Evidence map›Paper›PMID 41564997›Full record

ReviewAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2026

Navigating Anemia Therapy in CKD With Hypoxia-Inducible Factor Activators: A Review.

Volker H Haase, Nadiesda A Costa, Mark J Koury

Abstract readReview
In one paragraph

Review in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

3 authors.

Volker H HaaseDivision of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center and School of Medicine, Vanderbilt University, Nashville, Tennessee; Medical Service, Department of Veterans Affairs, Tennessee Valley Healthcare System, Nashville, Tennessee; Research Service, Department of Veterans Affairs, Tennessee Valley Healthcare System, Nashville, Tennessee. Electronic address: volker.haase@vanderbilt.edu.
Nadiesda A CostaGeorgetown University School of Medicine, MedStar Georgetown Transplant Institute, Washington, DC.
Mark J KouryDivision of Hematology and Oncology, Department of Medicine, Vanderbilt University Medical Center and School of Medicine, Vanderbilt University, Nashville, Tennessee; Medical Service, Department of Veterans Affairs, Tennessee Valley Healthcare System, Nashville, Tennessee.

Funding

Mitochondrial electron transport dysfunction: Dissecting pathomechanismsR21AG082416 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HAASE, VOLKER HANS · 2023 to 2024
$481k
BLRD VA I01 BX002348NIA NIH HHS R21 AG082416
6 · The paper itself

Abstract

The clinical challenges and safety concerns associated with the use of erythropoiesis-stimulating agents (ESAs) have provided the rationale for developing novel therapeutic approaches that address the complex pathophysiology of anemia in chronic kidney disease (CKD). Hypoxia-inducible factor-prolyl hydroxylase inhibitors (HIF-PHIs) are a new class of oral agents that effectively increase and maintain hemoglobin levels in patients with CKD. These agents stimulate the endogenous production of erythropoietin and enhance iron metabolism by activating hypoxia-inducible factors. Despite their efficacy, the use of some HIF-PHIs has been limited to patients on maintenance dialysis in some countries, including the United States, due to unresolved cardiovascular safety concerns in patients with CKD not on dialysis. In this review, we examine the mechanisms of action and erythropoietic effects of HIF-PHIs, evaluate undesirable on-target and off-target effects, and address cardiovascular and other safety concerns that have been raised in comparison to ESAs. We discuss how this novel class of oral anemia drugs may impact clinical practice, including their potential use in kidney transplant recipients.

Indexed as

AnemiaHematinicsHypoxia-Inducible Factor-Proline DioxygenasesProlyl-Hydroxylase InhibitorsRenal Insufficiency, ChronicHumansHematinicsHypoxia-Inducible Factor-Proline DioxygenasesProlyl-Hydroxylase InhibitorsAnemiacardiovascular riskchronic kidney diseasedialysiserythropoiesiserythropoietinESAHIF-PHIsHIF-prolyl hydroxylase inhibitorshypoxiahypoxia-inducible factorironkidney transplantationpost-transplant anemia

Identifiers

PMID41564997
PMCPMC13267136

What Socratic holds

Textmetadata
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.