Page last updated: 2024-10-18

glycine and Cardiovascular Stroke

glycine has been researched along with Cardiovascular Stroke in 65 studies

Research Excerpts

ExcerptRelevanceReference
"We therefore hypothesised that the consequences of creatine-deficiency in mice would be impaired running capacity, and exacerbation of heart failure following myocardial infarction."7.79Living without creatine: unchanged exercise capacity and response to chronic myocardial infarction in creatine-deficient mice. ( Aksentijevic, D; Balaban, RS; Channon, KM; Clarke, K; Dawson, D; de Bono, JP; Hunyor, I; Lygate, CA; Medway, DJ; Neubauer, S; Phillips, D; Sebag-Montefiore, L; ten Hove, M; Watkins, H; Zervou, S, 2013)
"The role of hydrogen sulfide (H(2)S) in myocardial infarction (MI) has not been previously studied."7.74Hydrogen sulfide and its possible roles in myocardial ischemia in experimental rats. ( Ho, P; Huang, SH; Loke, YY; Lu, J; Moore, PK; Tan, CS; Wang, ZJ; Whiteman, M; Zhu, YC; Zhu, YZ, 2007)
"We investigated whether (endogenous) hydrogen sulfide (H2S) protects the heart against myocardial ischemia and reperfusion injury."7.73The production of hydrogen sulfide limits myocardial ischemia and reperfusion injury and contributes to the cardioprotective effects of preconditioning with endotoxin, but not ischemia in the rat. ( McDonald, MC; Sivarajah, A; Thiemermann, C, 2006)
"Glycine is an amino acid involved in antioxidative reactions, purine synthesis, and collagen formation."5.42Plasma Glycine and Risk of Acute Myocardial Infarction in Patients With Suspected Stable Angina Pectoris. ( Ding, Y; Gregory, JF; Nygård, OK; Pedersen, ER; Svingen, GF; Tell, GS; Ueland, PM, 2015)
"Higher activated partial thromboplastin time levels during inogatran treatment are related to increased risk of death, myocardial infarction or refractory angina."5.09Activated partial thromboplastin time and clinical outcome after thrombin inhibition in unstable coronary artery disease. ( Grip, L; Linder, R; Oldgren, J; Siegbahn, A; Wallentin, L, 1999)
"In the current study, we investigated molecular markers of coagulation activity, ie, prothrombin fragment 1+2 (F1+2), thrombin-antithrombin (TAT) complex, soluble fibrin (SF), and D-dimer, and their relation to death, myocardial infarction, and refractory angina during and after anticoagulant treatment in unstable coronary artery disease."5.09Coagulation activity and clinical outcome in unstable coronary artery disease. ( Grip, L; Linder, R; Oldgren, J; Siegbahn, A; Wallentin, L, 2001)
"Patients (n = 1209) admitted with suspected unstable angina, or non-Q wave myocardial infarction, were randomly assigned to double-blind treatment with inogatran or heparin bolus doses."5.08A low molecular weight, selective thrombin inhibitor, inogatran, vs heparin, in unstable coronary artery disease in 1209 patients. A double-blind, randomized, dose-finding study. Thrombin inhibition in Myocardial Ischaemia (TRIM) study group. ( , 1997)
"We therefore hypothesised that the consequences of creatine-deficiency in mice would be impaired running capacity, and exacerbation of heart failure following myocardial infarction."3.79Living without creatine: unchanged exercise capacity and response to chronic myocardial infarction in creatine-deficient mice. ( Aksentijevic, D; Balaban, RS; Channon, KM; Clarke, K; Dawson, D; de Bono, JP; Hunyor, I; Lygate, CA; Medway, DJ; Neubauer, S; Phillips, D; Sebag-Montefiore, L; ten Hove, M; Watkins, H; Zervou, S, 2013)
"The role of hydrogen sulfide (H(2)S) in myocardial infarction (MI) has not been previously studied."3.74Hydrogen sulfide and its possible roles in myocardial ischemia in experimental rats. ( Ho, P; Huang, SH; Loke, YY; Lu, J; Moore, PK; Tan, CS; Wang, ZJ; Whiteman, M; Zhu, YC; Zhu, YZ, 2007)
"We investigated whether (endogenous) hydrogen sulfide (H2S) protects the heart against myocardial ischemia and reperfusion injury."3.73The production of hydrogen sulfide limits myocardial ischemia and reperfusion injury and contributes to the cardioprotective effects of preconditioning with endotoxin, but not ischemia in the rat. ( McDonald, MC; Sivarajah, A; Thiemermann, C, 2006)
"Inogatran was tolerated well."2.68Thrombin inhibition with inogatran for unstable angina pectoris: evidence for reactivated ischaemia after cessation of short-term treatment. ( Andersen, K; Dellborg, M; Emanuelsson, H; Grip, L; Swedberg, K, 1996)
"Melagatran is a synthetic, small-peptide direct thrombin inhibitor with anticoagulant activity."2.42The direct thrombin inhibitor melagatran/ximelagatran. ( Brighton, TA, 2004)
"Glycine is an amino acid involved in antioxidative reactions, purine synthesis, and collagen formation."1.42Plasma Glycine and Risk of Acute Myocardial Infarction in Patients With Suspected Stable Angina Pectoris. ( Ding, Y; Gregory, JF; Nygård, OK; Pedersen, ER; Svingen, GF; Tell, GS; Ueland, PM, 2015)
"Hydrogen sulfide (H(2)S) displays anti-inflammatory and cytoprotective activities to attenuate myocardial ischemia-reperfusion (MIR)-induced injury, but its role in MIR in diabetics is not known."1.37The protective role of hydrogen sulfide in myocardial ischemia-reperfusion-induced injury in diabetic rats. ( Gao, Y; Kang, K; Li, W; Sun, L; Sun, X; Yao, X; Zhang, Y, 2011)

Research

Studies (65)

TimeframeStudies, this research(%)All Research%
pre-199015 (23.08)18.7374
1990's12 (18.46)18.2507
2000's24 (36.92)29.6817
2010's10 (15.38)24.3611
2020's4 (6.15)2.80

Authors

AuthorsStudies
Singh, AK2
Carroll, K2
Perkovic, V2
Solomon, S2
Jha, V2
Johansen, KL2
Lopes, RD2
Macdougall, IC2
Obrador, GT2
Waikar, SS3
Wanner, C2
Wheeler, DC2
Więcek, A2
Blackorby, A2
Cizman, B2
Cobitz, AR2
Davies, R2
Dole, J1
Kler, L2
Meadowcroft, AM2
Zhu, X1
McMurray, JJV2
DiMino, TL1
Taft, L1
Deguchi, H1
Ikeda, M1
Ide, T1
Tadokoro, T1
Ikeda, S1
Okabe, K1
Ishikita, A1
Saku, K1
Matsushima, S1
Tsutsui, H1
Chen, Y1
Zelnick, LR1
Huber, MP1
Wang, K1
Bansal, N1
Hoofnagle, AN1
Paranji, RK1
Heckbert, SR1
Weiss, NS1
Go, AS1
Hsu, CY1
Feldman, HI1
Mehta, RC1
Srivastava, A1
Seliger, SL1
Lash, JP1
Porter, AC1
Raj, DS1
Kestenbaum, BR1
Aune, SE1
Yeh, ST1
Kuppusamy, P1
Kuppusamy, ML1
Khan, M1
Angelos, MG1
Vogler, M1
Zieseniss, A1
Hesse, AR1
Levent, E1
Tiburcy, M1
Heinze, E1
Burzlaff, N1
Schley, G1
Eckardt, KU1
Willam, C1
Katschinski, DM1
Ding, Y2
Svingen, GF2
Pedersen, ER2
Gregory, JF2
Ueland, PM2
Tell, GS2
Nygård, OK2
Helgeland, Ø1
Løland, KH1
Meyer, K1
Yong, QC1
Lee, SW1
Foo, CS1
Neo, KL1
Chen, X1
Bian, JS1
Zhuo, Y1
Chen, PF1
Zhang, AZ1
Zhong, H1
Chen, CQ1
Zhu, YZ2
Bao, W1
Qin, P1
Needle, S1
Erickson-Miller, CL1
Duffy, KJ1
Ariazi, JL1
Zhao, S1
Olzinski, AR1
Behm, DJ1
Pipes, GC1
Jucker, BM1
Hu, E1
Lepore, JJ1
Willette, RN1
Gao, Y1
Yao, X1
Zhang, Y1
Li, W1
Kang, K1
Sun, L1
Sun, X1
Fonseca, RA1
Ramos-Jesus, J1
Kubota, LT1
Dutra, RF1
Maarman, G1
Marais, E1
Lochner, A1
du Toit, EF1
Beadle, RM1
Lygate, CA1
Aksentijevic, D1
Dawson, D1
ten Hove, M1
Phillips, D1
de Bono, JP1
Medway, DJ1
Sebag-Montefiore, L1
Hunyor, I1
Channon, KM1
Clarke, K1
Zervou, S1
Watkins, H1
Balaban, RS1
Neubauer, S1
Oldgren, J4
Wallentin, L4
Grip, L4
Linder, R3
Nørgaard, BL2
Siegbahn, A4
Giugliano, RP1
Braunwald, E1
GUDBJARNASON, S4
DESCHRYVER, C1
CHIBA, C1
YAMANAKA, J1
BING, RJ3
Weinbrenner, C1
Schulze, F1
Sárváry, L1
Strasser, RH1
Ichikawa, Y1
Miura, T1
Nakano, A2
Miki, T1
Nakamura, Y1
Tsuchihashi, K1
Shimamoto, K1
Hemdahl, AL1
Falk, E1
Thorén, P1
Hansson, GK1
Brighton, TA1
Zee, RY1
Hegener, HH1
Gould, J1
Ridker, PM1
Dendorfer, A1
Heidbreder, M1
Hellwig-Bürgel, T1
Jöhren, O1
Qadri, F1
Dominiak, P1
Wallerstedt, SM1
Eriksson, AL1
Ohlsson, C1
Hedner, T1
Christersson, C1
Bylock, A1
Sivarajah, A1
McDonald, MC1
Thiemermann, C1
Wang, ZJ1
Ho, P1
Loke, YY1
Zhu, YC1
Huang, SH1
Tan, CS1
Whiteman, M1
Lu, J1
Moore, PK1
Cohen, MV2
Yang, XM1
Downey, JM2
Darsee, JR1
Kloner, RA1
Kontula, K1
Ylikorkala, A1
Miettinen, H1
Vuorio, A1
Kauppinen-Mäkelin, R1
Hämäläinen, L1
Palomäki, H1
Kaste, M1
Marshall, T1
Williams, J1
Williams, KM1
Hahn, RG1
Essén, P1
Andersen, K3
Dellborg, M3
Emanuelsson, H1
Swedberg, K1
Hahn, R1
Talley, JD1
Rosenkranz, S1
Deutsch, HJ1
Erdmann, E1
Takano, H1
Tang, XL1
Qiu, Y1
Guo, Y1
French, BA1
Bolli, R1
Holmvang, L1
Clemmensen, P1
Wagner, G1
Grande, P1
Abrahamsson, P2
Ravkilde, J1
Thygesen, K1
Liu, GS1
Heusch, G1
Nishiyama, Y1
Nejima, J1
Watanabe, A1
Kotani, E1
Sakai, N1
Hatamochi, A1
Shinkai, H1
Kiuchi, K1
Tamura, K1
Shimada, T1
Takano, T1
Katayama, Y1
Lankes, W1
Fleischer, K1
Gulba, DC1
Sasaoka, T1
Kimura, A1
Hohta, SA1
Fukuda, N1
Kurosawa, T1
Izumi, T1
Müllenheim, J1
Ebel, D1
Frässdorf, J1
Preckel, B1
Thämer, V1
Schlack, W1
Dambinova, SA1
Khounteev, GA1
Skoromets, AA1
Vik-Mo, H1
Mjøs, OD1
Neely, JR1
Maroko, PR1
Ribeiro, LG1
Discombe, G1
Lund, S1
Arnesen, H1
Kierulf, P1
Godal, HC1
Kizer, DE1
Howell, BA1
Szczeklik, A2
Szewczuk, A2
Nowosad, H2
Kolaczkowska, B1
Tschopp, H1
Braasch, W1
Desmond, J1
Brunner, G1
Sommer, J1
Kattermann, R1
Goldsmith, JR1
Landaw, SA1
Samofalova, MS1
De Schryver, C1
Fenton, JC1
Wolf, PL1

