patients (PT) [abstract no: FP046]. Nephrology Dialysis Transplantation 2019;34(Suppl 1):A58. [EMBASE: 631306349]
PREVENT‐ADPKD 2018 {published data only}12614001216606
-
- Amin S, Sangadi I, Saravanabavan S, Munt A, Allman-Farinelli M, Badve S, et al. Experiences of participants enrolled in a randomized controlled trial of prescribed water intake in autosomal dominant polycystic kidney disease [abstract]. Nephrology 2022;27:48‐49. [DOI: 10.1111/nep.14099] - DOI
-
- Mannix C, Rangan A, Zhang J, Rangan G, Wong AT. Seasonal changes in fluid intake in patients with autosomal dominant polycystic kidney disease [abstract]. Nephrology 2018;23(Suppl 3):64-5. [EMBASE: 623842073]
-
- Mannix C, Wong A, Zhang J, Badve SV, Boudville N, Harris DC, et al. Gender-specific differences in baseline fluid and solute intake in the PREVENT-ADPKD study [abstract no: SA-PO481]. Journal of the American Society of Nephrology 2018;29(Abstract Suppl):860. [EMBASE: 633736290]
-
- Mannix C, Wong A, Zhang J, Lee VW, Harris DC, Sud K, et al. Random daytime spot urine correlates with twenty-four hour urine osmolality in patients with autosomal dominant polycystic kidney disease [abstract no: SA-PO482]. Journal of the American Society of Nephrology 2018;29(Abstract Suppl):860-1. [EMBASE: 633736335]
-
- Rangan G, Allman-Farinelli M, Boudville N, Fernando M, Haloob I, Harris DC, et al. Long-term effect of increasing water intake on repeated self-assessed health-related quality of life (HRQoL) in autosomal dominant polycystic kidney disease. Clinical Kidney Journal 2024;17(7):sfae159. [DOI: 10.1093/ckj/sfae159] [EMBASE: 2033405207] - DOI - PMC - PubMed
RAPYD 2012 {published data only}2007‐006557‐25
-
- Stallone G, Infante B, Bruno F, Bristogiannis C, Grandaliano G, Macarini L, et al. Rapamycin for treatment of type I autosomal dominant polycystic kidney disease (ADPKD) study: a randomized, controlled study [abstract no: SAO041]. Nephrology Dialysis Transplantation 2012;27(Suppl 2):ii46-7. [EMBASE: 70765435] - PubMed
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- Stallone G, Infante B, Grandaliano G, Bristogiannis C, Macarini L, Mezzopane D, et al. Rapamycin for treatment of type I autosomal dominant polycystic kidney disease (RAPYD-study): a randomized, controlled study. Nephrology Dialysis Transplantation 2012;27(9):3560-7. [MEDLINE: ] - PubMed
RAPYD 2012 high {published data only}
-
- Stallone G, Infante B, Bruno F, Bristogiannis C, Grandaliano G, Macarini L, et al. Rapamycin for treatment of type I autosomal dominant polycystic kidney disease (ADPKD) study: a randomized, controlled study [abstract]. Nephrology Dialysis Transplantation 2012;27(Suppl 2):ii46-7. [EMBASE: 70765435] - PubMed
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- Stallone G, Infante B, Grandaliano G, Bristogiannis C, Macarini L, Mezzopane D, et al. Rapamycin for treatment of type I autosomal dominant polycystic kidney disease (RAPYD-study): a randomized, controlled study. Nephrology Dialysis Transplantation 2012;27(9):3560-7. [MEDLINE: ] - PubMed
RAPYD 2012 low {published data only}
-
- Stallone G, Infante B, Bruno F, Bristogiannis C, Grandaliano G, Macarini L, et al. Rapamycin for treatment of type I autosomal dominant polycystic kidney disease (ADPKD) study: a randomized, controlled study [abstract]. Nephrology Dialysis Transplantation 2012;27(Suppl 2):ii46-7. [EMBASE: 70765435] - PubMed
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- Stallone G, Infante B, Grandaliano G, Bristogiannis C, Macarini L, Mezzopane D, et al. Rapamycin for treatment of type I autosomal dominant polycystic kidney disease (RAPYD-study): a randomized, controlled study. Nephrology Dialysis Transplantation 2012;27(9):3560-7. [MEDLINE: ] - PubMed
REPRISE 2017 {published data only}
-
- Edwards ME, Chebib FT, Irazabal MV, Ofstie TG, Bungum LA, Metzger AJ, et al. Long-term administration of tolvaptan in autosomal dominant polycystic kidney disease [Erratum in: Clin J Am Soc Nephrol. 2019 Jun 7;14(6):910]. Clinical Journal of the American Society of Nephrology: CJASN 2018;13(8):1153-61. [MEDLINE: ] - PMC - PubMed
