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. 2022 Apr;17(4):507–517. doi: 10.2215/CJN.11260821

Table 4.

Change in various study parameters

End Points Mean Value Changes Compared with Placebo
Hydrochlorothiazide Placebo Metformin Hydrochlorothiazide Metformin
Mean (95% Confidence Interval) P Value Mean (95% Confidence Interval) P Value
Primary end point
 Absolute urine volume, L/24 h 5.13±1.46 6.34±1.62 5.40±1.51 –1.2 (–1.7 to –0.8)a <0.001a –0.9 (–1.4 to –0.5)a <0.001a
Secondary end points
 Plasma copeptin, pmol/L 20±7 26±7 28±8 –5.6 (–9.0 to –2.3)a 0.001a 1.6 (–1.7 to 5.0) 0.30
 Measured GFR, ml/min per 1.73 m2 51±10 55±12 54±11 –3.8 (–5.5 to –2.2)a <0.001a −1.1 (–2.7 to 0.5) 0.20
Post hoc exploratory end points
 Free water clearance, L/24 h 1.60±1.25 2.88±1.76 2.13±1.42 –1.3 (–1.7 to –0.9)a <0.001a –0.7 (–1.1 to –0.3)a <0.001a
 Plasma osmolality, mOsm/L 288±4 292±5 289±4 –3.4 (–5.0 to –1.7)a <0.001a –2.1 (–3.8 to –0.5)a 0.001a
 Plasma sodium, mEq/L 139±2 141±2 140±2 –1.7 (–2.9 to –0.4)a 0.008a −0.6 (–1.9 to 0.6) 0.30
 Plasma NTproBNP, ng/L 43±23 82±52 53±28 –40 (–57 to –23)a <0.001a –27 (–45 to –9)a 0.003a
 Urine osmolality, mOsm/L 204±54 167±64 180±60 38 (27 to 49)a <0.001a 13 (2 to 24)a 0.03a
 Osmole excretion, mOsm/24 h 1020±307 1013±296 947±311 6 (–68 to 79) 0.90 −64 (–137 to 9) 0.09
 FeLithium, % 18.4±3.4 21.8±3.4 19.3±5.4 –3.5 (–5.4 to –1.6)a <0.001a –2.4 (–4.4 to –0.5)a 0.01a
 Aquaporin-2 excretion, g/24 h 4.67±4.50 5.19±6.60 6.78±8.42 0.2 (–0.6 to 1.0) 0.60 0.8 (–0.1 to 1.6) 0.07
 Weight, kg 90.6±18 91.6±18 91.2±18 –1.0 (–1.5 to –0.4)a <0.001a −0.4 (–0.9 to 0.1) 0.10
 Systolic BP, mm Hg 117±11 122±9 120±12 –5.6 (–9.8 to –1.4)a 0.009a −2.1 (–6.2 to 2.1) 0.30
 Extracellular volume, L 14.5±3.4 15.1±2.9 14.7±2.8 −0.6 (–1.2 to 0.0) 0.05 −0.4 (–1.0 to 0.2) 0.20

Variables are presented as mean±SD. Changes were compared with placebo using generalized linear mixed models. Other end points were ad hoc and not prespecified; results should be interpreted as hypothesis generating rather than hypothesis testing. NTproBNP, N-terminal pro-brain natriuretic peptide; FeLithium, fractional lithium excretion.

a

P<0.05.