Evidence map›Paper›PMID 40830771›Full record

ArticleBMC nephrology2025

Efficacy and safety of PCSK9 inhibitors in patients with chronic kidney disease.

Haixia Tang, Xiaomin Li, Fengmei Wang, Hong Liu, Xiaoliang Zhang, Bicheng Liu, Bin Wang

Abstract read
In one paragraph

Article in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Features of Lipid Disorders in Cardiovascular-Kidney-Metabolic Syndrome.International journal of molecular sciences · 2026
    Review
  2. Review
  3. 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

7 authors.

Haixia Tang *Department of Nephrology, Zhongda Hospital, Southeast University School of Medicine, Nanjing, China.
Xiaomin Li *Department of Pharmacy, Zhongda Hospital, Southeast University School of Medicine, Nanjing, China.
Fengmei WangDepartment of Nephrology, Zhongda Hospital, Southeast University School of Medicine, Nanjing, China.
Hong LiuDepartment of Nephrology, Zhongda Hospital, Southeast University School of Medicine, Nanjing, China.
Xiaoliang ZhangDepartment of Nephrology, Zhongda Hospital, Southeast University School of Medicine, Nanjing, China.
Bicheng LiuDepartment of Nephrology, Zhongda Hospital, Southeast University School of Medicine, Nanjing, China. liubc64@163.com.
Bin WangDepartment of Nephrology, Zhongda Hospital, Southeast University School of Medicine, Nanjing, China. wangbinhewei@126.com.

Funding

Changzhou Sci&Tech Program CJ20235048Foundation of Jiangsu Commission of Health M2021048Project of Taizhou Clinical Medical School of Nanjing Medical University TZKY20220209Science and Technology Project of Changzhou Health Commission QY202304Young Scholars of Yangtze River Scholar Professor Program 2023 BW
6 · The paper itself

Abstract

backgroundThis study aimed to assess the efficacy and safety of proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors in lowering lipid levels among chronic kidney disease (CKD) patients, including those with stages 4-5 CKD.

methodsCKD patients with atherosclerotic cardiovascular disease treated between January 2022 and December 2022 at Zhong Da Hospital affiliated with Southeast University were enrolled in this study. Patients received either evolocumab or alirocumab for three months, either in combination with statin therapy with or without ezetimibe. Efficacy and safety measures were compared among the different groups before and after treatment.

resultsA total of 496 CKD patients were included in the study, comprising 263 with stages 1-2 CKD, 170 with stage 3 CKD, and 63 with stages 4-5 CKD. Among them, 301 patients were classified into the atherosclerotic cardiovascular disease (ASCVD) group, whereas 195 were classified into the very-high-risk ASCVD group. LDL-C, total cholesterol (TC), and lipoprotein (a) (Lp(a)) levels decreased significantly in all groups, including stages 4-5 CKD patients, after treatment (P < 0.05). The serum creatinine (Scr) level and estimated glomerular filtration rate (eGFR) remained stable during treatment (P > 0.05). The incidence of adverse drug events did not differ significantly among the different kidney function groups (P ≥ 0.05).

conclusionsPCSK9 inhibitors can be effectively and safely utilized for lipid-lowering therapy in CKD patients, even those with stages 4-5 CKD. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Antibodies, Monoclonal, HumanizedAnticholesteremic AgentsAtherosclerosisPCSK9 InhibitorsRenal Insufficiency, ChronicAgedCholesterol, LDLDrug Therapy, CombinationEzetimibeFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedProprotein Convertase 9Treatment OutcomealirocumabAntibodies, Monoclonal, HumanizedAnticholesteremic AgentsCholesterol, LDLevolocumabEzetimibeHydroxymethylglutaryl-CoA Reductase InhibitorsPCSK9 InhibitorsPCSK9 protein, humanProprotein Convertase 9Chronic kidney diseaseProprotein convertase subtilisin/Kexin type 9 inhibitorsRetrospective study

Identifiers

PMID40830771
PMCPMC12362924

What Socratic holds

Texttitle and abstract
LicenceCC BY-NC-ND
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.