Resumen de Investigación
Analyzed using Evidence Intelligence™

Bardoxolone methyl improves kidney function in type 2 diabetes patients.

Última actualización 2 de septiembre de 2026

Key finding

Mean change from baseline in GFR was 5.95 ml/min per 1.73 m².

The Phase 2 study evaluated bardoxolone methyl in patients with chronic kidney disease and type 2 diabetes, showing a significant increase in GFR compared to placebo.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

High Risk

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

The Phase 2 study evaluated bardoxolone methyl in patients with chronic kidney disease and type 2 diabetes, showing a significant increase in GFR compared to placebo.

Clinical relevance

Improving kidney function in patients with chronic kidney disease and type 2 diabetes is crucial, as it can slow disease progression and reduce the risk of complications. The significant improvement in GFR with bardoxolone methyl suggests potential benefits for managing these patients, although monitoring for adverse effects is essential.

Keep in mind

The study's sample size and generalizability may be limited. Potential confounding factors were not fully addressed. Adverse event reporting may not capture all relevant data.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Masaomi N, Hironori K, Hirotaka T, Tomohiro I, Hiroki H, Tadao A. The Phase 2 Study of Bardoxolone Methyl in Patients with Chronic Kidney Disease and Type 2 Diabetes (TSUBAKI). Kidney International Reports. 2020;5(6):879-890. doi:10.1016/j.ekir.2020.03.030

Efectos Principales

Bardoxolone methyl led to a mean increase in GFR of 5.95 ml/min per 1.73 m².

A significant intergroup difference in GFR of 6.64 ml/min per 1.73 m² was observed (P = 0.008).

Increases in the albumin/creatinine ratio were noted in the bardoxolone methyl group compared to placebo.

The placebo group experienced a mean decrease in GFR of -0.69 ml/min per 1.73 m².

Evidence network

How this study fits

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Evidence Context

This study contributes evidence to Bardoxolone methyl and Glomerular filtration rate (GFR), Serious adverse events, Urinary albumin-to-creatinine ratio.

Primary intervention

Bardoxolone methyl

Primary outcomes

  • Glomerular filtration rate (GFR)
  • Serious adverse events
  • Urinary albumin-to-creatinine ratio

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

3
Evidence pairs
3
Relationships
0
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 50

0

Related topics

3

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 3 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

Glomerular filtration rate (GFR)

Bardoxolone methyl → Glomerular filtration rate (GFR)

Bardoxolone methyl → Glomerular filtration rate (GFR)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Serious adverse events

Bardoxolone methyl → Serious adverse events

Bardoxolone methyl → Serious adverse events

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Urinary albumin-to-creatinine ratio

Bardoxolone methyl → Urinary albumin-to-creatinine ratio

Bardoxolone methyl → Urinary albumin-to-creatinine ratio

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Evidence Library

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evidence suggest

La Evidencia Sugiere

  • Bardoxolone methyl improved GFR by 5.95 ml/min per 1.73 m².
  • Significant intergroup difference in GFR of 6.64 ml/min per 1.73 m² (P = 0.008).
  • Placebo group showed a decrease in GFR of -0.69 ml/min per 1.73 m².
who this applies

A quién se aplica

  • Adults with chronic kidney disease and type 2 diabetes.
  • Patients experiencing declining kidney function.
keep in mind

Tener en Cuenta

  • Results may not apply to populations outside the study's demographics.
  • Long-term effects and safety of bardoxolone methyl remain uncertain.
  • Further studies are needed to confirm these findings and assess clinical relevance.
between the lines

Entre Líneas

  • The study's sample size and generalizability may be limited.
  • Potential confounding factors were not fully addressed.
  • Adverse event reporting may not capture all relevant data.

Evidence Library

Build your evidence library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Bardoxolone methyl and Glomerular filtration rate (GFR), Bardoxolone methyl and Serious adverse events.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Bardoxolone methyl improve glomerular filtration rate (GFR)?

Emerging Evidence

Bardoxolone methyl appears to improve glomerular filtration rate (GFR).

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Glomerular filtration rate (GFR)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Bardoxolone methyl affect serious adverse events?

Emerging Evidence

Current evidence does not show a clear effect of Bardoxolone methyl on serious adverse events.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Serious adverse events

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Bardoxolone methyl improve urinary albumin-to-creatinine ratio?

Emerging Evidence

Current evidence does not show a clear benefit of Bardoxolone methyl for urinary albumin-to-creatinine ratio.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Urinary albumin-to-creatinine ratio

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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