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- Torres VE, Chapman AB, Devuyst O, Gansevoort RT, Perrone RD, Koch G, et al. Tolvaptan in later-stage autosomal dominant polycystic kidney disease. New England Journal of Medicine 2017;377(20):1930-42. [MEDLINE: ] - PubMed
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- Torres VE, Chapman AB, Devuyst O, Gansevoort RT, Perrone RD, Koch GG, et al. Tolvaptan slows eGFR decline in later-stage ADPKD [abstract no: SA-OR121]. Journal of the American Society of Nephrology 2017;28(Abstract Suppl):B1. [EMBASE: 633704426]
Ruggenenti 2005 {published data only}
-
- Ruggenenti P, Remuzzi A, Ondei P, Fasolini G, Antiga L, Ene-Iordache B, et al. Safety and efficacy of long-acting somatostatin treatment in autosomal-dominant polycystic kidney disease. Kidney International 2005;68(1):206-16. [MEDLINE: ] - PubMed
Schaefer 2019 {published data only}2016‐000187‐42
-
- Mekahali D, Guay-Woodford L, Cadnapaphornchai MA, Greenbaum LA, Litwin M, Seeman T, et al. Randomized, placebo-controlled, phase 3B trial of tolvaptan in the treatment of children and adolescents with autosomal dominant polycystic kidney disease (ADPKD): 1-year data [abstract no: FC130]. Nephrology Dialysis Transplantation 2021;36(Suppl 1):i89. [EMBASE: 635917711]
-
- Mekahali D, Guay-Woodford L, Cadnapaphornchai MA, Greenbaum LA, Litwin M, Seeman T, et al. Randomized, placebo-controlled, phase 3B trial of tolvaptan in the treatment of children and adolescents with autosomal dominant polycystic kidney disease (ADPKD): 1-year data [abstract no: OP-22]. Pediatric Nephrology 2021;36(10):3293.
-
- Mekahli D, Guay-Woodford L, Cadnapaphornchai M, Greenbaum L, Litwin M, Seeman T, et al. Phase 3 trial of tolvaptan in pediatric autosomal dominant polycystic kidney disease (ADPKD): two years of data from an open-label extension [abstract]. Pediatric Nephrology 2023;38(Suppl 2):S46‐7. [DOI: 10.1007/s00467-023-06094-7] [EMBASE: 642728481] - DOI
-
- Mekahli D, Guay-Woodford LM, Cadnapaphornchai MA, Goldstein SL, Dandurand A, Jiang H, et al. Estimating risk of rapid disease progression in pediatric patients with autosomal dominant polycystic kidney disease: a randomized trial of tolvaptan. Pediatric Nephrology 2024;39(5):1481‐90. [DOI: 10.1007/s00467-023-06239-8] [PMID: ] - DOI - PMC - PubMed
-
- Mekahli D, Guay-Woodford LM, Cadnapaphornchai MA, Greenbaum LA, Litwin M, Seeman T, et al. Tolvaptan for children and adolescents with autosomal dominant polycystic kidney disease: randomized controlled trial. Clinical Journal of the American Society of Nephrology: CJASN 2023;18(1):36‐46. [DOI: 10.2215/CJN.0000000000000022] [PMID: ] - DOI - PMC - PubMed
SIRENA 2010 {published data only}
-
- Tonshoff B. Sirolimus therapy in autosomal polycystic kidney disease [Sirolimus-therapie bei autosomal-dominanter polyzystischer nierendegeneration]. Nephrologe 2010;5(4):322‐3. [EMBASE: 50955871]
SIRENA 2 2016 {published data only}
-
- Ruggenenti P, Gentile G, Perico N, Perna A, Barcella L, Trillini M, et al. Effect of sirolimus on disease progression in patients with autosomal dominant polycystic kidney disease and CKD stages 3b-4. Clinical Journal of The American Society of Nephrology: CJASN 2016;11(5):785-94. [PMID: ] - PMC - PubMed
Soliman 2009 {published data only}
-
- Soliman A, Zamil S, Lotfy A, Ismail E. Sirolimus produced S-shaped effect on adult polycystic kidneys after 2-year treatment. Transplantation Proceedings 2012;44(10):2936–9. [MEDLINE: ] - PubMed
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- Soliman AR, Ismail E, Zamil S, Lotfy A. Sirolimus therapy for patients with adult polycystic kidney disease: a pilot study. Transplantation Proceedings 2009;41(9):3639–41. [MEDLINE: ] - PubMed
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- Soliman AR, Ismail E. Sirolimus therapy for patients with adult polycystic kidney disease - a pilot study [abstract no: TH-PO053]. Journal of the American Society of Nephrology 2008;19(Abstracts Issue):123A. [CENTRAL: CN-00716073] - PubMed
SUISSE ADPKD 2007 {published data only}
-
- Braun M, Young J, Reiner CS, Poster D, Wuthrich RP, Serra AL. Ovarian toxicity from sirolimus. New England Journal of Medicine 2012;366(11):1062-4. [MEDLINE: ] - PubMed
