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. Author manuscript; available in PMC: 2011 Aug 1.
Published in final edited form as: Kidney Int. 2010 Oct 6;79(4):385–392. doi: 10.1038/ki.2010.389

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.