Clinical Trials (8)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase 3 Randomized, Open-label (Sponsor-blind), Active-controlled, Parallel-group, Multi-center, Event Driven Study in Dialysis Subjects With Anemia Associated With Chronic Kidney Disease to Evaluate the Safety and Efficacy of Daprodustat Compared to Re[NCT02879305]Phase 32,964 participants (Actual)Interventional2016-09-28Completed
A Phase 3 Randomized, Open-label (Sponsor-blind), Active-controlled, Parallel-group, Multi-center, Event Driven Study in Non-dialysis Subjects With Anemia Associated With Chronic Kidney Disease to Evaluate the Safety and Efficacy of Daprodustat Compared t[NCT02876835]Phase 33,872 participants (Actual)Interventional2016-09-27Completed
A Randomized Controlled Trial to Evaluate the Safety and Efficacy of Roxadustat in Patients With Acute ST Elevation Myocardial Infarction[NCT04803864]Phase 2158 participants (Anticipated)Interventional2021-06-10Recruiting
The Effects of Glycine on Atherosclerosis and Metabolic Syndrome-related Parameters: A Clinical and Ex-vivo Study.[NCT03850314]Phase 2/Phase 350 participants (Anticipated)Interventional2019-03-31Not yet recruiting
A Randomised Double Blind Study of the Effects of Homocysteine Lowering Therapy on Mortality and Cardiac Events in Patients Undergoing Coronary Angiography[NCT00354081]Phase 33,096 participants (Actual)Interventional1999-04-30Completed
Effects of Dietary Amino Acids on Serum and Macrophage Atherogenicity[NCT03180775]110 participants (Anticipated)Interventional2017-07-01Not yet recruiting
Sodium Bicarbonate to Treat Severe Acidosis in the Critically Ill : A Multiple Center Randomized Clinical Trial (BICAR-ICU)[NCT02476253]Phase 3400 participants (Anticipated)Interventional2015-05-05Recruiting
Are Serial Electrocardiograms Additive to SeriAl Second-generations Troponins in Predicting Acute CoronAry Syndromes in PatienTs With Undifferentiated cHest Pain (ASAP CATH) Study[NCT01953276]382 participants (Anticipated)Observational2013-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Blood Pressure (BP) Exacerbation Event Rate Per 100 Participant Years

BP exacerbation was defined (based on post-dialysis) as: SBP >= 25 millimeter of mercury (mmHg) increased from Baseline or SBP >=180 mmHg; DBP >=15 mmHg increased from Baseline or DBP >=110 mmHg. The BP exacerbation events per 100 participant years was estimated using the negative binomial model with treatment, dialysis type and region as covariates and the logarithm of time on-treatment as an offset variable. Data for post-dialysis BP measurements have been presented. (NCT02879305)
Timeframe: Day 1 to end of study (3.9 person-years for follow-up time period)

InterventionEvents per 100 participant years (Number)
Daprodustat207.13
rhEPO206.38

Change From Baseline in On-Treatment EuroQol Visual Analogue Scale (EQ-VAS) at Week 52

The EQ VAS records the respondent's self-rated health on a vertical VAS, ranging from 0 to 100, where 0 represents the worst health one can imagine and 100 represents the best health one can imagine. Change from Baseline was calculated as on-treatment visit value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. (NCT02879305)
Timeframe: Baseline (Pre-dose on Day 1) and Week 52

InterventionScores on a scale (Least Squares Mean)
Daprodustat-1.0
rhEPO0.8

Change From Baseline in On-Treatment Health Utility EuroQol 5 Dimensions 5 Level (EQ-5D-5L) Questionnaire Score at Week 52

EQ-5D-5L is self-assessment questionnaire,consisting of 5 items covering 5 dimensions (mobility,self care,usual activities,pain/discomfort and anxiety/depression). Each dimension is measured by 5-point Likert scale (1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems and 5=extreme problems). Responses for 5 dimensions together formed a 5-figure description of health state (e.g.11111 indicates no problems in all 5 dimensions). Each of these 5 figure health states were converted to a single index score by applying country-specific value set formula that attaches weights to dimensions and levels. Range for EQ-5D-5L index score is -0.594 (worst health) to 1 (full health state). Change from Baseline was calculated as on-treatment visit value-Baseline value. Baseline was latest non-missing pre-dose assessment on or before randomization date. (NCT02879305)
Timeframe: Baseline (Pre-dose on Day 1) and Week 52

InterventionScores on a scale (Least Squares Mean)
Daprodustat-0.0198
rhEPO-0.0201

Change From Baseline in Post-randomization Hemoglobin Levels at Week 52

Blood samples were collected from participants for hemoglobin measurements. Change from Baseline was defined as post-Baseline value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. Analysis was performed using mixed model repeated measures (MMRM) model fitted from Baseline up to Week 52, excluding values collected during the stabilization period, with factors for treatment, time, dialysis type, region, Baseline hemoglobin and Baseline hemoglobin by time and treatment by time interactions. (NCT02879305)
Timeframe: Baseline (Pre-dose on Day 1) and Week 52

InterventionGrams per deciliter (Least Squares Mean)
Daprodustat0.26
rhEPO0.14

Mean Average Monthly On-treatment IV Iron Dose Per Participant

Average monthly IV iron dose (milligrams) per participant from Day 1 to Week 52 was determined by calculating the total IV iron dose per participant from treatment start date + 1 to the earliest of (Week 52 visit date, first blood (red blood cell [RBC] or whole blood) transfusion date, and treatment stop date + 1 day) which corresponds to the time while the participant was on randomized treatment and before receiving a blood transfusion. This total IV iron dose was divided by (the number of days from treatment start date + 1 to the earliest of (Week 52 visit date, first blood transfusion date (RBC or whole blood), and treatment stop date +1) / 30.4375 days). This endpoint was adjusted for multiplicity using the Holm-Bonferonni method. (NCT02879305)
Timeframe: Day 1 to Week 52

InterventionMilligrams (Least Squares Mean)
Daprodustat90.8
rhEPO99.9

Mean Change From Baseline in Hemoglobin (Hgb) Levels During Evaluation Period (Week 28 to Week 52)

Blood samples were collected from participants for hemoglobin measurements. Hemoglobin during the evaluation period was defined as the mean of all available post-randomization hemoglobin values (on and off-treatment) during the evaluation period (Week 28 to Week 52). For the primary analysis, missing post-Baseline hemoglobin values were imputed using pre-specified multiple imputation methods. Change from Baseline was defined as post-Baseline value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. (NCT02879305)
Timeframe: Baseline (Pre-dose on Day 1) and evaluation period (Week 28 to Week 52)

InterventionGrams per deciliter (Least Squares Mean)
Daprodustat0.28
rhEPO0.10

Number of Hgb Responders in the Hgb Analysis Range (10 to 11.5 Grams/Deciliter) During Evaluation Period (Week 28 to Week 52)

Mean Hgb during the evaluation period was defined as the mean of all evaluable Hgb values during the evaluation period (Week 28 to Week 52) including any evaluable unscheduled Hgb values that were taken during this time period. Hemoglobin responders were defined as participants with a mean Hgb during the evaluation period that falls within the Hgb analysis range of 10-11.5 g/dL. (NCT02879305)
Timeframe: Week 28 to Week 52

InterventionParticipants (Count of Participants)
Daprodustat903
rhEPO866

Number of Participants With at Least One BP Exacerbation Event During Study

BP exacerbation was defined as: SBP >= 25 mmHg increased from Baseline or SBP >=180 mmHg; DBP >=15 mmHg increased from Baseline or DBP >=110 mmHg. Number of participants with at least one BP exacerbation event is presented. (NCT02879305)
Timeframe: Day 1 to end of study (3.9 person-years for follow-up time period)

InterventionParticipants (Count of Participants)
Daprodustat1191
rhEPO1186

Percentage of Participants Permanently Stopping Randomized Treatment Due to Meeting Rescue Criteria

Percentage of participants permanently stopping randomized treatment due to meeting rescue criteria has been presented. (NCT02879305)
Timeframe: Day 1 to 45.1 months

InterventionPercentage of participants (Number)
Daprodustat3.6
rhEPO3.6

Percentage of Time With Hemoglobin in the Analysis Range (10 to 11.5 Grams/Deciliter) During Evaluation Period (Week 28 to Week 52): Non-inferiority Analysis

Percentage of days for which a participant's Hgb was within the analysis range of 10-11.5 g/dL (both inclusive) during the evaluation period (Week 28 to Week 52), including any unscheduled evaluable Hgb values that were taken during this time period was calculated. Percentage of time in the analysis range during evaluation period is calculated as time in range during the evaluation period / [Earlier of (Date of the last evaluable Hgb value, Week 52 visit date) - Later of (Date of the first evaluable Hgb value that between Week 16 and Week 52 inclusive, Week 28 visit date)]. (NCT02879305)
Timeframe: Week 28 to Week 52

InterventionPercentage of days (Median)
Daprodustat60.9
rhEPO59.4

Percentage of Time With Hemoglobin in the Analysis Range (10 to 11.5 Grams/Deciliter) During Evaluation Period (Week 28 to Week 52): Superiority Analysis

Percentage of days for which a participant's Hgb was within the analysis range of 10-11.5 g/dL (both inclusive) during the evaluation period (Week 28 to Week 52), including any unscheduled evaluable Hgb values that were taken during this time period was calculated. Percentage of time in the analysis range during evaluation period is calculated as time in range during the evaluation period / [Earlier of (Date of the last evaluable Hgb value, Week 52 visit date) - Later of (Date of the first evaluable Hgb value that between Week 16 and Week 52 inclusive, Week 28 visit date)]. (NCT02879305)
Timeframe: Week 28 to Week 52

InterventionPercentage of days (Median)
Daprodustat60.9
rhEPO59.4

Percentage of Time With Hemoglobin in the Analysis Range (10 to 11.5 Grams/Deciliter) During Maintenance Period (Week 28 to End of Study): Non-inferiority Analysis

Percentage of days for which a participant's Hgb was within the analysis range of 10-11.5 g/dL (both inclusive) during the maintenance period (Week 28 to end of study), including any unscheduled evaluable Hgb values that were taken during this time period was calculated. Percentage of time in the analysis range during maintenance period is calculated as time in range during the maintenance period / [Earlier of (Date of the last evaluable Hgb value, End of study date)- Later of (Date of the first evaluable Hgb value that is on or after week 16, Week 28 visit date)]. (NCT02879305)
Timeframe: Week 28 to end of study (3.9 person-years for follow-up time period)

InterventionPercentage of days (Median)
Daprodustat60.9
rhEPO57.7

Percentage of Time With Hemoglobin in the Analysis Range (10 to 11.5 Grams/Deciliter) During Maintenance Period (Week 28 to End of Study): Superiority Analysis

Percentage of days for which a participant's Hgb was within the analysis range of 10-11.5 g/dL (both inclusive) during the maintenance period (Week 28 to end of study), including any unscheduled evaluable Hgb values that were taken during this time period was calculated. Percentage of time in the analysis range during maintenance period is calculated as time in range during the maintenance period / [Earlier of (Date of the last evaluable Hgb value, End of study date)- Later of (Date of the first evaluable Hgb value that is on or after week 16, Week 28 visit date)]. (NCT02879305)
Timeframe: Week 28 to end of study (3.9 person-years for follow-up time period)

