Evidence mapPaperPMID 39358230Full record

Trial reportJournal of atherosclerosis and thrombosis2025

Effect of the Xanthine Oxidase Inhibitor Febuxostat on the Cardio-Ankle Vascular Index in Asymptomatic Patients with Hyperuricemia and Liver Dysfunction: A Sub-Analysis of the PRIZE Study.

Yusuke Kawachi, Yuya Fujishima, Hitoshi Nishizawa, Atsushi Tanaka, Hisako Yoshida, Shinichi Niwano, Makoto Suzuki, Iichiro Shimomura, Koichi Node

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of atherosclerosis and thrombosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Gout, Uric Acid, and Coronary Artery Disease.Journal of atherosclerosis and thrombosis · 2025
    Review
  2. Article
  3. Article
  4. 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

9 authors.

Yusuke KawachiDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University.
Yuya FujishimaDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University.
Hitoshi NishizawaDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University.
Atsushi TanakaDepartment of Cardiovascular Medicine, Saga University.
Hisako YoshidaDepartment of Medical Statistics, Osaka Metropolitan University Graduate School of Medicine.
Shinichi NiwanoDepartment of Cardiovascular Medicine, Kitasato University School of Medicine.
Makoto SuzukiDepartment of Cardiology, Yokohama Minami Kyosai Hospital.
Iichiro ShimomuraDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University.
Koichi NodeDepartment of Cardiovascular Medicine, Saga University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe effect of uric acid (UA)-lowering therapy with xanthine oxidoreductase (XOR) inhibitors on the development of cardiovascular disease requires further investigation. This study aimed to evaluate the long-term effects of febuxostat on arterial stiffness, focusing on liver function.

methodsThe PRIZE study involved random assignment of patients with asymptomatic hyperuricemia to receive either add-on febuxostat treatment (febuxostat group) or non-pharmacological treatment (control group). Of the 514 participants, 23 and 14 patients in the febuxostat and control groups, respectively, underwent assessment of arterial stiffness using the cardio-ankle vascular index (CAVI). The participants in each group were further grouped on the basis of their baseline alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels (above or below the media value or 30 U/L). The primary endpoint was the change in the CAVI from baseline to 12 and 24 months.

resultsOverall, no significant differences were found between the control and febuxostat groups in the least-squares mean estimates of changes in CAVI at 24 months (mean between-group difference, -0.41 [95% CI, -1.05 to 0.23]; p=0.204). However, there were significant differences in participants with higher baseline ALT or AST levels above 30 U/L at 24 months (mean between-group difference, -1.12 [95% CI, -2.23 to -0.01]; p=0.048 for ALT ≥ 30 U/L and -1.08 [95% CI, -2.13 to -0.03]; p=0.044 for AST ≥ 30 U/L).

conclusionsTwo-year treatment with febuxostat demonstrated a beneficial effect on CAVI in patients with hyperuricemia and liver dysfunction.

Indexed as

Cardio Ankle Vascular IndexEnzyme InhibitorsFebuxostatHyperuricemiaLiver DiseasesVascular StiffnessXanthine OxidaseAgedFemaleFollow-Up StudiesGout SuppressantsHumansMaleMiddle AgedProspective StudiesUric AcidEnzyme InhibitorsFebuxostatGout SuppressantsUric AcidXanthine OxidaseArterial stiffnessHypertensionHyperuricemiaLiver dysfunctionXanthine oxidoreductase inhibitors

Identifiers

PMID39358230
PMCPMC11973522

What Socratic holds

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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 Socratic graph.