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. 2015 Dec 21;112(51-52):884–890. doi: 10.3238/arztebl.2015.0884

Table. Changes in kidney volume and renal function in five clinical studies involving 100 patients or more.

Study No. of treated patients Age (years) Baseline TKV (mL) Baseline eGFR (mL/min/1.73 m²) Δ TKV vs. placebo (% per year) Δ eGFR vs. placebo (mL/min/1.73 m2 per year) Relative stage*2
Pravastatin (29) 56 16 571 135*1 –2.7(*) 0.0 1
Sirolimus (17) 50 31 907 92 0.2 2.5 3
HALT-PKD (30) 274 37 1185 91 –1.0(*) 0.4 5
TEMPO 3/4 (24) 961 39 1705 81 –2.7(*) 1.0(*) 8
Everolimus (18) 213 45 2028 53 –2.2(*) –2.0 17

Significantly lower TKV (*) led to a significant delay in loss of renal function (*) in the TEMPO 3/4 study only. The difference between the intervention and placebo groups was 1.0 mL/min/1.73 m² per year. The relative stage was ascertained by multiplying kidney volume (TKV in dL) by age and dividing by renal function; it illustrates the various stages of ADPKD at which the studies were conducted (1 = early stage, 17 = advanced stage). This difference should be taken into account when comparing different ADPKD studies. ADPKD: Autosomal dominant polycystic kidney disease; TKV: Total kidney volume; eGFR: Estimated glomerular filtration rate; HALT-PKD: Halt Progression of Polycystic Kidney Disease; TEMPO 3/4: Tolvaptan Efficacy and Safety in Management of ADPKD and Its Outcomes 3/4 (*): Denotes significance *1 Creatinine clearance *2 Relative stage = TKV (dL) × age (years)/eGFR (mL/min/1.73 m²)