InterventionPercentage of days (Median)
Daprodustat60.9
rhEPO57.7

Time to First Occurrence of Adjudicated All-Cause Mortality During Vital Status for Follow-up Time Period

Time to first occurrence of adjudicated all-cause mortality was analyzed using a Cox proportional hazards regression model with treatment group, dialysis type and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the vital status for follow-up time period. (NCT02879305)
Timeframe: Up to 3.9 person-years for vital status follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat8.32
rhEPO8.59

Time to First Occurrence of Adjudicated CV Mortality During CV Events Follow-up Time Period

Time to first occurrence of adjudicated CV mortality was analyzed using a Cox proportional hazards regression model with treatment group, dialysis type and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02879305)
Timeframe: Up to 3.9 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat3.31
rhEPO3.46

Time to First Occurrence of Adjudicated CV Mortality or Non-Fatal MI During CV Events Follow-up Time Period

Time to first occurrence of adjudicated CV mortality or non-fatal MI was analyzed using a Cox proportional hazards regression model with treatment group, dialysis type and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02879305)
Timeframe: Up to 3.9 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat5.98
rhEPO6.79

Time to First Occurrence of Adjudicated Hospitalization for Heart Failure During CV Events Follow-up Time Period

Time to first occurrence of adjudicated hospitalization for heart failure was analyzed using a Cox proportional hazards regression model with treatment group, dialysis type and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02879305)
Timeframe: Up to 3.9 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat3.30
rhEPO3.01

Time to First Occurrence of Adjudicated MACE During CV Events Follow-up Time Period: Superiority Analysis

Time to MACE defined as the time to first occurrence of CEC adjudicated MACE was analyzed using a Cox proportional hazards regression model with treatment group, dialysis type and region as covariate. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. This endpoint was adjusted for multiplicity using the Holm-Bonferonni method. (NCT02879305)
Timeframe: Up to 3.9 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat11.07
rhEPO11.86

Time to First Occurrence of Adjudicated MACE or Hospitalization for Heart Failure During CV Events Follow-up Time Period

Time to first occurrence of adjudicated MACE or hospitalization for heart failure was analyzed using a Cox proportional hazards regression model with treatment group, dialysis type and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. This endpoint was adjusted for multiplicity using the Holm-Bonferonni method. (NCT02879305)
Timeframe: Up to 3.9 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat12.98
rhEPO13.38

Time to First Occurrence of Adjudicated MACE or Hospitalization for Heart Failure or Thromboembolic Events During CV Events Follow-up Time Period

Time to first occurrence of adjudicated MACE or hospitalization for heart failure or thromboembolic events were analyzed using a Cox proportional hazards regression model with treatment group, dialysis type and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02879305)
Timeframe: Up to 3.9 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat17.74
rhEPO19.50

Time to First Occurrence of Adjudicated MACE or Thromboembolic Event During CV Events Follow-up Time Period

Time to first occurrence of adjudicated MACE or thromboembolic event (vascular access thrombosis, symptomatic deep vein thrombosis or symptomatic pulmonary embolism) was analyzed using a Cox proportional hazards regression model with with treatment group, dialysis type and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. This endpoint was adjusted for multiplicity using the Holm-Bonferonni method. (NCT02879305)
Timeframe: Up to 3.9 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat15.84
rhEPO17.85

Time to First Occurrence of Adjudicated Major Adverse Cardiovascular Event (MACE) During Cardiovascular (CV) Events Follow-up Time Period: Non-inferiority Analysis

Time to MACE defined as the time to first occurrence of Clinical Events Committee (CEC) adjudicated MACE (composite of all-cause mortality, non-fatal myocardial infarction [MI] and non-fatal stroke) was analyzed using a Cox proportional hazards regression model with treatment group, dialysis type and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) plus (+) 1. The incidence rate per 100 person years calculated as (100 multiplied by [*] number of participants with at least 1 event) divided by [/] first event person-years) is presented along with 95 percent (%) confidence interval (CI). First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02879305)
Timeframe: Up to 3.9 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat11.07
rhEPO11.86

Time to First Occurrence of Adjudicated Myocardial Infarction (MI) (Fatal and Non-Fatal) During CV Events Follow-up Time Period

Time to first occurrence of adjudicated MI (fatal and non-fatal) was analyzed using a Cox proportional hazards regression model with treatment group, dialysis type and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02879305)
Timeframe: Up to 3.9 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat3.34
rhEPO4.08

Time to First Occurrence of Adjudicated Stroke (Fatal and Non-Fatal) During CV Events Follow-up Time Period

Time to first occurrence of adjudicated stroke (fatal and non-fatal) was analyzed using a Cox proportional hazards regression model with treatment group, dialysis type and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02879305)
Timeframe: Up to 3.9 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat1.23
rhEPO1.48

Time to First Occurrence of Adjudicated Thromboembolic Events During CV Events Follow-up Time Period

Time to first occurrence of adjudicated thromboembolic events were analyzed using a Cox proportional hazards regression model with treatment group, dialysis type and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02879305)
Timeframe: Up to 3.9 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat5.66
rhEPO6.75

Time to First Occurrence of All-Cause Hospital Re-admission Within 30 Days During CV Events Follow-up Time Period

All-cause hospital re-admissions within 30days are defined as hospital admissions recorded on hospitalization eCRF with hospitalization duration of >=24 hours and admission date within 30days following previous discharge date of all-cause hospitalization event, where previous hospitalization was >=24 hours. Time to first occurrence of all-cause hospital re-admission within 30days was analyzed using Cox proportional hazards regression model with treatment group, dialysis type and region as covariates. Time to the first occurrence was computed as (event date minus randomization date)+1. Incidence rate per 100person years calculated as(100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02879305)
Timeframe: Up to 3.9 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat8.86
rhEPO9.67

Time to First Occurrence of All-Cause Hospitalization During CV Events Follow-up Time Period

All-cause hospitalization events were hospital admissions recorded on the Hospitalization electronic case report form (eCRF) with a hospitalization duration >=24 hours. Time to first occurrence of all-cause hospitalization was analyzed using a Cox proportional hazards regression model with treatment group, dialysis type and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02879305)
Timeframe: Up to 3.9 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat43.92
rhEPO46.03

Change From Baseline in On-Treatment Mental Component Score (MCS) Using SF-36 HRQoL Questionnaire at Weeks 8, 12, 28, 52

The SF-36 acute version 2 is a 36-item generic quality of life instrument designed to measure a participant's level of performance in the following 8 health domains: physical functioning, role-physical (role limitations caused by physical problems), social functioning, bodily pain, mental health, role-emotional (role limitations caused by emotional problems), vitality and general health. Each domain is scored from 0 (poorer health) to 100 (better health). MCS is an average score derived from 4 domains (vitality, social functioning, role-emotional and mental health) representing overall mental health. MCS ranges from 0 to 100; higher scores represent better health. Change from Baseline was calculated as on-treatment visit value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. (NCT02879305)
Timeframe: Baseline (Pre-dose on Day 1), Weeks 8, 12, 28 and 52

,
InterventionScores on a scale (Least Squares Mean)
Week 8, n=982,936Week 12, n=990,943Week 28, n=836,819Week 52, n=729,707
Daprodustat-0.38-0.55-1.25-1.63
rhEPO-0.21-0.72-1.23-1.03

Change From Baseline in On-Treatment Patient Global Impression of Severity (PGI-S) at Weeks 8, 12, 28, 52

The PGI-S is a 1-item questionnaire designed to assess participant's impression of disease severity on a 5-point disease severity scale (0=absent, 1=mild, 2=moderate, 3=severe, or 4=very severe). A higher score indicated worse outcome. Change from Baseline was calculated as on-treatment visit value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. (NCT02879305)
Timeframe: Baseline (Pre-dose on Day 1), Weeks 8, 12, 28 and 52

,
InterventionScores on a scale (Least Squares Mean)
Week 8, n=1102,1064Week 12, n=1102,1073Week 28, n=934,933Week 52, n=826,814
Daprodustat-0.030.020.040.06
rhEPO0.020.060.080.11

Change From Baseline in On-Treatment Physical Component Score (PCS) Using Short Form (SF)-36 Health-related Quality of Life (HRQoL) Questionnaire at Weeks 8, 12, 28, 52

The SF-36 acute version 2 is a 36-item generic quality of life instrument designed to measure a participant's level of performance in the following 8 health domains: physical functioning, role-physical (role limitations caused by physical problems), social functioning, bodily pain, mental health, role-emotional (role limitations caused by emotional problems), vitality and general health. Each domain is scored from 0 (poorer health) to 100 (better health). The PCS is an average score derived from 4 domains (physical functioning, role-physical, bodily pain and general health) representing overall physical health. PCS ranges from 0 to 100; higher scores represent better health. Change from Baseline was calculated as on-treatment visit value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. (NCT02879305)
Timeframe: Baseline (Pre-dose on Day 1), Weeks 8, 12, 28 and 52

,
InterventionScores on a scale (Least Squares Mean)
Week 8, n=982,936Week 12, n=990,943Week 28, n=836,819Week 52, n=729,707
Daprodustat0.300.33-0.23-0.52
rhEPO0.01-0.27-0.57-1.05

Change From Baseline in On-Treatment Physical Functioning Domain Scores Using SF-36 HRQoL Questionnaire at Weeks 8, 12, 28, 52

The SF-36 acute version 2 is a 36-item generic quality of life instrument designed to measure a participant's level of performance in the following 8 health domains: physical functioning, role-physical (role limitations caused by physical problems), social functioning, bodily pain, mental health, role-emotional (role limitations caused by emotional problems), vitality and general health. Each domain is scored from 0 (poorer health) to 100 (better health). Physical functioning score ranges from 0 to 100; higher scores represent better health. Change from Baseline was calculated as on-treatment visit value minus (-) Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. (NCT02879305)
Timeframe: Baseline (Pre-dose on Day 1), Weeks 8, 12, 28 and 52

,
InterventionScores on a scale (Least Squares Mean)
Week 8, n=982,936Week 12, n=990,943Week 28, n=836,819Week 52, n=729,707
Daprodustat0.480.11-0.20-0.61
rhEPO-0.16-0.45-0.97-1.19

Change From Baseline in On-Treatment SF-36 HRQoL Scores for Bodily Pain, General Health, Mental Health, Role-Emotional, Role-Physical, Social Functioning at Weeks 8, 12, 28, 52

The SF-36 acute version 2 is a 36-item generic quality of life instrument designed to measure a participant's level of performance in the following 8 health domains: bodily pain, general health, mental health, role-emotional (role limitations caused by emotional problems), role-physical (role limitations caused by physical problems), social functioning (Social fun), physical functioning (Phy. fun) and vitality. Each domain is scored from 0 (poorer health) to 100 (better health). Each domain score ranges from 0 to 100, higher score indicates a better health state and better functioning. Change from Baseline was calculated as on-treatment visit value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. (NCT02879305)
Timeframe: Baseline (Pre-dose on Day 1), Weeks 8, 12, 28 and 52

,
InterventionScores on a scale (Least Squares Mean)
Bodily pain: Week 8, n=982,936Bodily pain: Week 12, n=990,943Bodily pain: Week 28, n=836,819Bodily pain: Week 52, n=729,707General health: Week 8, n=982,936General health: Week 12, n=990,943General health: Week 28, n=836,819General health: Week 52, n=729,707Mental health: Week 8, n=982,936Mental health: Week 12, n=990,943Mental health: Week 28, n=836,819Mental health: Week 52, n=729,707Role-emotional: Week 8, n=982,936Role-emotional: Week 12, n=990,943Role-emotional: Week 28, n=836,819Role-emotional: Week 52, n=729,707Role-physical: Week 8, n=982,936Role-physical: Week 12, n=990,943Role-physical: Week 28, n=836,819Role-physical: Week 52, n=729,707Social functioning: Week 8, n=982,936Social functioning: Week 12, n=990,943Social functioning: Week 28, n=836,819Social functioning: Week 52, n=729,707
Daprodustat-0.130.20-0.70-1.12-0.39-0.59-1.32-1.51-0.43-0.86-1.30-1.97-0.10-0.17-0.95-0.830.400.48-0.10-0.210.240.25-0.61-1.12
rhEPO0.12-0.39-0.74-1.39-0.65-1.04-0.99-1.22-0.47-0.81-1.43-1.16-0.02-0.53-0.90-0.920.320.08-0.39-0.600.38-0.44-0.94-1.14