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- Serra A, Poster D, Kistler AD, Krauer F, Raina F, Voneckardstein A, et al. Safety, tolerability and adherence of sirolimus in autosomal dominant polycystic kidney disease [abstract no: 2.5]. Swiss Medical Weekly 2008;138(Suppl 167):4S. [CENTRAL: CN-01912317]
-
- Serra AL, Kistler AD, Poster D, Krauer F, Senn O, Raina S, et al. Safety and tolerability of sirolimus treatment in patients with autosomal dominant polycystic kidney disease. Nephrology Dialysis Transplantation 2009;24(11):3334-42. [MEDLINE: ] - PubMed
TAME‐PKD 2018 {published data only}
-
- Hallows KR, Abebe KZ, Li H, Saitta B, Althouse AD, Bae KT, et al. Association of longitudinal urinary metabolic biomarkers with ADPKD severity and response to metformin in TAME-PKD clinical trial participants. KI Reports 2023;8(3):467‐77. [DOI: 10.1016/j.ekir.2022.11.019] [PMID: ] - DOI - PMC - PubMed
-
- Seliger SL, Abebe KZ, Hallows KR, Miskulin D, Perrone RD, Watnick TJ, et al. Design and methods of a randomized controlled trial of metformin in ADPKD (TAME-PKD) [abstract no: PUB388]. Journal of the American Society of Nephrology 2017;28(Abstract Suppl):1063. [EMBASE: 633704216]
Temmerman 2012 {published data only}
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- Temmerman F, Vanslembrouck R, Coudyzer W, Bammens B, Laleman W, Cassiman D, et al. The reduction in liver volume in polycystic liver disease with lanreotide is dose dependent and is most pronounced in patients with the highest liver volume [abstract no: 1395]. Journal of Hepatology 2012;56(Suppl 2):S547. [EMBASE: 70749518]
TEMPO 248 & 249 2005 {published data only}
-
- Chapman AB, Torres VE, Grantham JJ, Shoaf SS, Ouyang JJ, Czerwiec FS. A phase IIB pilot study of the safety and efficacy of tolvaptan, a vasopressin V2 receptor antagonist (V2RA), in patients with ADPKD [abstract no: F-FC139]. Journal of the American Society of Nephrology 2005;16:68A. [CENTRAL: CN-00653783]
-
- Grantham JJ, Chapman AB, Torres VE, Ouyang JJ, Shoaf SE, Czerwiec FS. Acute and chronic osmostasis after vasopressin V2 receptor inhibition with tolvaptan in ADPKD [abstract no: F-PO106]. Journal of the American Society of Nephrology 2005;16(October):361A. [CENTRAL: CN-00653784]
-
- Torres VE, Wang X, Ward CJ, Grantham JJ, Chapman AB, Ouyang JJ, et al. Urine aquaporin 2 and cyclic AMP responses to tolvaptan administration in autosomal dominant polycystic kidney disease [abstract no: F-PO108]. Journal of the American Society of Nephrology 2005;16(October):361A. [CENTRAL: CN-00653785]
TEMPO 250 2011 {published data only}
-
- Torres VE, Grantham JJ, Chapman AB, Watnick T, Kedzierski K, Ouyang JJ, et al. Phase 2 open-label study to determine safety, tolerability and efficacy of split-dose tolvaptan in ADPKD [abstract no: SA-PO077]. Journal of the American Society of Nephrology 2007;18:361-2A. [CENTRAL: CN-00653786]
TEMPO 3:4 2011 {published data only}
-
- Casteleijn NF, Blais JD, Chapman AB, Czerwiec FS, Devuyst O, Higashihara E, et al. Tolvaptan and kidney pain in patients with autosomal dominant polycystic kidney disease: secondary analysis from a randomized controlled trial. American Journal of Kidney Diseases 2017;69(2):210-9. [MEDLINE: ] - PMC - PubMed
-
- Casteleijn NF, Messchendorp AL, Bae KT, Higashihara E, Kappert P, Meijer E, et al. Vasopressin V2 receptor antagonism induced polyuria in ADPKD patients does not result in an increase in ureter width [abstract no: FP056]. Nephrology Dialysis Transplantation 2015;30(Suppl 3):iii83. [EMBASE: 72206477]
-
- Cornec-Le Gall E, Blais JD, Irazabal MV, Devuyst O, Gansevoort RT, Perrone RD, et al. Can we further enrich autosomal dominant polycystic kidney disease clinical trials for rapidly progressive patients? Application of the PROPKD score in the TEMPO trial. Nephrology Dialysis Transplantation 2018;33(4):645-52. [MEDLINE: ] - PMC - PubMed
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- Dahl NK, Chebib FT, Rahbari-Oskoui FF, Japes H, Jiang H, Tracy LR, et al. Tolvaptan modifies patient risk class distribution over time in autosomal dominant polycystic kidney disease (ADPKD): an analysis of data from the TEMPO 3: 4 trial [abstract no: TH-PO413]. Journal of the American Society of Nephrology : JASN 2022;33:161. [CENTRAL: CN-02500387]
