Table 1.
Study /year /reference |
Study location | Sample size | Intervention | LVEF,% | Age, years | Follow-up duration | Primary outcome | ||||
Tolvaptan | Control | Tolvaptan | Control | Tolvaptan | Control | Tolvaptan | Control | ||||
Jujo et al 201625 | Japan | 30 | 30 | Tolvaptan 7.5 mg/day + carperitide |
Furosemide + carperitide |
45(33,55)* | 46(37,60)* | 79±11 | 79±11 | 5 days | WRF, changes in urine volume, serum creatinine, BUN, BNP and catecholamines |
Tamaki et al 201726 | Japan | 26 | 24 | Tolvaptan 7.5 or 15 mg/day + diuretic |
Diuretic | 60.7±10.0 | 59.7±7.5 | 79±7 | 75±10 | 48 hours | WRF, changes in serum creatinine, BUN, body weight, urine volume, secrum sodium and eGFR |
Konstam et al 201722 | USA | 122 | 128 | Tolvaptan 30 mg/day + diuretic |
Placebo + diuretic |
35±16 | 33±17 | 70±11 | 67±13 | 7 days | WRF, changes in body weight, dyspnoea relief, eGFR and serum creatinine, 30 day mortality or re-hospitalisation |
Felker et al 201723 | USA | 129 | 128 | Tolvaptan 30 mg/day + loop diuretic |
Placebo + loop diuretic |
34±17 | 32±17 | 66±13 | 63±16 | 48 hours | WRF, changes in body weight, serum sodium, dyspnoea relief and urine volume, worsening HF and 30 day mortality |
Shanmugam et al 201624 | India | 25 | 26 | Tolvaptan 15 mg/day + diuretic |
Diuretic | 31.9±12.2 | 29.2±8.7 | 58.9±12.1 | 57±12 | 5 days | Changes in plasma sodium and dyspnoea relief, adverse effects |
Matsue et al 201620 | Japan | 108 | 109 | Tolvaptan 15 mg/day + conventional therapy |
Conventional therapy | 45.4±18.1 | 46.8±16.4 | 72.99±8.9 | 72.95±10.24 | 636 days | WRF, changes in body weight, serum sodium, dyspnoea relief, BNP and urine volume, in-hospital death, adverse effects |
Kimura et al 201612 | Japan | 26 | 26 | Tolvaptan 15 mg/day + furosemide 20 mg |
Furosemide | 47.54±16.75 | 56.73±11.52 | 80.54±12.15 | 86.15±4.95 | 7 days | WRF, changes in mean creatinine clearance and eGFR, adverse effects |
Data are given as the mean ±SD deviation
*Data presented as median with IQR.
BNP, B-type natriuretic peptide; BUN, blood urea nitrogen; eGFR, estimated glomerular filtration rate; HF, heart failure; LVEF, left ventricular ejection fraction; WRF, worsening renal function.