Change From Baseline in On-Treatment Vitality Scores Using SF-36 HRQoL Questionnaire at Weeks 8, 12, 28, 52

The SF-36 acute version 2 is a 36-item generic quality of life instrument designed to measure a participant's level of performance in the following 8 health domains: physical functioning, role-physical (role limitations caused by physical problems), social functioning, bodily pain, mental health, role-emotional (role limitations caused by emotional problems), vitality and general health. Each domain is scored from 0 (poorer health) to 100 (better health). Vitality score ranges from 0 to 100; higher scores represent better health. Change from Baseline was calculated as on-treatment visit value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. (NCT02879305)
Timeframe: Baseline (Pre-dose on Day 1), Weeks 8, 12, 28 and 52

,
InterventionScores on a scale (Least Squares Mean)
Week 8, n=982,936Week 12, n=990,943Week 28, n=836,819Week 52, n=729,707
Daprodustat-0.23-0.17-0.79-1.19
rhEPO-0.26-0.51-1.03-1.04

Change From Baseline in SBP, DBP, MAP at End of Treatment

SBP, DBP and MAP were measured in a semi-supine or seated position in the dialysis chair after at least a 5-minutes of rest. MAP is an average BP in an individual's arteries during a single cardiac cycle. Change from Baseline was calculated as on-treatment visit value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. This analysis was carried out by using ANCOVA model with terms for treatment group, dialysis type, region and Baseline value. Data for post-dialysis BP measurements have been presented. (NCT02879305)
Timeframe: Baseline (Week -4) and 45.1 months

,
InterventionMillimeter of mercury (Least Squares Mean)
SBPDBPMAP
Daprodustat-0.43-0.92-0.75
rhEPO-0.43-1.37-1.06

Change From Baseline in Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP) and Mean Arterial Blood Pressure (MAP) at Week 52

SBP, DBP and MAP were measured in a semi-supine or seated position in the dialysis chair after at least a 5-minutes of rest. MAP is the average BP in an individual's arteries during a single cardiac cycle. Change from Baseline was calculated as on-treatment visit value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. Analysis was performed using MMRM model with treatment group + time + dialysis type + region + Baseline value + Baseline value*time + treatment group*time, using an unstructured covariance matrix. Data for post-dialysis BP measurements have been presented. (NCT02879305)
Timeframe: Baseline (Week -4) and Week 52

,
InterventionMillimeter of mercury (Least Squares Mean)
SBPDBPMAP
Daprodustat-0.61-1.04-0.89
rhEPO-0.93-0.58-0.71

Number of Participants With Adjudicated MACE or Hospitalization for Heart Failure (Recurrent Events Analysis)

Number of participants with adjudicated MACE or hospitalization for heart failure (recurrent events analysis) is presented, categorized by number of occurrences of adjudicated MACE or hospitalization for heart failure per participant. (NCT02879305)
Timeframe: Up to 3.9 person-years for CV follow-up time period

,
InterventionParticipants (Count of Participants)
Occurrences per participant: 0Occurrences per participant: 1Occurrences per participant: 2Occurrences per participant: 3Occurrences per participant: 4Occurrences per participant: 5Occurrences per participant: 6Occurrences per participant: 7Occurrences per participant: 8Occurrences per participant: 9Occurrences per participant: 10
Daprodustat106231572253440011
rhEPO1044300882211432111

Blood Pressure (BP) Exacerbation Event Rate Per 100 Participant Years

BP exacerbation event (based on post-dialysis) was defined as: SBP >= 25 millimeter of mercury (mmHg) increased from Baseline or SBP >=180 mmHg; DBP >=15 mmHg increased from Baseline or DBP >=110 mmHg. The BP exacerbation events per 100 participant years was estimated using the negative binomial model with treatment, current ESA use at randomization and region as covariates and the logarithm of time on-treatment as an offset variable. Data for post-dialysis BP measurements have been presented. (NCT02876835)
Timeframe: Day 1 to end of treatment (51.1 months)

InterventionEvents per 100 participant years (Number)
Daprodustat138.50
Darbepoetin Alfa157.35

Change From Baseline in On-treatment EQ Visual Analogue Scale (EQ-VAS) at Week 52

The EQ VAS records the respondent's self-rated health on a vertical VAS, ranging from 0 to 100, where 0 represents the worst imaginable health and 100 represents the best imaginable health. Change from Baseline was calculated as on-treatment visit value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. (NCT02876835)
Timeframe: Baseline (Pre-dose on Day 1) and Week 52

InterventionScores on a scale (Least Squares Mean)
Daprodustat-0.7
Darbepoetin Alfa-1.4

Change From Baseline in On-treatment Health Utility EuroQol 5 Dimensions 5 Level (EQ-5D-5L) Questionnaire Score at Week 52

EQ-5D-5L is self-assessment questionnaire, consisting of 5 items covering 5 dimensions (mobility, self care, usual activities, pain/discomfort and anxiety/depression). Each dimension is measured by 5-point Likert scale (1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems and 5=extreme problems). Responses for 5 dimensions together formed a 5-figure description of health state (e.g.11111 indicates no problems in all 5 dimensions). Each of these 5 figure health states were converted to a single index score by applying country-specific value set formula that attaches weights to dimensions and levels. Range for EQ-5D-5L index score is -0.594 (worst health) to 1 (full health state). Change from Baseline was calculated as on-treatment visit value minus Baseline value. Baseline was latest non-missing pre-dose assessment on or before randomization date. (NCT02876835)
Timeframe: Baseline (Pre-dose on Day 1) and Week 52

InterventionScores on a scale (Least Squares Mean)
Daprodustat-0.0253
Darbepoetin Alfa-0.0018

Change From Baseline in Post-randomization Estimated Glomerular Filtration Rate (eGFR) at Week 52

Blood samples were collected to analyze estimated glomerular filtration rate. Change from Baseline was calculated as post-Baseline visit value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. (NCT02876835)
Timeframe: Baseline (Pre-dose on Day 1) and Week 52

InterventionmL per minute per 1.73 square meter (Least Squares Mean)
Daprodustat-2.88
Darbepoetin Alfa-2.67

Change From Baseline in Post-randomization Hgb Levels at Week 52

Blood samples were collected from participants for Hgb measurements. Change from Baseline was defined as post-randomization value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. Analysis was performed using mixed model repeated measures (MMRM) model fitted from Baseline up to Week 52, excluding values collected during the stabilization period, with factors for treatment, time, current ESA use, region, Baseline Hgb and Baseline Hgb by time and treatment by time interactions. (NCT02876835)
Timeframe: Baseline (Pre-dose on Day 1) and Week 52

InterventionGrams per deciliter (Least Squares Mean)
Daprodustat0.76
Darbepoetin Alfa0.73

Mean Change From Baseline in Hgb Levels Over the Evaluation Period (Week 28 to Week 52)

Blood samples were collected from participants for Hgb measurements. Hgb during the evaluation period was defined as the mean of all available post-randomization Hgb values (on and off-treatment) during the evaluation period (Week 28 to Week 52). For the primary analysis missing post-Baseline Hgb values were imputed using pre-specified multiple imputation methods. Change from Baseline was defined as post-Baseline value minus (-) Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. Analysis was performed using the Analysis of covariance (ANCOVA) model with terms for treatment, Baseline Hgb, current ESA use and region. (NCT02876835)
Timeframe: Baseline (Pre-dose on Day 1) and evaluation period (Week 28 to Week 52)

InterventionGrams per deciliter (Least Squares Mean)
Daprodustat0.74
Darbepoetin Alfa0.66

Number of Hgb Responders in the Hgb Analysis Range (10 to 11.5 Grams/Deciliter) During Evaluation Period (Week 28 to Week 52)

Mean Hgb during the evaluation period was defined as the mean of all evaluable Hgb values during the evaluation period (Week 28 to Week 52) including any evaluable unscheduled Hgb values that were taken during this time period. Hgb responders were defined as participants with a mean Hgb during the evaluation period that falls within the Hgb analysis range of 10-11.5 g/dL. (NCT02876835)
Timeframe: Week 28 to Week 52

InterventionParticipants (Count of Participants)
Daprodustat1167
Darbepoetin Alfa1063

Number of Participants With at Least One BP Exacerbation Event During Study

BP exacerbation was defined as: SBP >= 25 mmHg increased from Baseline or SBP >=180 mmHg; DBP >=15 mmHg increased from Baseline or DBP >=110 mmHg. Number of participants with at least one BP exacerbation event is presented. (NCT02876835)
Timeframe: Day 1 to end of treatment (51.1 months)

InterventionParticipants (Count of Participants)
Daprodustat939
Darbepoetin Alfa1012

Percentage of Participants Permanently Stopping Randomized Treatment Due to Meeting Rescue Criteria

Percentage of participants permanently stopping randomized treatment due to meeting rescue criteria has been presented. (NCT02876835)
Timeframe: Day 1 to 51.1 months

InterventionPercentage of participants (Number)
Daprodustat2.0
Darbepoetin Alfa3.3

Percentage of Time With Hemoglobin in the Analysis Range (10 to 11.5 Grams/Deciliter) During Maintenance Period (Week 28 to End of Study): Superiority Analysis

Percentage of days for which a participant's Hgb was within the analysis range of 10-11.5 g/dL (both inclusive) during the maintenance period (Week 28 to end of study), including any unscheduled evaluable Hgb values that were taken during this time period was calculated. Percentage of time in the analysis range during maintenance period is calculated as time in range during the maintenance period / [Earlier of (Date of the last evaluable Hgb value, End of study date)- Later of (Date of the first evaluable Hgb value that is on or after week 16, Week 28 visit date)]. (NCT02876835)
Timeframe: Week 28 to end of study (4.3 person-years for follow-up time period)

InterventionPercentage of days (Median)
Daprodustat66.1
Darbepoetin Alfa62.1

Percentage of Time With Hgb in the Analysis Range (10 to 11.5 Grams/Deciliter) During Evaluation Period (Week 28 to Week 52): Non-inferiority Analysis

Percentage of days for which a participant's Hgb was within the analysis range of 10-11.5 g/dL (both inclusive) during the evaluation period (Week 28 to Week 52), including any unscheduled evaluable Hgb values that were taken during this time period was calculated. Percentage of time in the analysis range during evaluation period is calculated as time in range during the evaluation period / [Earlier of (Date of the last evaluable Hgb value, Week 52 visit date) - Later of (Date of the first evaluable Hgb value that between Week 16 and Week 52 inclusive, Week 28 visit date)]. (NCT02876835)
Timeframe: Week 28 to Week 52

InterventionPercentage of days (Median)
Daprodustat70.5
Darbepoetin Alfa63.2

Percentage of Time With Hgb in the Analysis Range (10 to 11.5 Grams/Deciliter) During Evaluation Period (Week 28 to Week 52): Superiority Analysis

Percentage of days for which a participant's Hgb was within the analysis range of 10-11.5 g/dL (both inclusive) during the evaluation period (Week 28 to Week 52), including any unscheduled evaluable Hgb values that were taken during this time period was calculated. Percentage of time in the analysis range during evaluation period is calculated as time in range during the evaluation period / [Earlier of (Date of the last evaluable Hgb value, Week 52 visit date) - Later of (Date of the first evaluable Hgb value that between Week 16 and Week 52 inclusive, Week 28 visit date)]. (NCT02876835)
Timeframe: Week 28 to Week 52