Tesar 2017 {published data only}
-
- Ciechanowski K, Tesar V, Pei YP, Barash I, Shannon M, Li R, et al. Efficacy and safety of bosutinib in autosomal dominant polycystic kidney disease: a phase 2, randomized, double-blind, placebo-controlled study [abstract no: SA-PO1093]. Journal of the American Society of Nephrology 2015;26(Abstract Suppl):B3. [EMBASE: 641104283]
Uchiyama 2021 {published data only}000037550
-
- Uchiyama K, Ishibashi Y. The effect of trichlormethiazide in patients with autosomal dominant polycystic kidney disease using tolvaptan: a randomized cross-over controlled trial [abstract no: PO1543]. Journal of the American Society of Nephrology 2020;31(Abstract Suppl):492. [EMBASE: 633702850]
Ulusoy 2010 {published data only}
-
- Ulusoy S, Ozkan G, Orem C, Kaynar K, Kosucu P, Kiris A. A comparison of the effects of ramipril and losartan on blood pressure control and left ventricle hypertrophy in patients with autosomal dominant polycystic kidney disease. Renal Failure 2010;32(8):913-7. [MEDLINE: ] - PubMed
van Dijk 2001 {published data only}
-
- Dijk MA, Kamper AM, Veen S, Souverijn JH, Blauw GJ. Effect of simvastatin on renal function in autosomal dominant polycystic kidney disease. Nephrology Dialysis Transplantation 2001;16(11):2152-7. [MEDLINE: ] - PubMed
van Dijk 2003 {published data only}
-
- Dijk MA, Breuning MH, Duiser R, Es LA, Westendorp RG. No effect of enalapril on progression in autosomal dominant polycystic kidney disease. Nephrology Dialysis Transplantation 2003;18(11):2314-20. [MEDLINE: ] - PubMed
Vendramini 2021 {published data only}4X92FR
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- Vendramini LC, Rodrigues FG, Dalboni MA, Carvalho Junior JT, Batista MDC, Nishiura JL, et al. Effects of cholecalciferol supplementation in Autosomal Dominant Polycystic Kidney Disease (ADPKD) patients. Human Nutrition & Metabolism 2021;24:200121. [DOI: 10.1016/j.hnm.2021.200121] [EMBASE: 2011301194] - DOI
Walz 2010 {published data only}
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- Walz G, Budde K, Mannaa M, Nurnberger J, Wanner C, Sommerer C, et al. Everolimus in patients with autosomal dominant polycystic kidney disease. New England Journal of Medicine 2010;363(9):830-40. [MEDLINE: ] - PubMed
Watson 1999 {published data only}
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- Watson ML, Macnicol AM, Borg-Costanzi J, Vareesanghip K, Chauveau D, Cohen G, et al. A long-term comparison of the effects of renal function of BP control with either atenolol (A) or enalapril (E) in polycystic kidney disease (PKD) [abstract]. Journal of the American Society of Nephrology 1999;10(Program & Abstracts):428A. [CENTRAL: CN-01912322]
Zeltner 2008 {published data only}
-
- Mueller H, Schmieder RE, Zeltner R, Poliak R, Graf S, Schulze BD. Determinants for the treatment of hypertensive patients with autosomal dominant polycystic kidney disease (ADPKD): choice of drug versus blood pressure (BP) control [abstract no: F-PO211]. Journal of the American Society of Nephrology 2003;14(Nov):109A. [CENTRAL: CN-00653777]
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- Zeltner R, Poliak R, Stiasny B, Schmieder RE, Schulze BD. Renal and cardiac effects of antihypertensive treatment with ramipril vs metoprolol in autosomal dominant polycystic kidney disease. Nephrology Dialysis Transplantation 2008;23(2):573-9. [MEDLINE: ] - PubMed
References to studies excluded from this review
Davis 2018 {published data only}
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- Davis S, Gralla J, Chan L, Wiseman A, Edelstein CL. Effect of sirolimus on native total kidney volume after transplantation in patients with autosomal dominant polycystic kidney disease: a randomized controlled pilot study. Transplantation Proceedings 2018;50(5):1243-8. [MEDLINE: ] - PubMed
Dinh 2023 {published data only}
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- Dinh A, Dishy V, Waggoner JR, Csonka D, Shi Y, Gonzalez-Villalobos RA, et al. First-in-human study of an mTORC1-selective inhibitor for the treatment of ADPKD [abstract]. Journal of the American Society of Nephrology 2023;34:206.
