Evidence map›Paper›PMID 40814632›Full record

ArticleKidney international reports2025

Risk of End-Stage Kidney Disease and Topiramate Use.

Jean-Michel Halimi, Valentin Maisons, Jean-Baptiste de Fréminville, Sébastien Roger, Arnaud Bisson, Stéphanie Chadet, Laurent Fauchier

Abstract read
In one paragraph

Article in Kidney international reports, 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

7 authors.

Jean-Michel HalimiService de Néphrologie-Hypertension, Dialyse, Transplantation rénale, CHU de Tours, Tours, France.
Valentin MaisonsService de Néphrologie-Hypertension, Dialyse, Transplantation rénale, CHU de Tours, Tours, France.
Jean-Baptiste de FréminvilleINSERM UMR1327, ISCHEMIA, Université de Tours, Tours, France.
Sébastien RogerINSERM UMR1327, ISCHEMIA, Université de Tours, Tours, France.
Arnaud BissonINSERM UMR1327, ISCHEMIA, Université de Tours, Tours, France.
Stéphanie ChadetINSERM UMR1327, ISCHEMIA, Université de Tours, Tours, France.
Laurent FauchierINSERM UMR1327, ISCHEMIA, Université de Tours, Tours, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Topiramate is widely used for migraine prevention but has pleiotropic effects on renal sodium reabsorption and inflammation. Whether these effects could be associated with lower risk of end-stage kidney disease (ESKD) and cardiovascular outcomes is unknown. Methods: Among 1,745,580 patients with a diagnosis of migraine, the risk of ESKD, cardiovascular outcomes, and death was assessed after propensity matching in patients treated with topiramate versus untreated patients. Results: Overall, 317,936 patients treated with topiramate were properly matched with 317,936 controls by age (43 years old), sex (women: 86%), clinical and biological parameters, comorbid conditions, and baseline medications. After a median follow-up of 3.5 years, patients receiving topiramate had a significant lower risk of ESKD (hazard ratio [HR]: 0.850; 95% confidence interval [CI]: 0.776-0.930; Conclusion: In men and women with migraine, topiramate was significantly associated with lower risks of ESKD and death, but higher risks of ischemic stroke or thromboembolism.

Indexed as

drug repurposingnephroprotectionpharmacologysuicidalitytherapeutics

Identifiers

PMID40814632
PMCPMC12347801

What Socratic holds

Textmetadata
LicenceCC BY
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.