InterventionPercentage of days (Median)
Daprodustat70.5
Darbepoetin Alfa63.2

Percentage of Time With Hgb in the Analysis Range (10 to 11.5 Grams/Deciliter) During Maintenance Period (Week 28 to End of Study): Non-inferiority Analysis

Percentage of days for which a participant's Hgb was within the analysis range of 10-11.5 g/dL (both inclusive) during the maintenance period (Week 28 to end of study), including any unscheduled evaluable Hgb values that were taken during this time period was calculated. Percentage of time in the analysis range during maintenance period is calculated as time in range during the maintenance period / [Earlier of (Date of the last evaluable Hgb value, End of study date)- Later of (Date of the first evaluable Hgb value that is on or after week 16, Week 28 visit date)]. (NCT02876835)
Timeframe: Week 28 to end of study (4.3 person-years for follow-up time period)

InterventionPercentage of days (Median)
Daprodustat66.1
Darbepoetin Alfa62.1

Time to First Occurrence of Adjudicated All-Cause Mortality During Vital Status for Follow-up Time Period

Time to first occurrence of adjudicated all-cause mortality was analyzed using a Cox proportional hazards regression model with treatment group, current ESA use at randomization, and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the vital status follow-up time period. (NCT02876835)
Timeframe: Up to 4.3 person-years for vital status follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat8.35
Darbepoetin Alfa8.27

Time to First Occurrence of Adjudicated CV Mortality During CV Events Follow-up Time Period

Time to first occurrence of adjudicated CV mortality was analyzed using a Cox proportional hazards regression model with treatment group, current ESA use at randomization, and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02876835)
Timeframe: Up to 4.3 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat3.02
Darbepoetin Alfa2.55

Time to First Occurrence of Adjudicated CV Mortality or Non-Fatal MI During CV Events Follow-up Time Period

Time to first occurrence of adjudicated CV mortality or non-fatal MI was analyzed using a Cox proportional hazards regression model with treatment group, current ESA use at randomization, and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02876835)
Timeframe: Up to 4.3 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat5.36
Darbepoetin Alfa4.98

Time to First Occurrence of Adjudicated Hospitalization for Heart Failure During CV Events Follow-up Time Period

Time to first occurrence of adjudicated hospitalization for heart failure was analyzed using a Cox proportional hazards regression model with treatment group, current ESA use at randomization, and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02876835)
Timeframe: Up to 4.3 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat4.05
Darbepoetin Alfa3.30

Time to First Occurrence of Adjudicated MACE During CV Events Follow-up Time Period (Superiority Analysis)

Time to MACE defined as the time to first occurrence of CEC adjudicated MACE was analyzed using a Cox proportional hazards regression model with treatment group, current ESA use at randomization, and region as covariate. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. This endpoint was adjusted for multiplicity using the Holm-Bonferonni method. (NCT02876835)
Timeframe: Up to 4.3 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat10.86
Darbepoetin Alfa10.63

Time to First Occurrence of Adjudicated MACE or Hospitalization for Heart Failure During CV Events Follow-up Time Period

Time to first occurrence of adjudicated MACE or hospitalization for heart failure was analyzed using a Cox proportional hazards regression model with treatment group, current ESA use at randomization, and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. This endpoint was adjusted for multiplicity using the Holm-Bonferonni method. (NCT02876835)
Timeframe: Up to 4.3 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat13.16
Darbepoetin Alfa12.22

Time to First Occurrence of Adjudicated MACE or Hospitalization for Heart Failure or Thromboembolic Events During CV Events Follow-up Time Period

Time to first occurrence of adjudicated MACE or hospitalization for heart failure or thromboembolic events were analyzed using a Cox proportional hazards regression model with treatment group, current ESA use at randomization, and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02876835)
Timeframe: Up to 4.3 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat14.60
Darbepoetin Alfa13.32

Time to First Occurrence of Adjudicated MACE or Thromboembolic Event During CV Events Follow-up Time Period

Time to first occurrence of adjudicated MACE or thromboembolic event (vascular access thrombosis, symptomatic deep vein thrombosis or symptomatic pulmonary embolism) was analyzed using a Cox proportional hazards regression model with with treatment group, current ESA use at randomization, and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. This endpoint was adjusted for multiplicity using the Holm-Bonferonni method. (NCT02876835)
Timeframe: Up to 4.3 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat12.34
Darbepoetin Alfa11.77

Time to First Occurrence of Adjudicated Major Adverse Cardiovascular Event (MACE) During Cardiovascular (CV) Events Follow-up Time Period (Non-inferiority Analysis)

Time to MACE defined as time to first occurrence of Clinical Events Committee (CEC) adjudicated MACE (composite of all-cause mortality, non-fatal myocardial infarction [MI] and non-fatal stroke) was analyzed using a Cox proportional hazards regression model with treatment group, current erythropoiesis-stimulating agents (ESA) use at randomization and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) plus (+) 1. The incidence rate per 100 person years calculated as (100 multiplied [*] number of participants with at least 1 event) divided by [/] first event person-years) is presented along with 95 percent (%) confidence interval (CI). First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02876835)
Timeframe: Up to 4.3 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat10.86
Darbepoetin Alfa10.63

Time to First Occurrence of Adjudicated Myocardial Infarction (MI) (Fatal and Non-Fatal) During CV Events Follow-up Time Period

Time to first occurrence of adjudicated MI (fatal and non-fatal) was analyzed using a Cox proportional hazards regression model with treatment group, current ESA use at randomization, and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02876835)
Timeframe: Up to 4.3 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat2.94
Darbepoetin Alfa2.76

Time to First Occurrence of Adjudicated Stroke (Fatal and Non-Fatal) During CV Events Follow-up Time Period

Time to first occurrence of adjudicated stroke (fatal and non-fatal) was analyzed using a Cox proportional hazards regression model with treatment group, current ESA use at randomization, and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02876835)
Timeframe: Up to 4.3 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat1.26
Darbepoetin Alfa0.95

Time to First Occurrence of Adjudicated Thromboembolic Events During CV Events Follow-up Time Period

Time to first occurrence of adjudicated thromboembolic events were analyzed using a Cox proportional hazards regression model with treatment group, current ESA use at randomization, and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02876835)
Timeframe: Up to 4.3 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat1.81
Darbepoetin Alfa1.43

Time to First Occurrence of All-Cause Hospital Re-admission Within 30 Days During CV Events Follow-up Time Period

All-cause hospital re-admissions within 30days are defined as hospital admissions recorded on hospitalization electronic case record form with hospitalization duration of >=24 hours and admission date within 30days following previous discharge date of all-cause hospitalization event, where previous hospitalization was >=24hours.Time to first occurrence of all-cause hospital re-admission within 30days was analyzed using Cox proportional hazards regression model with treatment group, current ESA use at randomization and region as covariates.Time to the first occurrence was computed as(event date - randomization date)+1. Incidence rate per 100 person years calculated as(100*number of participants with at least 1event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02876835)
Timeframe: Up to 4.3 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat7.78
Darbepoetin Alfa7.55

Time to First Occurrence of All-Cause Hospitalization During CV Events Follow-up Time Period

All-cause hospitalization events were hospital admissions recorded on the hospitalization electronic case report form (eCRF) form with a hospitalization duration >=24 hours. Time to first occurrence of all-cause hospitalization was analyzed using a Cox proportional hazards regression model with treatment group, current ESA use at randomization, and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) + 1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02876835)
Timeframe: Up to 4.3 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat41.13
Darbepoetin Alfa38.99

Time to First Occurrence of Chronic Dialysis During CV Events Follow-up Time Period

Time to first occurrence of chronic dialysis was analyzed using a Fine & Gray's proportional subdistribution hazard regression model with treatment group, Baseline ESA use and region as covariates. Chronic dialysis is defined by either initiating dialysis for >=90 days or not initiating chronic dialysis when dialysis is indicated. Time to the first occurrence was computed as (event date minus randomization date)+1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02876835)
Timeframe: Up to 4.3 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat12.20
Darbepoetin Alfa12.06

Time to First Occurrence of Chronic Kidney Disease (CKD) Progression During CV Events Follow-up Time Period

Progression of CKD defined as: 40% decline in estimated glomerular filtration rate (eGFR) from Baseline or end stage renal disease (ESRD) as defined by either initiating chronic dialysis for >=90 days or not initiating chronic dialysis when dialysis is indicated or kidney transplantation. Time to first occurrence of CKD progression was analyzed using Fine and Gray's proportional subdistribution hazard regression model with treatment group, Baseline ESA use and region as covariates. Time to the first occurrence was computed as (event date minus randomization date) +1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02876835)
Timeframe: Up to 4.3 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat17.55
Darbepoetin Alfa17.76

Time to First Occurrence of Confirmed 40% Decline in eGFR During CV Events Follow-up Time Period

Time to first occurrence of confirmed 40% decline in eGFR was analyzed using a Fine & Gray's proportional subdistribution hazard regression model with treatment group, Baseline ESA use and region as covariates. Time to the first occurrence was computed as (event date minus randomization date)+1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02876835)
Timeframe: Up to 4.3 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat8.21
Darbepoetin Alfa8.90

Time to First Occurrence of Kidney Transplant During CV Events Follow-up Time Period

Time to first occurrence of kidney transplant were analyzed using a Fine & Gray's proportional subdistribution hazard regression model with treatment group, Baseline ESA use and region as covariates. Time to the first occurrence was computed as (event date minus randomization date)+1. The incidence rate per 100 person years calculated as (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% CI. First event person years=(cumulative total time to first event for participants who have the event + cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02876835)
Timeframe: Up to 4.3 person-years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Daprodustat1.00
Darbepoetin Alfa1.14

Change From Baseline in On-treatment Chronic Kidney Disease- Anemia Symptoms Questionnaire (CKD-AQ) at Weeks 8, 12, 28, 52

CKD-AQ is 21-item patient reported outcome measure assessing symptoms and symptom impact in participants with anemia associated with CKD. It had 3 domains: 1.Tired/Low Energy (LE)/Weak scale consisting of 10 items; 2.Chest Pain (CP)/Shortness of Breath (SOB) scale consisting of 4 items; and 3.Cognitive (Cog) scale consisting of 3 items. The 4 CKD-AQ single items are: shortness of breath, no activity; severity-short breath (S-SB), resting; difficulty standing (diff. std.)for long time (LT) and difficulty sleeping (diff sleep). Single-item were recorded based on a 0-100 scoring with 0=worst possible and 100=best possible score. Three domains scores were calculated as average of items in each domain and ranged from 0-100 where 0=worst possible and 100=best possible score. Change from Baseline was calculated as on-treatment visit value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. (NCT02876835)
Timeframe: Baseline (Day 1) and Weeks 8, 12, 28, 52

,
InterventionScores on a scale (Least Squares Mean)
Tired/Low energy/Weak domain: Week 8,n=1340,1294Tired/Low energy/Weak domain: Week 12,n=1341,1360Tired/Low energy/Weak domain: Week 28,n=1053,1047Tired/Low energy/Weak domain: Week 52,n=870,865Chest pain/SOB domain: Week 8,n=1340,1294Chest pain/ SOB domain: Week 12,n=1341,1360Chest pain/ SOB domain: Week 28,n=1053,1047Chest pain/ SOB domain: Week 52,n=870,865Cognitive domain: Week 8,n=1340,1294Cognitive domain: Week 12,n=1341,1360Cognitive domain: Week 28,n=1053,1047Cognitive domain: Week 52,n=870,865SOB, no activity: Week 8,n=1340,1294SOB, no activity: Week 12,n=1341,1360SOB, no activity: Week 28,n=1053,1047SOB, no activity: Week 52,n=870,865Severity-short breath, Resting: Week 8,n=1340,1294Severity-short breath, Resting:Week 12,n=1341,1360Severity-short breath, Resting:Week 28,n=1053,1047Severity-short breath, Resting:Week 52,n=870,865Diff std for long time: Week 8,n=1340,1294Diff std for long time: Week 12,n=1341,1360Diff std for long time: Week 28,n=1053,1047Diff std for long time: Week 52,n=870,865Difficulty sleeping: Week 8,n=1340,1294Difficulty sleeping: Week 12,n=1341,1360Difficulty sleeping: Week 28,n=1053,1047Difficulty sleeping: Week 52,n=870,865
Daprodustat1.722.111.270.200.630.880.01-0.710.13-0.17-0.40-2.00-0.10.1-1.1-1.7-0.3-0.3-1.1-2.01.00.70.4-2.11.60.5-0.7-2.6
Darbepoetin Alfa2.943.081.871.771.831.530.530.470.891.010.37-0.351.00.4-0.2-1.60.80.0-0.7-0.52.51.61.71.21.12.0-0.3-0.3

