Evidence map›Paper›PMID 36109083›Full record

Trial reportRMD open2022

Impact of febuxostat on visit-to-visit blood pressure variability: insights from the randomised PRIZE Study.

Yuichi Saito, Atsushi Tanaka, Yuji Koide, Hisako Yoshida, Daigaku Uchida, Kazuo Matsunaga, Naoto Yokota, Chikara Ueyama, Yoshio Kobayashi, Koichi Node and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in RMD open, 2022. 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
0.1field-weighted citation impact, top 51% of its field
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 citations in OpenAlex.

  1. Review
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

11 authors at 7 institutions in 1 country.

Yuichi SaitoChiba University Graduate School of Medicine, Chiba, Japan saitoyuichi1984@gmail.com.ORCID 0000-0003-3574-0685
Atsushi TanakaSaga University, Saga, Japan.ORCID 0000-0003-3352-7661
Yuji KoideNagasaki University Hospital, Nagasaki, Japan.
Hisako YoshidaOsaka Metropolitan University, Osaka, Japan.
Daigaku UchidaHotaruno Central Naika, Kisarazu, Japan.
Kazuo MatsunagaImari-Arita Kyoritsu Hospital, Matuura, Japan.
Naoto YokotaYokota Naika, Miyazaki, Japan.
Chikara UeyamaGifu Prefectural Tajimi Hospital, Tajimi, Japan.
Yoshio KobayashiChiba University Graduate School of Medicine, Chiba, Japan.
Koichi NodeSaga University, Saga, Japan.
PRIZE Study Investigators
Chiba University · JPSaga University · JPGifu Prefectural Tajimi Hospital · JPImari Arita Kyoritsu Hospital · JPNagasaki University Hospital · JPOsaka Metropolitan University · JPSubaru (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAlthough uric acid lowering therapies, including xanthine oxidase (XO) inhibition, may reduce the absolute level of blood pressure (BP), the effect of XO inhibition on BP variability is largely unknown. The aim of the present analysis was to evaluate the impact of febuxostat, an XO inhibitor, on BP variability in a randomised trial setting.

methodsThis was a subanalysis of the PRIZE Study, a randomised trial to evaluate the potential effect of febuxostat on carotid intima-media thickness progression. Patients with hyperuricemia and carotid plaques were randomly assigned to the febuxostat or control group. During a 24-month period, office BP and pulse rate (PR) were measured ≥3 times. BP and PR variabilities were assessed with SD and coefficient of variation (CV). The effect of febuxostat on BP and PR variabilities was adjusted with age, sex and baseline BP or PR, expressed with 95% CIs.

resultsA total of 472 patients were included into the present subanalysis. During the 24-month follow-up period, the febuxostat group had a significantly lower adjusted mean systolic BP (128.4 (126.8-130.0) vs 130.7 (129.1-132.2) mm Hg, p=0.04) and CV of systolic BP (7.4 (6.7-8.0) vs 8.2 (7.6-8.8), p=0.04) than the control group. Adjusted SD of PR was also lower in the febuxostat group than their counterpart (5.95 (4.93-6.97) vs 7.33 (6.32-8.33), p=0.04).

conclusionXO inhibition with febuxostat was associated with reduced visit-to-visit BP variability as well as reduced PR variability in patients with hyperuricemia and carotid plaques. TRIAL REGISTRATION NUMBERS: University Hospital Medical Information Network Clinical Trial Registry (UMIN000012911 and UMIN000041322).

Indexed as

Awards and PrizesHyperuricemiaBlood PressureCarotid Intima-Media ThicknessFebuxostatHumansUric AcidXanthine OxidaseFebuxostatUric AcidXanthine Oxidasecardiovascular diseasesgouthypertension

Identifiers

PMID36109083
PMCPMC9478834
OpenAlexW4295958718

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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 Socratic graph.