A rapid and sustained improvement of calcification propensity score (serum T50) after successful kidney transplantation: Reanalysis of a randomized controlled trial of ibandronate

A serum test called T50 assesses the overall propensity for calcification of the blood and is associated with cardiovascular outcomes. We aimed to examine T50 over time in kidney transplant recipients and also address any effects of ibandronate. Serum samples taken from kidney transplant patients in...

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Veröffentlicht in:Clinical transplantation 2017-12, Vol.31 (12), p.n/a
Hauptverfasser: Smerud, Knut T., Åsberg, Anders, Kile, Håkon, Pasch, Andreas, Dahle, Dag O., Bollerslev, Jens, Godang, Kristin, Hartmann, Anders
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container_end_page n/a
container_issue 12
container_start_page
container_title Clinical transplantation
container_volume 31
creator Smerud, Knut T.
Åsberg, Anders
Kile, Håkon
Pasch, Andreas
Dahle, Dag O.
Bollerslev, Jens
Godang, Kristin
Hartmann, Anders
description A serum test called T50 assesses the overall propensity for calcification of the blood and is associated with cardiovascular outcomes. We aimed to examine T50 over time in kidney transplant recipients and also address any effects of ibandronate. Serum samples taken from kidney transplant patients included in a prospective, randomized placebo controlled study of ibandronate were analyzed in retrospect. Adequate analyses were performed at baseline (approximately 3 weeks after transplantation) in 129 patients, at 10 weeks in 127 patients and at 1 year in 123 patients. There were no statistical differences between ibandronate and placebo treatment in terms of T50 at 10 weeks (P = .094) or at 1 year (P = .116). Baseline T50 was a significant covariate (P 
doi_str_mv 10.1111/ctr.13131
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We aimed to examine T50 over time in kidney transplant recipients and also address any effects of ibandronate. Serum samples taken from kidney transplant patients included in a prospective, randomized placebo controlled study of ibandronate were analyzed in retrospect. Adequate analyses were performed at baseline (approximately 3 weeks after transplantation) in 129 patients, at 10 weeks in 127 patients and at 1 year in 123 patients. There were no statistical differences between ibandronate and placebo treatment in terms of T50 at 10 weeks (P = .094) or at 1 year (P = .116). Baseline T50 was a significant covariate (P &lt; .0001) for T50 scores at 10 weeks and 1 year. In the total cohort, there was a highly significant (P &lt; .0001) increase in T50 of 26.6% after 10 weeks and T50 remained stable after 1 year. T50 change was inversely correlated to phosphate of −0.515 (P &lt; .0001) and to change in serum albumin (P &lt; .03). We found that T50 increased from baseline to 10 weeks after transplantation with no further change after 1 year. 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We aimed to examine T50 over time in kidney transplant recipients and also address any effects of ibandronate. Serum samples taken from kidney transplant patients included in a prospective, randomized placebo controlled study of ibandronate were analyzed in retrospect. Adequate analyses were performed at baseline (approximately 3 weeks after transplantation) in 129 patients, at 10 weeks in 127 patients and at 1 year in 123 patients. There were no statistical differences between ibandronate and placebo treatment in terms of T50 at 10 weeks (P = .094) or at 1 year (P = .116). Baseline T50 was a significant covariate (P &lt; .0001) for T50 scores at 10 weeks and 1 year. In the total cohort, there was a highly significant (P &lt; .0001) increase in T50 of 26.6% after 10 weeks and T50 remained stable after 1 year. T50 change was inversely correlated to phosphate of −0.515 (P &lt; .0001) and to change in serum albumin (P &lt; .03). We found that T50 increased from baseline to 10 weeks after transplantation with no further change after 1 year. 