Change From Baseline in On-treatment Mental Component Score (MCS) Using SF-36 HRQoL Questionnaire at Weeks 8, 12, 28, 52

The SF-36 acute version 2 is a 36-item generic quality of life instrument designed to measure a participant's level of performance in the following 8 health domains: physical functioning, role-physical (role limitations caused by physical problems), social functioning, bodily pain, mental health, role-emotional (role limitations caused by emotional problems), vitality and general health. Each domain is scored from 0 (poorer health) to 100 (better health). MCS is an average score derived from 4 domains (vitality, social functioning, role-emotional and mental health) representing overall mental health. MCS ranges from 0 to 100; higher scores represent better health. Change from Baseline was calculated as on-treatment visit value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. (NCT02876835)
Timeframe: Baseline (Pre-dose on Day 1), Weeks 8, 12, 28 and 52

,
InterventionScores on a scale (Least Squares Mean)
Week 8, n=1238,1187Week 12, n=1237,1227Week 28, n=968,956Week 52, n=804,780
Daprodustat0.080.02-0.35-0.71
Darbepoetin Alfa0.370.18-0.02-0.35

Change From Baseline in On-treatment Patient Global Impression of Severity (PGI-S) at Weeks 8, 12, 28, 52

The PGI-S is a 1-item questionnaire designed to assess participant's impression of disease severity on a 5-point disease severity scale (0=absent, 1=mild, 2=moderate, 3=severe, or 4=very severe). A higher score indicated more disease severity. Change from Baseline was calculated as on-treatment visit value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. (NCT02876835)
Timeframe: Baseline (Pre-dose on Day 1), Weeks 8, 12, 28 and 52

,
InterventionScores on a scale (Least Squares Mean)
Week 8, n=1341,1295Week 12, n=1341,1362Week 28, n=1054,1051Week 52, n=871,865
Daprodustat0.000.030.050.11
Darbepoetin Alfa-0.02-0.020.090.06

Change From Baseline in On-treatment Physical Component Score (PCS) Using Short Form (SF)-36 Health-related Quality of Life (HRQoL) Questionnaire at Weeks 8, 12, 28, 52

The SF-36 acute version 2 is a 36-item generic quality of life instrument designed to measure a participant's level of performance in the following 8 health domains: physical functioning, role-physical (role limitations caused by physical problems), social functioning, bodily pain, mental health, role-emotional (role limitations caused by emotional problems), vitality and general health. Each domain is scored from 0 (poorer health) to 100 (better health). The PCS is an average score derived from 4 domains (physical functioning, role-physical, bodily pain and general health) representing overall physical health. PCS ranges from 0 to 100; higher score represents better health. Change from Baseline was calculated as on-treatment visit value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. (NCT02876835)
Timeframe: Baseline (Pre-dose on Day 1), Weeks 8, 12, 28 and 52

,
InterventionScores on a scale (Least Squares Mean)
Week 8, n=1238,1187Week 12, n=1237,1227Week 28, n=968,956Week 52, n=804,780
Daprodustat0.420.600.16-0.32
Darbepoetin Alfa0.780.710.04-0.12

Change From Baseline in On-treatment Physical Functioning Domain Scores Using SF-36 HRQoL Questionnaire at Weeks 8, 12, 28, 52

The SF-36 acute version 2 is a 36-item generic quality of life instrument designed to measure a participant's level of performance in the following 8 health domains: physical functioning, role-physical (role limitations caused by physical problems), social functioning, bodily pain, mental health, role-emotional (role limitations caused by emotional problems), vitality and general health. Each domain is scored from 0 (poorer health) to 100 (better health). Physical functioning score ranges from 0 to 100; higher scores represent better health. Change from Baseline was calculated as on-treatment visit value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. (NCT02876835)
Timeframe: Baseline (Pre-dose on Day 1), Weeks 8, 12, 28 and 52

,
InterventionScores on a scale (Least Squares Mean)
Week 8, n=1238,1187Week 12, n=1237,1227Week 28, n=968,956Week 52, n=804,780
Daprodustat0.510.650.05-0.69
Darbepoetin Alfa0.830.52-0.10-0.37

Change From Baseline in On-treatment SF-36 HRQoL Scores for Bodily Pain, General Health, Mental Health, Role-Emotional, Role-Physical, Social Functioning at Weeks 8, 12, 28, 52

The SF-36 acute version 2 is a 36-item generic quality of life instrument designed to measure a participant's level of performance in the following 8 health domains: bodily pain (b pain), general health (GH), mental health (MH), role-emotional (RE) (role limitations caused by emotional problems), role-physical (RP) (role limitations caused by physical problems), social functioning (SF), physical functioning and vitality. Each domain is scored from 0 (poorer health) to 100 (better health). Each domain score ranges from 0 to 100, higher score indicates a better health state and better functioning. Change from Baseline (BL) was calculated as on-treatment visit value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. (NCT02876835)
Timeframe: Baseline (Pre-dose on Day 1), Weeks 8, 12, 28 and 52

,
InterventionScores on a scale (Least Squares Mean)
Bodily pain: Week 8, n=1238,1187Bodily pain: Week 12, n=1237,1227Bodily pain: Week 28, n=968,956Bodily pain: Week 52, n=804,780General health: Week 8, n=1238,1187General health: Week 12, n=1237,1227General health: Week 28, n=968,956General health: Week 52, n=804,780Mental health: Week 8, n=1238,1187Mental health: Week 12, n=1237,1227Mental health: Week 28, n=968,956Mental health: Week 52, n=804,780Role-emotional: Week 8, n=1238,1187Role-emotional: Week 12, n=1237,1227Role-emotional: Week 28, n=968,956Role-emotional: Week 52, n=804,780Role-physical: Week 8, n=1238,1187Role-physical: Week 12, n=1237,1227Role-physical: Week 28, n=968,956Role-physical: Week 52, n=804,780Social functioning: Week 8, n=1238,1187Social functioning: Week 12, n=1237,1227Social functioning: Week 28, n=968,956Social functioning: Week 52, n=804,780
Daprodustat0.110.35-0.48-0.340.360.280.14-0.27-0.19-0.07-0.67-0.850.450.17-0.30-0.900.330.400.06-0.630.190.210.04-0.58
Darbepoetin Alfa0.450.500.020.130.430.480.04-0.190.12-0.09-0.37-0.610.540.430.07-0.380.830.730.00-0.440.820.530.17-0.20

Change From Baseline in On-treatment Vitality Scores Using SF-36 HRQoL Questionnaire at Weeks 8, 12, 28, 52

The SF-36 acute version 2 is a 36-item generic quality of life instrument designed to measure a participant's level of performance in the following 8 health domains: physical functioning, role-physical (role limitations caused by physical problems), social functioning, bodily pain, mental health, role-emotional (role limitations caused by emotional problems), vitality and general health. Each domain is scored from 0 (poorer health) to 100 (better health). Vitality score ranges from 0 to 100; higher scores represent better health. Change from Baseline was calculated as on-treatment visit value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. (NCT02876835)
Timeframe: Baseline (Pre-dose on Day 1), Weeks 8, 12, 28 and 52

,
InterventionScores on a scale (Least Squares Mean)
Week 8, n=1238,1187Week 12, n=1237,1227Week 28, n=968,956Week 52, n=804,780
Daprodustat0.350.620.22-0.14
Darbepoetin Alfa0.900.740.320.35

Change From Baseline in SBP, DBP, MAP at End of Treatment

SBP, DBP and MAP were measured in a seated position after at least a 5-minutes of rest. MAP is an average BP in an individual's arteries during a single cardiac cycle. Change from Baseline was calculated as on-treatment visit value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. Analysis was performed using ANCOVA model with terms for treatment group, current ESA use at randomization, region and Baseline value. Data for post-dialysis BP measurements have been presented. (NCT02876835)
Timeframe: Baseline (Week -4) and 51.1 months

,
InterventionMillimeter of mercury (Least Squares Mean)
SBP, n=1919, 1884DBP, n=1918, 1884MAP, n=1918, 1884
Daprodustat-1.19-0.26-0.57
Darbepoetin Alfa-1.10-0.38-0.62

Change From Baseline in Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP) and Mean Arterial Blood Pressure (MAP) at Week 52

SBP, DBP and MAP were measured in a seated position after at least a 5-minutes of rest. MAP is the average (BP) in an individual's arteries during a single cardiac cycle. Change from Baseline was calculated as on-treatment visit value minus Baseline value. Baseline was defined as the latest non-missing pre-dose assessment on or before the randomization date. Analysis was performed using MMRM model with treatment group + time + current ESA use at randomization + region + Baseline value + Baseline value*time + treatment group*time, using an unstructured covariance matrix. Data for post-dialysis BP measurements have been presented. (NCT02876835)
Timeframe: Baseline (Week -4) and Week 52

,
InterventionMillimeter of mercury (Least Squares Mean)
SBP, n=1913, 1884DBP, n=1912, 1884MAP, n=1912, 1884
Daprodustat-0.620.06-0.17
Darbepoetin Alfa-1.17-0.59-0.77

Number of Participants With Adjudicated MACE or Hospitalization for Heart Failure (Recurrent Events Analysis)

Number of participants with adjudicated MACE or hospitalization for heart failure (recurrent events analysis) is presented, categorized by number of occurrences of adjudicated MACE or hospitalization for heart failure per participant. (NCT02876835)
Timeframe: Up to 4.3 person-years for CV follow-up time period

,
InterventionParticipants (Count of Participants)
Occurrences per participant: 0Occurrences per participant: 1Occurrences per participant: 2Occurrences per participant: 3Occurrences per participant: 4Occurrences per participant: 5Occurrences per participant: 6Occurrences per participant: 7Occurrences per participant: 8
Daprodustat14933187626145140
Darbepoetin Alfa1518317642293011

Reviews

3 reviews available for glycine and Cardiovascular Stroke

ArticleYear
The direct thrombin inhibitor melagatran/ximelagatran.
    The Medical journal of Australia, 2004, Oct-18, Volume: 181, Issue:8

    Topics: Anticoagulants; Azetidines; Benzylamines; Blood Coagulation; Glycine; Humans; Myocardial Infarction;

2004
[Direct thrombin antagonists].
    Herz, 2001, Volume: 26 Suppl 1

    Topics: Acute Disease; Angina, Unstable; Angioplasty, Balloon, Coronary; Animals; Anticoagulants; Antithromb

2001
Direct thrombin inhibitors in acute coronary syndromes: principal results of a meta-analysis based on individual patients' data.
    Lancet (London, England), 2002, Jan-26, Volume: 359, Issue:9303

    Topics: Angina, Unstable; Antithrombins; Arginine; Glycine; Heparin; Hirudin Therapy; Hirudins; Humans; Myoc

2002

Trials

11 trials available for glycine and Cardiovascular Stroke

ArticleYear
Daprodustat for the Treatment of Anemia in Patients Undergoing Dialysis.
    The New England journal of medicine, 2021, 12-16, Volume: 385, Issue:25

