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Cited by 246

The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.

Avosentan Reduces Albumin Excretion in Diabetics with Macroalbuminuria

Open access
Wenzel, Rene[Combining Acute Accent] R., Littke, Thomas, Kuranoff, Susan, Ju[Combining Diaeresis]rgens, Christiane, Bruck, Heike, Ritz, Eberhard, Philipp, Thomas, Mitchell, Anna·2009·Journal of the American Society of Nephrology

Abstract

Despite the first-line use of angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs), there is still a large need to improve the prevention and progression of diabetic nephropathy and its associated cardiovascular events. Endothelin antagonists have shown anti-inflammatory, antifibrotic, and antiproteinuric effects in experimental studies. This study was a randomized, placebo-controlled, double-blind, parallel-design, dosage-range study of the effect of the endothelin-A antagonist avosentan (SPP301) on urinary albumin excretion rate (UAER) in patients with diabetic nephropathy. We randomly assigned 286 patients with diabetic nephropathy, macroalbuminuria (UAER 0.2 to 5.6 mg/min), and BP <180/110 mmHg to 12 wk of avosentan (5, 10, 25, and 50 mg) or placebo, in addition to standard ACEI/ARB therapy. Relative to baseline, all avosentan dosages decreased mean relative UAER (-16.3 to -29.9%) compared with placebo (35.5%). Median relative UAER decreased with all avosentan dosages (-28.7 to -44.8%) compared with placebo (12.1%). Creatinine clearance and BP were unchanged at 12 wk. The main adverse events were peripheral edema (12%), mainly with high (>/=25 mg) dosages of avosentan; significant increases in liver enzymes did not occur. Twenty-one (7.3%) patients experienced adverse events that led to withdrawal from study medication. In summary, the endothelin-A antagonist avosentan given in addition to standard ACEI/ARB treatment decreases UAER in patients with diabetic nephropathy and macroalbuminuria.

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Metadata

Authors
Wenzel, R. A. A. R., Littke, T., Kuranoff, S., Ju[Combining Diaeresis]rgens, C., Bruck, H., Ritz, E., Philipp, T., & Mitchell, A.
Venue
Journal of the American Society of Nephrology
Published
2009-03
Volume
20
Issue
3
Pages
655-664
ISSN
1046-6673 (ISSN-L)
OpenAlex
W2105790451
Cited by
246
References
5
FWCI
18.55
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Avosentan Reduces Albumin Excretion in Diabetics with Macroalbuminuria. https://app.cochat.ai/papers/10.1681/asn.2008050482
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Wenzel, R. A. A. R., Littke, T., Kuranoff, S., Ju[Combining Diaeresis]rgens, C., Bruck, H., Ritz, E., Philipp, T., & Mitchell, A. (2009). Avosentan Reduces Albumin Excretion in Diabetics with Macroalbuminuria. Journal of the American Society of Nephrology. https://doi.org/10.1681/asn.2008050482

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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