Doulton 2006 {published data only}
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- Doulton TW, Saggar-Malik AK, He FJ, Carney C, Markandu ND, Sagnella GA, et al. The effect of sodium and angiotensin-converting enzyme inhibition on the classic circulating renin-angiotensin system in autosomal-dominant polycystic kidney disease patients. Journal of Hypertension 2006;24(5):939-45. [MEDLINE: ] - PubMed
Elue 2018 {published data only}
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- Elue KI, Gwede M, Madhwala A, Kanabolo DL, McGill RL, Zisman AL, et al. Smart water bottle technology and adherence to fluid prescription in ADPKD patients [abstract no: SA-PO484]. Journal of the American Society of Nephrology 2018;29(Abstract Suppl):861. [EMBASE: 633736376]
FALCON 2021 {published data only}
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- Chapman A, Appel GB, Block GA, Chin MP, Goldsberry A, Meyer CJ, et al. Trial design for phase 3 FALCON: evaluation of the safety, tolerability, and efficacy of bardoxolone methyl in patients with autosomal dominant polycystic kidney disease (ADPKD) [abstract no: 55]. American Journal of Kidney Diseases 2021;77(4):583. [EMBASE: 2011318927]
Hogan 2016 {published data only}
-
- Hogan MC, Masyuk TV, Ofstie TG, BanksC, Edwards ME, Irazabal MV, et al. Randomized, placebo controlled double blind clinical trial of the somatostatin analog pasireotide LAR for patients with ADPKD or ADPLD with severe liver involvement [abstract no: FR-OR001]. Journal of the American Society of Nephrology 2016;27(Abstract Suppl):34A. [EMBASE: 641131859]
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- Hogan MC, Masyuk TV, Vaughan L, Banks C, Ofstie T, Edwards M, et al. Randomized, placebo controlled double blind clinical trial of the pan-somatostatin agonist pasireotide LAR for patients with ADPKD or ADPLD with severe liver involvement [abstract no: 346]. Hepatology 2016;64(1 Suppl 1):177‐8A. [EMBASE: 612595536]
ISRCTN57653760 {published data only}ISRCTN57653760
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- O'Shaugnessy K. A rotation study through the main therapeutic classes of antihypertensive in patients with polycystic kidney disease and hypertension. www.isrctn.com/ISRCTN57653760 (accessed 2 August 2024).
MANGROVE 2022 {published data only}
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- Gansevoort RT, Pisani A, Hueso M, Van den Bergh D, Hettema W, Muller K, et al. The MANGROVE Phase 2 Trial: study design and baseline characteristics of patients with autosomal dominant polycystic kidney disease [abstract]. Journal of the American Society of Nephrology 2022;33:154. [EMBASE: 639546967]
Nakamura 2005a {published data only}
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- Nakamura T, Sugaya T, Kawagoe Y, Ueda Y, Osada S, Koide H. Candesartan reduces urinary fatty acid-binding protein excretion in patients with autosomal dominant polycystic kidney disease. American Journal of the Medical Sciences 2005;330(4):161-5. [MEDLINE: ] - PubMed
Naver 2023 {published data only}
NCT05281328 {published data only}
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- NCT05281328. A trial to assess the efficacy and safety of octreotide subcutaneous depot in patients With PLD. https://clinicaltrials.gov/ct2/show/NCT05281328 (registered: 7 March 2022).