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Åsberg, Anders ; Kile, Håkon ; Pasch, Andreas ; Dahle, Dag O. ; Bollerslev, Jens ; Godang, Kristin ; Hartmann, Anders</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3841-5f13be808a893e2b89a266f74115b6a4edba7bad5bda2e092d81a9b81ca129853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>1‐year longitudinal randomized placebo‐controlled clinical trial</topic><topic>Bone Density Conservation Agents - therapeutic use</topic><topic>calcification propensity score T50</topic><topic>Calcinosis - drug therapy</topic><topic>Calcinosis - epidemiology</topic><topic>Diphosphonates - therapeutic use</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glomerular Filtration Rate</topic><topic>Graft Survival - drug effects</topic><topic>Humans</topic><topic>ibandronate</topic><topic>Kidney Failure, Chronic - surgery</topic><topic>Kidney Function Tests</topic><topic>kidney transplantation</topic><topic>Kidney Transplantation - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Norway - epidemiology</topic><topic>Prognosis</topic><topic>Propensity Score</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Smerud, Knut T.</creatorcontrib><creatorcontrib>Åsberg, Anders</creatorcontrib><creatorcontrib>Kile, Håkon</creatorcontrib><creatorcontrib>Pasch, Andreas</creatorcontrib><creatorcontrib>Dahle, Dag O.</creatorcontrib><creatorcontrib>Bollerslev, Jens</creatorcontrib><creatorcontrib>Godang, Kristin</creatorcontrib><creatorcontrib>Hartmann, Anders</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>NORA - Norwegian Open Research Archives</collection><jtitle>Clinical transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Smerud, Knut T.</au><au>Åsberg, Anders</au><au>Kile, Håkon</au><au>Pasch, Andreas</au><au>Dahle, Dag O.</au><au>Bollerslev, Jens</au><au>Godang, Kristin</au><au>Hartmann, Anders</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A rapid and sustained improvement of calcification propensity score (serum T50) after successful kidney transplantation: Reanalysis of a randomized controlled trial of ibandronate</atitle><jtitle>Clinical transplantation</jtitle><addtitle>Clin Transplant</addtitle><date>2017-12</date><risdate>2017</risdate><volume>31</volume><issue>12</issue><epage>n/a</epage><issn>0902-0063</issn><eissn>1399-0012</eissn><abstract>A serum test called T50 assesses the overall propensity for calcification of the blood and is associated with cardiovascular outcomes. We aimed to examine T50 over time in kidney transplant recipients and also address any effects of ibandronate. Serum samples taken from kidney transplant patients included in a prospective, randomized placebo controlled study of ibandronate were analyzed in retrospect. Adequate analyses were performed at baseline (approximately 3 weeks after transplantation) in 129 patients, at 10 weeks in 127 patients and at 1 year in 123 patients. There were no statistical differences between ibandronate and placebo treatment in terms of T50 at 10 weeks (P = .094) or at 1 year (P = .116). Baseline T50 was a significant covariate (P &lt; .0001) for T50 scores at 10 weeks and 1 year. In the total cohort, there was a highly significant (P &lt; .0001) increase in T50 of 26.6% after 10 weeks and T50 remained stable after 1 year. T50 change was inversely correlated to phosphate of −0.515 (P &lt; .0001) and to change in serum albumin (P &lt; .03). We found that T50 increased from baseline to 10 weeks after transplantation with no further change after 1 year. Ibandronate had no effect on T50.</abstract><cop>Denmark</cop><pub>Blackwell Publishing</pub><pmid>28972673</pmid><doi>10.1111/ctr.13131</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-6647-686X</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; NORA - Norwegian Open Research Archives; Wiley Online Library Journals Frontfile Complete
subjects 1‐year longitudinal randomized placebo‐controlled clinical trial
Bone Density Conservation Agents - therapeutic use
calcification propensity score T50
Calcinosis - drug therapy
Calcinosis - epidemiology
Diphosphonates - therapeutic use
Female
Follow-Up Studies
Glomerular Filtration Rate
Graft Survival - drug effects
Humans
ibandronate
Kidney Failure, Chronic - surgery
Kidney Function Tests
kidney transplantation
Kidney Transplantation - methods
Male
Middle Aged
Norway - epidemiology
Prognosis
Propensity Score
Prospective Studies
Risk Factors
title A rapid and sustained improvement of calcification propensity score (serum T50) after successful kidney transplantation: Reanalysis of a randomized controlled trial of ibandronate
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