Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=29123425
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29123425
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Drug+Healthc+Patient+Saf
2017 ; 9
(ä): 93-104
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Long-term safety profile of tolvaptan in autosomal dominant polycystic kidney
disease patients: TEMPO Extension Japan Trial
#MMPMID29123425
Muto S
; Okada T
; Yasuda M
; Tsubouchi H
; Nakajima K
; Horie S
Drug Healthc Patient Saf
2017[]; 9
(ä): 93-104
PMID29123425
show ga
AIM: The aim of this trial (ClinicalTrials.gov identifier: NCT01280721) was to
investigate the long-term safety profile of tolvaptan in Japanese patients with
autosomal dominant polycystic kidney disease (ADPKD). METHODS: This open-label
multicenter trial was conducted to examine adverse drug reactions (ADRs) related
to tolvaptan up to an additional 3 years in 135 Japanese patients who
participated in the Tolvaptan Efficacy and Safety in Management of Autosomal
Dominant Polycystic Kidney Disease and its Outcomes (TEMPO) 3:4 trial at doses of
60-120 mg/d. Blood samples were collected at baseline; at weeks 1, 2, and 3; at
month 3; and every 3 months thereafter. RESULTS: In total, 134/135 (>99%)
patients experienced ADRs. The most frequent ADRs were thirst (77.0%),
pollakiuria (57.0%), polyuria (37.8%), and hyperuricemia (14.8%). Any unexpected
ADRs were not reported in this trial. Most ADRs occurred early during treatment.
Fourteen patients (10.4%) experienced hepatic events, and 8 (5.9%) experienced
>3-fold increases above the upper limits of normal in serum alanine
aminotransferase or aspartate aminotransferase levels between 3 and 9 months
following tolvaptan initiation, which recovered after drug interruption. Of the 8
patients, 7 (5.2%) were previously allocated to the placebo arm in the TEMPO 3:4
trial and 4 (3.0%) discontinued due to the hepatic events. One patient (0.7%) was
previously allocated to tolvaptan and experienced similar events in the TEMPO 3:4
trial. None of the hepatic ADRs met Hy's Law laboratory criteria. CONCLUSION:
ADRs observed in this extension trial were similar to those identified in the
TEMPO 3:4 trial and hepatic events were not progressive.