References to studies awaiting assessment
BEET‐PKD 2022 {published data only}
-
- Sagar P, Munt A, Saravanabavan S, Elhindi J, Nguyen B, Chau K, et al. Recruitment for a double-blind, randomized, placebo-controlled trial to determine the effect of beetroot juice on reducing blood pressure in autosomal dominant polycystic kidney disease (BEET-PKD) [abstract]. Nephrology 2022;27(Suppl 1):74. [DOI: 10.1111/nep.14100] [EMBASE: 639448552] - DOI
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- Sagar PS, Munt A, Saravanabavan S, Vahedi FA, Elhindi J, Nguyen B, et al. Efficacy of beetroot juice on reducing blood pressure in hypertensive adults with autosomal dominant polycystic kidney disease (BEET-PKD): study protocol for a double-blind, randomised, placebo-controlled trial. Trials [Electronic Resource] 2023;24(1):482. [DOI: 10.1186/s13063-023-07519-2] [PMID: ] - DOI - PMC - PubMed
IMPROVE‐PKD 2023 {published data only}
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- Dumont A, Hamzaoui M, Guerrot D, Bellien J. Chronic dopamine receptor stimulation improves endothelial function and hemodynamics in autosomal dominant polycystic kidney disease [abstract no: P.138]. Artery Research 2023;29(Suppl 1):S43. [DOI: 10.1007/s44200-022-00028-8] [EMBASE: 640558674] - DOI
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- Dumont A, Hamzaoui M, Iacob M, Bertrand D, Remy-Jouet I, Hanoy M, et al. Chronic endothelial dopamine receptor stimulation improves endothelial function and hemodynamics in autosomal dominant polycystic kidney disease (IMPROVE-PKD) [abstract no: CO-001]. Fundamental & Clinical Pharmacology 2023;37(S1):7. [DOI: 10.1111/fcp.12905] [EMBASE: 641818499] - DOI - PubMed
KETO‐ADPKD 2023 {published data only}
-
- Cukoski S, Kuhn A, Lindemann CH, Arjune S, Meyer F, Schomig T, et al. Ketosis moderates the effect on kidney volume in dietary interventions for ADPKD-more insights on the KETO ADPKD trial [abstract no: 2160]. Nephrology Dialysis Transplantation 2024;39(Suppl 1):i1208. [DOI: 10.1093/ndt/gfae069.738] - DOI
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- Cukoski S, Lindemann CH, Arjune S, Todorova P, Brecht T, Kühn A, et al. Feasibility and impact of ketogenic dietary interventions in polycystic kidney disease: kETO-ADPKD-a randomized controlled trial. Cell Reports Medicine 2023;4(11):101283. [DOI: 10.1016/j.xcrm.2023.101283] [PMID: ] - DOI - PMC - PubMed
Nowak 2021 {published data only}
-
- Nowak KL, Catenacci V, Kline TL, Wang W, You Z, Bing K, et al. Weight loss to slow cyst growth in autosomal dominant polycystic kidney disease (ADPKD) [abstract no: PO1251]. Journal of the American Society of Nephrology 2021;32:404. [EMBASE: 636331204]
Rastogi 2023 {published data only}
-
- Rastogi A, Fada G, Rahbari-Oskoui F, Park M, Dahl N, Perrone R, et al. Tesevatinib (KD019) vs placebo for ADPKD: results of the PH2B trial [abstract no: 348]. American Journal of Kidney Diseases 2023;81(4 Suppl 1):S102. [EMBASE: 2023257443]
Staged‐PKD 2020 {published data only}153922017‐004084‐12U1111‐1202‐0775
-
- Gansevoort RT, Hariri A, Minini P, Ahn C, Chapman AB, Horie S, et al. Venglustat, a novel glucosylceramide synthase inhibitor, in patients at risk of rapidly progressing ADPKD: primary results of a double-blind, placebo-controlled, phase 2/3 randomized clinical trial. American Journal of Kidney Diseases 2023;81(5):517‐27. [DOI: 10.1053/j.ajkd.2022.10.016] - DOI - PubMed
-
- Perrone RD, Hariri A, Minini P, Ahn C, Chapman AB, Horie S, et al. Staged-PKD: An enriched, seamless, two-stage study for venglustat assessment in ADPKD [abstract no: PO1577]. Journal of the American Society of Nephrology 2020;31(Abstract Suppl):502. [EMBASE: 633703645]
-
- Perrone RD, Hariri A, Minini P, Chapman AB, Horie S, Knebelmann B, et al. Staged-PKD: patient enrichment and modeling-driven efficient ADPKD trial design [abstract no: PO1578]. Journal of the American Society of Nephrology 2020;31(Abstract Suppl):502. [EMBASE: 633703679]
Trillini 2023 {published data only}
-
- Trillini M, Caroli A, Perico N, Remuzzi A, Brambilla P, Villa G, et al. Effects of octreotide-long-acting release added-on tolvaptan in patients with autosomal dominant polycystic kidney disease: pilot, randomized, placebo-controlled, cross-over trial. Clinical Journal of the American Society of Nephrology: CJASN 2023;18(2):223‐33. [DOI: 10.2215/CJN.0000000000000049] [PMID: ] - DOI - PMC - PubMed
WATER 2024 {published data only}
-
- Geertsema P, Koorevaar IW, Ipema K, Kramers BJ, Casteleijn NF, Gansevoort RT, et al. Effects of salt and protein intake on polyuria in tolvaptan-treated ADPKD patients: a randomized controlled trial [abstract]. Journal of the American Society of Nephrology 2023;34:208. [EMBASE: 642701251]
References to ongoing studies
CTRI/2022/05/042904 {published data only}2022/05/042904
-
- CTRI/2022/05/042904. A clinical trial to study effect of a drug metformin in slowing progression of autosomal dominant polycystic kidney disease. https://trialsearch.who.int/Trial2.aspx?TrialID=CTRI/2022/05/042904 (date accessed: 13 August 2024).
