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.
P<0.05.