Hypothesis: an erythropoietin honeymoon phase exists.
TREAT was a recently concluded, and well-powered and designed, study of anemia treatment in chronic kidney disease (CKD). Unlike most previous studies of ESA treatment in nondialysis CKD, TREAT was a placebo-controlled trial. The placebo group in TREAT provides a unique long-term view of a conservative approach to anemia management in nondialysis CKD. The course of mean Hgb levels in the placebo group ran counter to expectations, increasing over time. We discuss possible reasons for this, including a new hypothesis that there may be an erythropoietin 'honeymoon phase' similar to that observed in diabetes mellitus. We propose investigation of this phenomenon as it could lead to less expensive and safer approaches to treatment of CKD anemia.
Fishbane
Steven
S
Department of Medicine, Winthrop-University Hospital, Mineola, New York 11501, USA. sfishbane@winthrop.org
Miyawaki
Nobuyuki
N
Szczech
Lynda A
LA
D000740:Anemia / Q000188:drug therapy*; D000818:Animals; D002908:Chronic Disease; D018849:Controlled Clinical Trials as Topic; D004921:Erythropoietin / Q000627:therapeutic use*; D006801:Humans; D007674:Kidney Diseases / Q000150:complications*
D004921:Erythropoietin