-
- Venkatasubramanian V, Sethi J. Metformin versus standard of care in slowing progression of autosomal dominant polycystic kidney disease and correlation with total kidney volume and plasma copeptin levels [abstract]. Indian Journal of Nephrology 2023;33(Suppl 1):S13. [EMBASE: 643425980]
CTRI/2022/09/045945 {published data only}2022/09/045945
-
- CTRI/2022/09/045945. Tolvaptan versus water therapy in autosomal dominant polycystic kidney disease. https://trialsearch.who.int/Trial2.aspx?TrialID=CTRI/2022/09/045945 (accessed August 2024).
Gan 2019 {published data only}16009914
-
- Gan J, Wu Y, Gong X, Ma Y, Yu S, Gao J. Yinang formulation versus placebo granules as a treatment for chronic kidney disease stages III-IV in patients with autosomal dominant polycystic kidney disease: study protocol for a double-blind placebo-controlled randomized clinical trial. Trials [Electronic Resource] 2019;20(1):481. [MEDLINE: ] - PMC - PubMed
Gitomer 2024 {published data only}
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- Gitomer BY, Wang W, George D, Nowak KL, Britz M, Klawitter J, et al. Baseline characteristics of participants in statin therapy in patients with early-stage ADPKD clinical trial [abstract]. Journal of the American Society of Nephrology 2023;34:209‐10. [EMBASE: 642701511]
GREASE II 2020 {published data only}
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- Pezzuoli C, Testa F, Giovanella S, Ligabue G, Marchio M, Biagini G, Magistroni R. GREASE II: a phase ii randomized, 24-month, parallel-group, superiority study to evaluate the efficacy of a ketogenic diet in ADPKD patients [abstract no: 5187]. Nephrology Dialysis Transplantation 2023;38:i1134‐5. [DOI: 10.1093/ndt/gfad063d_5187] [EMBASE: 641942841] - DOI
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- Testa F, Marchio M, D'Amico R, Giovanella S, Ligabue G, Fontana F, et al. GREASE II. A phase II randomized, 12-month, parallel-group, superiority study to evaluate the efficacy of a Modified Atkins Diet in Autosomal Dominant Polycystic Kidney Disease patients. PharmaNutrition 2020;13:100206. [EMBASE: 2006974265]
HYDRO‐PROTECT 2024 {published data only}
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- Bais T, Meijer E, Kramers BJ, Vart P, Vervloet M, Salih M, et al. HYDROchlorothiazide versus placebo to PROTECT polycystic kidney disease patients and improve their quality of life: study protocol and rationale for the HYDRO-PROTECT randomized controlled trial. Trials 2024;25(1):120. [DOI: 10.1186/s13063-024-07952-x] - DOI - PMC - PubMed
IMPEDE‐PKD 2021 {published data only}
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- Mallett A. Implementation of metformin theraPy to Ease DEcline of kidney function in PKD (IMPEDE-PKD). clinicaltrials.gov/ct2/show/NCT04939935 (first received 25 June 2021).
jRCT2011230055 {published data only}jRCT2011230055
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- jRCT2011230055. Phase IIa study of tamibarotene in patients with ADPKD [Phase IIa clinical trial of tamibarotene in patients with autosomal dominant polycystic kidney disease]. https://trialsearch.who.int/Trial2.aspx?TrialID=JPRN-jRCT2011230055 (registered 22 December 2023).
