Table 2. | Major clinical trial in pharmacotherapy of urolithiasis.
Author (ref.) | Drug | N | Design | Finding | |
---|---|---|---|---|---|
Renal colic | Hollingsworth et al.6 | α-Blocker or calcium-channel blockers vs placebo or no Rx | Meta-analysis | Improved likelihood of stone passage | |
Parsons et al.8 | α-Blocker vs no Rx | 911 | Meta-analysis | Improved likelihood of stone passage | |
Hypercalciuria | Brocks et al.13 | Bendroflumethiazide vs placebo | 62 | RCT | Both groups showed decrease in stone formation |
Scholz et al.14 | Hydrochlorothiazide vs placebo | 51 | RCT | Thiazides decreased calciuria but not stone events | |
Laerum and Larsen15 | Hydrochlorothiazide vs placebo | 50 | RCT | Decreased new stone formation Prolonged stone-free interval | |
Ettinger et al.16 | Chlorthalidone vs Mg hydroxide vs placebo | 124 | RCT | Chlorthalidone more effective than Mg hydroxide or placebo in reducing stone events | |
Ohkawa et al.17 | Trichlormethiazide vs no treatment | 175 | RCT | Decreased calciuria and stone formation rate | |
Borghi et al.18 | Diet vs diet+indapamide vs diet+indapamide+allopurinol | 75 | RCT | Diet + pharmacotherapy better than diet alone. | |
Hypocitraturia | Barcelo et al.31 | Potassium citrate vs placebo | 57 | RCT | Decreased stone formation and increased urinary citrate |
Ettinger et al.32 | Potassium magnesium citrate vs placebo | 64 | RCT | Decreased stone formation | |
Hofbauer et al.33 | Diet+sodium potassium citrate vs diet | 50 | RCT | No difference in stone formation | |
Soygür et al.34 | Potassium citrate vs no treatment after shockwave lithotripsy | 110 | RCT | Decreased stone recurrence | |
Kang et al.35 | Mix of potassium citrate, thiazide, allopurinol vs no treatment after percutaneous nephrolithotomy | 226 | NCT | Decreased stone recurrence | |
Pak et al.36 | Potassium citrate vs pretreatment in calcium and uric acid stone formers | 89 | NNT | Decreased stone events | |
Aciduria (uric acid stones) | Pak et al.42 | Potassium citrate | 18 | NNT | Decreased stone events |
Hyperuricosuria (calcium stones) | Ettinger et al.47 | Allopurinol vs placebo | 60 | RCT | Decreased stone events |
Coe20 | Thiazide vs allopurinol vs both | 202 | RCT | Decreased stone events vs pretreatment | |
Cystinuria | Dahlberg et al.50 | d-penicillamine | 89 | Retrospective | Decreased stone event and dissolution of stones |
Chow et al.51 | d-penicillamine or α-mercaptopropionylglycine vs conservative Rx | 16 | NNT | Decreased stone event | |
Pak et al.52 | d-penicillamine or α-mercaptopropionylglycine vs conservative Rx | 66 | Retrospective | Both drugs equally effective in reducing stone events | |
Barbey et al.53 | d-penicillamine or α-mercaptopropionylglycine vs conservative Rx | 27 | Retrospective | Decreased stone events |
Abbreviations: N, number of patients; NCT, non-randomized controlled trial; NNT, non-randomized non-placebo controlled trial; RCT, randomized controlled trial; Rx, treatment.