    Topics: Aged; Anemia; Barbiturates; Cardiovascular Diseases; Darbepoetin alfa; Epoetin Alfa; Female; Glycine

2021
Daprodustat for the Treatment of Anemia in Patients Not Undergoing Dialysis.
    The New England journal of medicine, 2021, 12-16, Volume: 385, Issue:25

    Topics: Aged; Anemia; Barbiturates; Cardiovascular Diseases; Darbepoetin alfa; Female; Glycine; Hematinics;

2021
Methylenetetrahydrofolate Dehydrogenase 1 Polymorphisms Modify the Associations of Plasma Glycine and Serine With Risk of Acute Myocardial Infarction in Patients With Stable Angina Pectoris in WENBIT (Western Norway B Vitamin Intervention Trial).
    Circulation. Cardiovascular genetics, 2016, Volume: 9, Issue:6

    Topics: Aged; Angina, Stable; Coronary Angiography; Female; Gene Frequency; Genetic Predisposition to Diseas

2016
Myocardial damage, inflammation and thrombin inhibition in unstable coronary artery disease.
    European heart journal, 2003, Volume: 24, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Antithrombins; C-Reactive Protein; Coronary Disease; Female; Fibrino

2003
Long-term treatment with ximelagatran, an oral direct thrombin inhibitor, persistently reduces the coagulation activity after a myocardial infarction.
    Journal of thrombosis and haemostasis : JTH, 2005, Volume: 3, Issue:10

    Topics: Aged; Azetidines; Benzylamines; Biomarkers; Blood Coagulation; Dose-Response Relationship, Drug; Fem

2005
Thrombin inhibition with inogatran for unstable angina pectoris: evidence for reactivated ischaemia after cessation of short-term treatment.
    Coronary artery disease, 1996, Volume: 7, Issue:9

    Topics: Adult; Aged; Angina, Unstable; Antithrombins; Drug Tolerance; Female; Follow-Up Studies; Glycine; He

1996
A low molecular weight, selective thrombin inhibitor, inogatran, vs heparin, in unstable coronary artery disease in 1209 patients. A double-blind, randomized, dose-finding study. Thrombin inhibition in Myocardial Ischaemia (TRIM) study group.
    European heart journal, 1997, Volume: 18, Issue:9

    Topics: Aged; Angina, Unstable; Antithrombins; Dose-Response Relationship, Drug; Double-Blind Method; Female

1997
Relative contributions of a single-admission 12-lead electrocardiogram and early 24-hour continuous electrocardiographic monitoring for early risk stratification in patients with unstable coronary artery disease.
    The American journal of cardiology, 1999, Mar-01, Volume: 83, Issue:5

    Topics: Aged; Angina Pectoris; Angina, Unstable; Anticoagulants; Antithrombins; Coronary Disease; Electrocar

1999
Admission risk assessment by cardiac troponin T in unstable coronary artery disease: additional prognostic information from continuous ST segment monitoring. TRIM study group. Thrombin Inhibition in Myocardial Ischemia.
    Journal of the American College of Cardiology, 1999, Volume: 33, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Angina, Unstable; Antithrombins; Coronary Disease; Death, Sudden, Ca

1999
Activated partial thromboplastin time and clinical outcome after thrombin inhibition in unstable coronary artery disease.
    European heart journal, 1999, Volume: 20, Issue:22

    Topics: Adult; Aged; Aged, 80 and over; Angina, Unstable; Antithrombins; Cause of Death; Coronary Disease; D

1999
Coagulation activity and clinical outcome in unstable coronary artery disease.
    Arteriosclerosis, thrombosis, and vascular biology, 2001, Volume: 21, Issue:6

    Topics: Adult; Aged; Angina, Unstable; Anticoagulants; Antithrombin III; Antithrombins; Biomarkers; Blood Co

2001

Other Studies

51 other studies available for glycine and Cardiovascular Stroke

ArticleYear
Roxadustat Markedly Reduces Myocardial Ischemia Reperfusion Injury in Mice.
    Circulation journal : official journal of the Japanese Circulation Society, 2020, 05-25, Volume: 84, Issue:6

    Topics: Animals; Cell Respiration; Cells, Cultured; Disease Models, Animal; Enzyme Inhibitors; Glycine; Hypo

2020
Association Between Kidney Clearance of Secretory Solutes and Cardiovascular Events: The Chronic Renal Insufficiency Cohort (CRIC) Study.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 2021, Volume: 78, Issue:2

    Topics: Aged; Albuminuria; Chromatography, Liquid; Cohort Studies; Cresols; Female; Glomerular Filtration Ra

2021
Sivelestat attenuates myocardial reperfusion injury during brief low flow postischemic infusion.
    Oxidative medicine and cellular longevity, 2013, Volume: 2013

    Topics: Animals; Aorta; Cardiotonic Agents; Cattle; Coronary Circulation; Creatine Kinase; Electron Spin Res

2013
Pre- and post-conditional inhibition of prolyl-4-hydroxylase domain enzymes protects the heart from an ischemic insult.
    Pflugers Archiv : European journal of physiology, 2015, Volume: 467, Issue:10

    Topics: Animals; Cardiotonic Agents; Glycine; Hypoxia-Inducible Factor 1; Ischemic Postconditioning; Ischemi

2015
Plasma Glycine and Risk of Acute Myocardial Infarction in Patients With Suspected Stable Angina Pectoris.
    Journal of the American Heart Association, 2015, Dec-31, Volume: 5, Issue:1

    Topics: Aged; Angina, Stable; Apolipoprotein A-I; Apolipoprotein B-100; Biomarkers; Cholesterol, LDL; Corona

2015
Plasma Glycine and Risk of Acute Myocardial Infarction in Patients With Suspected Stable Angina Pectoris.
    Journal of the American Heart Association, 2015, Dec-31, Volume: 5, Issue:1

    Topics: Aged; Angina, Stable; Apolipoprotein A-I; Apolipoprotein B-100; Biomarkers; Cholesterol, LDL; Corona

2015
Plasma Glycine and Risk of Acute Myocardial Infarction in Patients With Suspected Stable Angina Pectoris.
    Journal of the American Heart Association, 2015, Dec-31, Volume: 5, Issue:1

    Topics: Aged; Angina, Stable; Apolipoprotein A-I; Apolipoprotein B-100; Biomarkers; Cholesterol, LDL; Corona

2015
Plasma Glycine and Risk of Acute Myocardial Infarction in Patients With Suspected Stable Angina Pectoris.
    Journal of the American Heart Association, 2015, Dec-31, Volume: 5, Issue:1

    Topics: Aged; Angina, Stable; Apolipoprotein A-I; Apolipoprotein B-100; Biomarkers; Cholesterol, LDL; Corona

2015
Plasma Glycine and Risk of Acute Myocardial Infarction in Patients With Suspected Stable Angina Pectoris.
    Journal of the American Heart Association, 2015, Dec-31, Volume: 5, Issue:1

    Topics: Aged; Angina, Stable; Apolipoprotein A-I; Apolipoprotein B-100; Biomarkers; Cholesterol, LDL; Corona

2015
Plasma Glycine and Risk of Acute Myocardial Infarction in Patients With Suspected Stable Angina Pectoris.
    Journal of the American Heart Association, 2015, Dec-31, Volume: 5, Issue:1

    Topics: Aged; Angina, Stable; Apolipoprotein A-I; Apolipoprotein B-100; Biomarkers; Cholesterol, LDL; Corona

2015
Plasma Glycine and Risk of Acute Myocardial Infarction in Patients With Suspected Stable Angina Pectoris.
    Journal of the American Heart Association, 2015, Dec-31, Volume: 5, Issue:1

    Topics: Aged; Angina, Stable; Apolipoprotein A-I; Apolipoprotein B-100; Biomarkers; Cholesterol, LDL; Corona

2015
Plasma Glycine and Risk of Acute Myocardial Infarction in Patients With Suspected Stable Angina Pectoris.
    Journal of the American Heart Association, 2015, Dec-31, Volume: 5, Issue:1

    Topics: Aged; Angina, Stable; Apolipoprotein A-I; Apolipoprotein B-100; Biomarkers; Cholesterol, LDL; Corona

2015
Plasma Glycine and Risk of Acute Myocardial Infarction in Patients With Suspected Stable Angina Pectoris.
    Journal of the American Heart Association, 2015, Dec-31, Volume: 5, Issue:1

    Topics: Aged; Angina, Stable; Apolipoprotein A-I; Apolipoprotein B-100; Biomarkers; Cholesterol, LDL; Corona

2015
Endogenous hydrogen sulphide mediates the cardioprotection induced by ischemic postconditioning.
    American journal of physiology. Heart and circulatory physiology, 2008, Volume: 295, Issue:3

    Topics: Alkynes; Animals; Antibodies, Blocking; Blood Pressure; Chromones; Dimethyl Sulfoxide; Electrocardio

2008
Cardioprotective effect of hydrogen sulfide in ischemic reperfusion experimental rats and its influence on expression of survivin gene.
    Biological & pharmaceutical bulletin, 2009, Volume: 32, Issue:8

    Topics: Alkynes; Animals; Apoptosis; Blood Pressure; Blotting, Western; Cardiotonic Agents; Cystathionine ga

2009
Chronic inhibition of hypoxia-inducible factor prolyl 4-hydroxylase improves ventricular performance, remodeling, and vascularity after myocardial infarction in the rat.
    Journal of cardiovascular pharmacology, 2010, Volume: 56, Issue:2

    Topics: Animals; Cell Line; Coronary Vessels; Glycine; Hemodynamics; Hypoxia-Inducible Factor 1; Hypoxia-Ind

2010
The protective role of hydrogen sulfide in myocardial ischemia-reperfusion-induced injury in diabetic rats.
    International journal of cardiology, 2011, Oct-20, Volume: 152, Issue:2

    Topics: Alkynes; Animals; Apoptosis; Caspase 3; Diabetes Mellitus, Experimental; Down-Regulation; Enzyme Inh

2011
A nanostructured piezoelectric immunosensor for detection of human cardiac troponin T.
    Sensors (Basel, Switzerland), 2011, Volume: 11, Issue:11

    Topics: Antibodies, Monoclonal; Biosensing Techniques; Cystamine; Electrochemical Techniques; Electrodes; Gl

2011
Effect of chronic CPT-1 inhibition on myocardial ischemia-reperfusion injury (I/R) in a model of diet-induced obesity.
    Cardiovascular drugs and therapy, 2012, Volume: 26, Issue:3

    Topics: Animals; Body Weight; Carnitine O-Palmitoyltransferase; Diet; Disease Models, Animal; Enzyme Inhibit

2012
Reducing the burden of ischemia reperfusion: editorial to: "Effect of Chronic CPT-1 Inhibition on Myocardial Ischemia-Reperfusion Injury (I/R) in a Model of Diet-Induced Obesity" by G. Maarman et al.
    Cardiovascular drugs and therapy, 2012, Volume: 26, Issue:3

    Topics: Animals; Carnitine O-Palmitoyltransferase; Enzyme Inhibitors; Glycine; Male; Myocardial Infarction;

2012
Living without creatine: unchanged exercise capacity and response to chronic myocardial infarction in creatine-deficient mice.
    Circulation research, 2013, Mar-15, Volume: 112, Issue:6

    Topics: Adenylate Kinase; Animals; Creatine; Exercise Tolerance; Female; Glycine; Guanidinoacetate N-Methylt

2013
Improving antithrombotic treatment in patients after myocardial infarction.
    Lancet (London, England), 2003, Sep-06, Volume: 362, Issue:9386

    Topics: Azetidines; Benzylamines; Clopidogrel; Fibrinolytic Agents; Glycine; Humans; Myocardial Infarction;

2003
PROTEIN AND NUCLEIC ACID SYNTHESIS DURING THE REPARATIVE PROCESSES FOLLOWING MYOCARDIAL INFARCTION.
    Circulation research, 1964, Volume: 15