NCT00345137 {published data only}
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- Effects of systemic NO-inhibition on renal hemodynamics in patients with polycystic kidney disease and chronic glomerulonephritis [Phase 1 study of systemic effects of Ng-monomethyl-L-arginine on renal hemodynamics in patients with polycystic kidney disease and chronic glomerulonephritis]. www.clinicaltrials.gov/ct2/show/NCT00345137 (first posted 27 June 2006).
NCT01932450 {published data only}
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- Radiofrequency ablation for ADPKD blood pressure and disease progression control (RAFALE) [A randomized, open-label study investigating the effect of bilateral renal artery sympathetic denervation by catheter-based radiofrequency ablation on blood pressure and disease progression in autosomal dominant polycystic kidney disease]. www.clinicaltrials.gov/ct2/show/NCT01932450 (first posted 30 August 2013).
NCT02127437 {published data only}
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- Lanreotide In Polycystic Kidney Disease Study (LIPS). www.clinicaltrials.gov/study/NCT02127437 (first posted 30 April 2014).
NCT05228574 {published data only}
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- NCT05228574. Treatment of vascular stiffness in ADPKD (TRAMPOLINE) [Treatment of vascular stiffness in patients with autosomal dominant polycystic kidney disease]. https://clinicaltrials.gov/show/NCT05228574 2022.
NCT05460169 {published data only}
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- NCT05460169. Renal denervation in ADPKD- RDN-ADPKD study [Effect of renal denervation in hypertensive patients with autosomal dominant polycystic kidney disease]. https://clinicaltrials.gov/ct2/show/NCT05460169 2022.
NCT05510115 {published data only}
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- NCT05510115. Feasibility of study of empagliflozin in patients with autosomal dominant polycystic kidney disease. https://clinicaltrials.gov/ct2/show/NCT05510115 (registered: 11 August 2022).
NCT05521191 {published data only}
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- NCT05521191. A study of RGLS8429 in patients with autosomal dominant polycystic kidney disease [A phase 1b, double-blind, placebo-controlled, multiple ascending dose and an open-label fixed-dose study in patients with autosomal dominant polycystic kidney disease to evaluate the safety, tolerability, pharmacodynamics, and pharmacokinetics of RGLS8429]. https://clinicaltrials.gov/ct2/show/NCT05521191 (registered: 24 August 2022).
NCT05870007 {published data only}
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- NCT05870007. Atorvastatin and alkali therapy in patients with autosomal dominant polycystic kidney disease [Atorvastatin and alkali therapy in patients with autosomal dominant polycystic kidney disease, a pilot trial for safety and feasibility]. https://clinicaltrials.gov/show/NCT05870007 (registered: 12 April 2023).
NCT06289998 {published data only}
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- NCT06289998. Study of tamibarotene in patients With ADPKD [Phase IIa clinical trial of tamibarotene in patients with autosomal dominant polycystic kidney disease]. https://clinicaltrials.gov/ct2/show/NCT06289998 (registered 18 February 2024).
NCT06291116 {published data only}
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- NCT06291116. Safety of rotigotine in patients with autosomal dominant polycystic kidney disease (ETERNAL-PKD). https://clinicaltrials.gov/ct2/show/NCT06291116 (registered 26 February 2024).
NCT06391450 {published data only}
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- NCT06391450. Study of empagliflozin in patients with autosomal dominant polycystic kidney disease (EMPA-PKD). https://clinicaltrials.gov/ct2/show/NCT06391450 (registered 15 April 2024). - PMC - PubMed
NCT06435858 {published data only}
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- NCT06435858. Short-term effects of an SGLT2 inhibitor on divalent ions in autosomal dominant polycystic kidney disease (SIDIA). https://clinicaltrials.gov/ct2/show/NCT06435858 (registered 24 May 2024).
NCT06496542 {published data only}
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- NCT06496542. Renal oxygen consumption, insulin sensitivity, and daily caloric restriction in ADPKD (EXPLORE). https://clinicaltrials.gov/ct2/show/NCT06496542 (registered 3 July 2024).
Steele 2023 {published data only}
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- Steele C, Coleman ER, George D, Farmer-Bailey H, Ramanathan S, Gregory A, et al. Time-restricted feeding and autosomal dominant polycystic kidney disease: a pilot, randomized clinical trial [abstract]. Journal of the American Society of Nephrology 2023;34:206. [EMBASE: 642700858]
Vienna RAP 2015 {published data only}
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References to other published versions of this review
Bolignano 2013
Bolignano 2015
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