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Efficacy of tolvaptan for chronic heart failure: Study protocol for a systematic review of randomized controlled
Wei-Qin Gao1, Xiang-Dong Meng, Ze Sun
1First Ward of Cardiology Department, First Affiliated Hospital of Jiamusi University, Jiamusi, China.
Insights
This systematic review will evaluate tolvaptan
Area of Science:
- Cardiology
- Pharmacology
- Systematic Reviews
Background:
- Chronic heart failure (CHF) poses a significant global health burden.
- Tolvaptan is a vasopressin receptor antagonist explored for CHF management.
- Existing evidence on tolvaptan's efficacy and safety in CHF requires systematic synthesis.
Purpose of the Study:
- To systematically evaluate the efficacy and safety of tolvaptan in treating patients with chronic heart failure (CHF).
- To synthesize current evidence from randomized controlled trials (RCTs) on tolvaptan for CHF.
Main Methods:
- Comprehensive literature search of multiple electronic databases (PubMed, Embase, Cochrane, Web of Science, Scopus, etc.) from inception to February 1, 2019.
- Inclusion of randomized controlled trials (RCTs) assessing tolvaptan in CHF patients.
- Independent study selection, data extraction, and quality assessment by two authors.
Main Results:
- The study will compare tolvaptan's efficacy and safety against standard treatments in CHF.
- Key outcomes include all-cause mortality, body weight changes, urine output, serum sodium levels, and adverse event incidence.
- A meta-analysis of pooled data will provide quantitative estimates of tolvaptan's effects.
Conclusions:
- This systematic review will provide a comprehensive summary of the evidence on tolvaptan for CHF.
- Findings will inform clinical decision-making regarding tolvaptan use in heart failure management.
- The study aims to identify potential benefits and risks associated with tolvaptan therapy.
Background:
The protocol of this study will be proposed for systematic evaluation of the efficacy and safety of tolvaptan in the treatment of chronic heart failure (CHF).
Methods:
We will retrieve the following electronic databases for randomized controlled trials assessing the efficacy of tolvaptan in patients with CHF: PubMed, Embase, Cochrane Central Register of Controlled Trials, Web of Science, Scopus, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, VIP Information, and Wanfang Data. Each database will be retrieved from inception to February 1, 2019 without any limitations. The entire process of study selection, data extraction, and methodological quality evaluation will be conducted by 2 independent authors.
Results:
The protocol of this proposed study will compare the efficacy and safety of tolvaptan in the treatment of patients with CHF. The outcomes will include all-cause mortality, change in body weight, urine output, change in serum sodium; and incidence of all adverse events.
Conclusion:
The findings of this proposed study will summarize the current evidence of tolvaptan for CHF.
Ethics And Dissemination:
All data used in this systematic review will be collected from the previous published trials. Thus, no research ethics approval is needed for this study. The findings of this study will be published at a peer-reviewed journal.
Prospero Registration Number:
PROSPERO CRD42019120818.
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