Research Article

Efficacy and Safety of Eplerenone for Treating Chronic Kidney Disease: A Meta-Analysis

Table 1

The characteristics of the involved observational articles.

NoAuthorYearCountryStudy designNo. of patients included (Male/Female)InterventionsStudy durationEndpoints

1Epstein et al2006USAParallel RCTT: 177 (116/61)T: EPL + ACEI12 weeksBP, UACR, eGFR incidence of hyperkalemia
C: 91 (50/41)C: Placebo + ACEI

2Joffe et al2007USACross‐over RCTT: 8T: EPL + ACEI6 weeksBP, 24 h-proteinuria, creatinine, estimated creatinine clearance, potassium, the incidence of hyperkalemia
C: 8C: HCTZ + ACEI

3Kovarik et al2021AustriaParallel RCTT: 7 (7/0)T: EPL + ACEI10 weeksBP, UACR, eGFR
C: 8 (5/3)C: Placebo + ACEI

4Boesby et al2013DenmarkParallel RCTT: 22T: EPL + ACEI/ARB24 weeksBP, 24 h-proteinuria, estimated creatinine clearance, eGFR, creatinine, potassium incidence of hyperkalemia
C: 24C: Placebo + ACEI/ARB

5Jacobsen et al2020DenmarkParallel RCTT: 70 (53/17)T: EPL26 weeksBP, UACR, eGFR, potassium incidence of hyperkalemia
C: 70 (53/17)C: Placebo

6Mokadem et al2020EgyptParallel RCTT: 25 (15/10)T: EPL24 weeksBP, UACR, eGFR, creatinine, potassium incidence of hyperkalemia
C: 25 (13/12)C: ACEI

7Karashima et al2016JapanParallel RCTT: 25 (17/8)T: EPL + ARB48 weeksBP, UACR, eGFR, potassium
C: 25 (17/8)C: HCTZ + ARB

8Epstein et al2002USAParallel RCTT: 74T: EPL24 weeksBP, UACR, incidence of hyperkalemia
C: 74C: ACEI

9Sawai et al2017JapanParallel RCTT: 98 (49/49)T: EPL8 weeksBP, UACR, creatinine, eGFR, potassium incidence of hyperkalemia
C: 97 (49/48)C:Thiazide diuretic

10Ando et al2014JapanParallel RCTT: 162 (114/48)T: EPL + ACEI/ARB52 weeksBP, UACR, eGFR, potassium incidence of hyperkalemia
C: 152 (100/52)C: Placebo + ACEI/ARB

11Boesby et al2011DenmarkCross‐over RCTT: 40T: EPL + ACEI/ARB24 weeksBP, 24 h-proteinuria, estimated creatinine clearance, eGFR, potassium incidence of hyperkalemia
C: 40C: Placebo + ACEI/ARB

12Eschalier et al2013FranceParallel RCTT: 1055 (746/309)T: EPL42 monthseGFR, incidence of hyperkalemia
C: 1072 (771/301)C: Placebo

13Tylick et al2012PolandCross‐over RCTT: 18T: EPL + ARB8 weeksBP, UACR, eGFR, 24 h-proteinuria potassium
C: 18C1: Aliskiren + ARB
C2: ARB (double dose)

14Lizakowski et al2013PolandCross‐over RCTT: 18T: EPL + ARB8 weeksBP, eGFR, potassium
C: 18C1: Aliskiren + ARB
C2: ARB (double dose)

15Kalizki et al2016GermanyParallel RCTT: 25 (19/6)T: EPL + ACEI/ARB26 weeksBP, UACR
C: 26 (22/4)C: Placebo + ACEI/ARB
16White et al2003ChinaParallel RCTT: 134 (61/73)T: EPL24 weeksBP, UACR, incidence of hyperkalemia
C: 135 (66/69)C: Amlodipine

17Williams et al2004USAParallel RCTT: 253 (150/103)T: EPL6 monthsBP, incidence of hyperkalemia
C: 246 (126/120)C: ACEI

18Pitt et al2003USAParallel RCTT: 50 (31/19)T: EPL9 monthsBP, the incidence of hyperkalemia
C: 54 (30/24)C: ACEI

19Eguchi et al2016JapanParallel RCTT: 35 (25/10)T: EPL12 weeksBP, UACR, creatinine
C: 22 (11/11)C: Placebo