    Topics: Animals; Carbon Isotopes; Cytoplasm; DNA; Dogs; Glycine; Histocytochemistry; Microsomes; Mitochondri

1964
Remote preconditioning by infrarenal aortic occlusion is operative via delta1-opioid receptors and free radicals in vivo in the rat heart.
    Cardiovascular research, 2004, Feb-15, Volume: 61, Issue:3

    Topics: Animals; Aorta, Abdominal; Aorta, Thoracic; Benzylidene Compounds; Free Radical Scavengers; Free Rad

2004
The role of ADAM protease in the tyrosine kinase-mediated trigger mechanism of ischemic preconditioning.
    Cardiovascular research, 2004, Apr-01, Volume: 62, Issue:1

    Topics: ADAM Proteins; ADAM17 Protein; Angiotensin II; Animals; Cyclic AMP-Dependent Protein Kinases; Dose-R

2004
Thrombin inhibitor reduces myocardial infarction in apoE-/- x LDLR-/- mice.
    American journal of physiology. Heart and circulatory physiology, 2004, Volume: 287, Issue:2

    Topics: Animals; Apolipoproteins E; Azetidines; Benzylamines; Biomarkers; Coronary Artery Disease; Coronary

2004
Toll-like receptor 4 Asp299Gly gene polymorphism and risk of atherothrombosis.
    Stroke, 2005, Volume: 36, Issue:1

    Topics: Amino Acid Substitution; Aspartic Acid; Case-Control Studies; Genetic Predisposition to Disease; Gly

2005
Deferoxamine induces prolonged cardiac preconditioning via accumulation of oxygen radicals.
    Free radical biology & medicine, 2005, Jan-01, Volume: 38, Issue:1

    Topics: Aldehyde Reductase; Alkaloids; Animals; Aryl Hydrocarbon Receptor Nuclear Translocator; Basic Helix-

2005
Haplotype association analysis of the polymorphisms Arg16Gly and Gln27Glu of the adrenergic beta2 receptor in a Swedish hypertensive population.
    Journal of human hypertension, 2005, Volume: 19, Issue:9

    Topics: Arginine; Blood Pressure; Cohort Studies; Female; Glutamic Acid; Glutamine; Glycine; Haplotypes; Hum

2005
The production of hydrogen sulfide limits myocardial ischemia and reperfusion injury and contributes to the cardioprotective effects of preconditioning with endotoxin, but not ischemia in the rat.
    Shock (Augusta, Ga.), 2006, Volume: 26, Issue:2

    Topics: Alkynes; Animals; Cardiotonic Agents; Cystathionine gamma-Lyase; Decanoic Acids; Endotoxins; Enzyme

2006
Hydrogen sulfide and its possible roles in myocardial ischemia in experimental rats.
    Journal of applied physiology (Bethesda, Md. : 1985), 2007, Volume: 102, Issue:1

    Topics: Alkynes; Animals; Cell Death; Cells, Cultured; Culture Media; Cystathionine gamma-Lyase; Disease Mod

2007
The pH hypothesis of postconditioning: staccato reperfusion reintroduces oxygen and perpetuates myocardial acidosis.
    Circulation, 2007, Apr-10, Volume: 115, Issue:14

    Topics: Acidosis; Alkaloids; Animals; Apoptosis; Benzophenanthridines; Buffers; Carbon Dioxide; Catheterizat

2007
A bumpy road to breakthroughs. The news: it's hard to beat today's cardiac treatments.
    Heart advisor, 2006, Volume: 9, Issue:2

    Topics: Animals; Atherosclerosis; Coronary Thrombosis; Diabetes Mellitus, Type 2; Ethics, Clinical; Glycine;

2006
Dependency of location of salvageable myocardium on type of intervention.
    The American journal of cardiology, 1981, Volume: 48, Issue:4

    Topics: Animals; Coronary Circulation; Coronary Disease; Dogs; Female; Flurbiprofen; Glycine; Heart; Ibuprof

1981
Arg506Gln factor V mutation (factor V Leiden) in patients with ischaemic cerebrovascular disease and survivors of myocardial infarction.
    Thrombosis and haemostasis, 1995, Volume: 73, Issue:4

    Topics: Adult; Arginine; Brain Ischemia; Factor V; Female; Finland; Glycine; Humans; Male; Middle Aged; Myoc

1995
Electrophoresis of human serum proteins following acute myocardial infarction.
    Biochemical Society transactions, 1994, Volume: 22, Issue:3

    Topics: Blood Protein Electrophoresis; Blood Proteins; Creatine Kinase; Glycine; Humans; Isoenzymes; Molecul

1994
ECG and cardiac enzymes after glycine absorption in transurethral prostatic resection.
    Acta anaesthesiologica Scandinavica, 1994, Volume: 38, Issue:6

    Topics: Absorption; Acid Phosphatase; Aged; Aged, 80 and over; Anesthesia, Epidural; Anesthesia, Spinal; Asp

1994
[Urologic irrigation fluid is not safe. There is evidence of serious adverse effects].
    Lakartidningen, 1996, Dec-11, Volume: 93, Issue:50

    Topics: Contraindications; Extravasation of Diagnostic and Therapeutic Materials; Glycine; Humans; Male; Myo

1996
Low-molecular weight heparins.
    The Journal of the Arkansas Medical Society, 1997, Volume: 93, Issue:11

    Topics: Angina, Unstable; Animals; Anticoagulants; Antithrombins; Clinical Trials as Topic; Dalteparin; Enox

1997
[33-year-old patient with postpartum myocardial infarct].
    Der Internist, 1997, Volume: 38, Issue:6

    Topics: Adult; Aminopyrine; Caffeine; Coronary Angiography; Coronary Thrombosis; Coronary Vasospasm; Drug Co

1997
Nitric oxide donors induce late preconditioning against myocardial stunning and infarction in conscious rabbits via an antioxidant-sensitive mechanism.
    Circulation research, 1998, Jul-13, Volume: 83, Issue:1

    Topics: Animals; Antioxidants; Glycine; Heart; Hemodynamics; Ischemic Preconditioning, Myocardial; Male; Myo

1998
Exogenous nitric oxide can trigger a preconditioned state through a free radical mechanism, but endogenous nitric oxide is not a trigger of classical ischemic preconditioning.
    Journal of molecular and cellular cardiology, 2000, Volume: 32, Issue:7

    Topics: Animals; Antioxidants; Enzyme Inhibitors; Female; Free Radicals; Glycine; Heart; Hemodynamics; Ische

2000
Ehlers-Danlos syndrome type IV with a unique point mutation in COL3A1 and familial phenotype of myocardial infarction without organic coronary stenosis.
    Journal of internal medicine, 2001, Volume: 249, Issue:1

    Topics: Adult; Aneurysm; Aspartic Acid; Collagen; Coronary Disease; Ehlers-Danlos Syndrome; Emphysema; Glyci

2001
Polymorphisms in the platelet-endothelial cell adhesion molecule-1 (PECAM-1) gene, Asn563Ser and Gly670Arg, associated with myocardial infarction in the Japanese.
    Annals of the New York Academy of Sciences, 2001, Volume: 947

    Topics: Amino Acid Substitution; Antigens, CD; Arginine; Asian People; Asparagine; Coronary Stenosis; Female

2001
Isoflurane preconditions myocardium against infarction via release of free radicals.
    Anesthesiology, 2002, Volume: 96, Issue:4

    Topics: Anesthetics, Inhalation; Animals; Free Radicals; Glycine; Hemodynamics; Ischemic Preconditioning, My

2002
Multiple panel of biomarkers for TIA/stroke evaluation.
    Stroke, 2002, Volume: 33, Issue:5

    Topics: Adult; Antibodies, Anticardiolipin; Antibodies, Antiphospholipid; Autoantibodies; Biomarkers; Diagno

2002
Limitation of myocardial infarct size by metabolic interventions that reduce accumulation of fatty acid metabolites in ischemic myocardium.
    American heart journal, 1986, Volume: 111, Issue:6

    Topics: Acetylcarnitine; Acyl Coenzyme A; Adenine Nucleotides; Animals; Dogs; Drug Synergism; Drug Therapy,

1986
Urea inhibition of lactate dehydrogenase. A convenient routine procedure.
    Acta medica Academiae Scientiarum Hungaricae, 1970, Volume: 27, Issue:1

    Topics: Anemia; Buffers; Clinical Enzyme Tests; Glycine; Humans; Ischemia; L-Lactate Dehydrogenase; Liver; L

1970
The influence of fibrinogen degradation products on the reptilase-time of plasma.
    Scandinavian journal of haematology, 1973, Volume: 11, Issue:5

    Topics: Animals; Blood Coagulation; Chromatography, DEAE-Cellulose; Fibrin; Fibrinogen; Fibrinolytic Agents;

1973
On relationships between synthesis of DNA and incorporation of deoxythymidine into DNA during myocardial infarctions induced in rats by isoproterenol.
    Chemico-biological interactions, 1972, Volume: 4, Issue:4

    Topics: Adenine; Animals; Aspartic Acid; Carbon Dioxide; Carbon Isotopes; Cytosine; DNA; Female; Formates; G

1972
Serum peptidases in myocardial infarction.
    British heart journal, 1972, Volume: 34, Issue:3

    Topics: Acyltransferases; Adult; Aged; Blood Protein Electrophoresis; Cholecystitis; Female; Glutamates; Gly

1972
[The value of glycine peptidase, leucine aminopeptidase and -glutamyl transpeptidase determinations in distant diagnosis of myocardial infarction].
    Przeglad lekarski, 1972, Volume: 29, Issue:5

    Topics: Acyltransferases; Adult; Aged; Clinical Enzyme Tests; Female; Glutamates; Glycine; Humans; Leucyl Am

1972
Molecular changes in myocardial infarction in heart muscle.
    Annals of the New York Academy of Sciences, 1969, Jan-31, Volume: 156, Issue:1

    Topics: Adenosine Triphosphate; Animals; Blood Flow Velocity; Blood Volume; Carbon Isotopes; Coronary Vessel

1969
Serum osmolality and plasma electrolytes in patients who develop dilutional hyponatremia during transurethral resection.
    Canadian journal of surgery. Journal canadien de chirurgie, 1970, Volume: 13, Issue:2

    Topics: Absorption; Aged; Blood; Central Venous Pressure; Electrolytes; Glycine; Heart Failure; Humans; Hype

1970
[On the behavior of the so-called leucine aminopeptidase (LAP) in the serum during the application of various substrates].
    Klinische Wochenschrift, 1968, May-15, Volume: 46, Issue:10

    Topics: Adolescent; Adult; Aged; Animals; Aspartate Aminotransferases; Biliary Tract Diseases; Cholestasis;

1968
Carbon monoxide and human health.
    Science (New York, N.Y.), 1968, Dec-20, Volume: 162, Issue:3860

    Topics: Accidents, Traffic; Aged; Air Pollution; Anemia, Hemolytic; Carbon; Carbon Isotopes; Carbon Monoxide

1968
[Levels of free amino acids in the blood and heart muscle in the human at various periods of myocardial infarct (clinical anatomical parallels)].
    Kardiologiia, 1968, Volume: 8, Issue:11

    Topics: Alanine; Amino Acids; Arginine; Aspartic Acid; Chromatography; Erythrocytes; Glutamates; Glycine; Hi

1968
Nuclear ribosomes, an early factor in tissue reparation.
    Biochemical and biophysical research communications, 1964, Volume: 14

    Topics: Animals; Cell Nucleolus; Cell Nucleus; Chemistry Techniques, Analytical; Connective Tissue; Cytoplas

1964
Stimulation of reparative processes following experimental myocardial infarction.
    Archives of internal medicine, 1966, Volume: 118, Issue:1

    Topics: Anabolic Agents; Animals; Carbon Isotopes; Coenzymes; Dogs; Glucose; Glycine; Growth Hormone; Inject

1966