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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">KJIM</journal-id>
<journal-title-group>
<journal-title>The Korean Journal of Internal Medicine</journal-title><abbrev-journal-title>Korean J Intern Med</abbrev-journal-title></journal-title-group>
<issn pub-type="ppub">1226-3303</issn>
<issn pub-type="epub">2005-6648</issn>
<publisher>
<publisher-name>The Korean Association of Internal Medicine</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3904/kjim.2017.154</article-id>
<article-id pub-id-type="publisher-id">kjim-2017-154</article-id>
<article-categories>
<subj-group>
<subject>Correspondence</subject></subj-group></article-categories>
<title-group>
<article-title>Response to comment on &#x0201c;New therapeutic agents in diabetic nephropathy&#x0201d;</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Kim</surname><given-names>Yaeni</given-names></name>
</contrib>
<contrib contrib-type="author">
<name><surname>Park</surname><given-names>Cheol Whee</given-names></name>
<xref ref-type="corresp" rid="c1-kjim-2017-154"/>
</contrib>
<aff id="af1-kjim-2017-154">
Division of Nephrology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, <country>Korea</country></aff>
</contrib-group>
<author-notes>
<corresp id="c1-kjim-2017-154">Correspondence to Cheol Whee Park, M.D. Division of Nephrology, Department of Internal Medicine, College of Medicine, Seoul St. Mary’s Hospital, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea Tel: +82-2-2258-6038 Fax: +82-2-599-3589 E-mail: <email>cheolwhee@hanmail.net</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>5</month>
<year>2017</year></pub-date>
<pub-date pub-type="epub">
<day>28</day>
<month>4</month>
<year>2017</year></pub-date>
<volume>32</volume>
<issue>3</issue>
<fpage>570</fpage>
<lpage>570</lpage>
<history>
<date date-type="received">
<day>12</day>
<month>04</month>
<year>2017</year></date>
<date date-type="accepted">
<day>25</day>
<month>04</month>
<year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2017 The Korean Association of Internal Medicine</copyright-statement>
<copyright-year>2017</copyright-year>
<license>
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions>
<related-article related-article-type="letter" id="ra1-kjim-2017-154" vol="32" page="569">
<article-title>Comment on &#x0201c;New therapeutic agents in diabetic nephropathy&#x0201d;</article-title>
</related-article>
</article-meta></front>
<body>
<p>Thank you for your interest in the article entitled &#x0201c;New therapeutic agents in diabetic nephropathy&#x0201d; &#x0005b;<xref ref-type="bibr" rid="b1-kjim-2017-154">1</xref>&#x0005d; and your comments on erroneous information therein. We agree that there are several errors in the article; therefore, we have made the following revisions according to your comments.</p>
<p>The ongoing &#x02018;Proteomic prediction and Renin angiotensin aldosterone system Inhibition prevention Of early diabetic nephRopathy in TYpe 2 diabetic patients with normoalbuminuria&#x02019; (PRIORITY) trial is investigating the efficacy of the mineralocorticoid receptor antagonist (MRA) spironolactone, in terms of delaying the progression of early diabetic nephropathy (DN) &#x0005b;<xref ref-type="bibr" rid="b2-kjim-2017-154">2</xref>&#x0005d;. However, concerns regarding the development of hyperkalemia in those with decreased renal function need to be addressed. The nonsteroidal MRA finerenone (BAY 94-8862) was well-tolerated in a Japanese population with DN and did not exert adverse effects on serum potassium levels or renal function &#x0005b;<xref ref-type="bibr" rid="b3-kjim-2017-154">3</xref>,<xref ref-type="bibr" rid="b4-kjim-2017-154">4</xref>&#x0005d;. A study of the safety of the selective aldosterone receptor antagonist MT-3995 regarding the development of hyperkalemia in subjects with DN is required &#x0005b;<xref ref-type="bibr" rid="b5-kjim-2017-154">5</xref>&#x0005d;.</p>
<p>We appreciate your interest in, and comments on, our article and we hope that our revisions have addressed your concerns.</p>
</body>
<back>
<fn-group>
<fn fn-type="conflict"><p>No potential conflict of interest relevant to this article was reported.</p></fn>
</fn-group>
<ref-list>
<title>REFERENCES</title>
<ref id="b1-kjim-2017-154">
<label>1</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Kim</surname><given-names>Y</given-names></name>
<name><surname>Park</surname><given-names>CW</given-names></name>
</person-group>
<article-title>New therapeutic agents in diabetic nephropathy</article-title>
<source>Korean J Intern Med</source>
<year>2017</year>
<volume>32</volume>
<fpage>11</fpage>
<lpage>25</lpage>
</element-citation></ref>
<ref id="b2-kjim-2017-154">
<label>2</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Lindhardt</surname><given-names>M</given-names></name>
<name><surname>Persson</surname><given-names>F</given-names></name>
<name><surname>Currie</surname><given-names>G</given-names></name>
<etal/>
</person-group>
<article-title>Proteomic prediction and Renin angiotensin aldosterone system Inhibition prevention Of early diabetic nephRopathy in TYpe 2 diabetic patients with normoalbuminuria (PRIORITY): essential study design and rationale of a randomised clinical multicentre trial</article-title>
<source>BMJ Open</source>
<year>2016</year>
<volume>6</volume>
<elocation-id>e010310</elocation-id>
</element-citation></ref>
<ref id="b3-kjim-2017-154">
<label>3</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Katayama</surname><given-names>S</given-names></name>
<name><surname>Yamada</surname><given-names>D</given-names></name>
<name><surname>Nakayama</surname><given-names>M</given-names></name>
<etal/>
</person-group>
<article-title>A randomized controlled study of finerenone versus placebo in Japanese patients with type 2 diabetes mellitus and diabetic nephropathy</article-title>
<source>J Diabetes Complications</source>
<year>2017</year>
<volume>31</volume>
<fpage>758</fpage>
<lpage>765</lpage>
</element-citation></ref>
<ref id="b4-kjim-2017-154">
<label>4</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Sato</surname><given-names>N</given-names></name>
<name><surname>Ajioka</surname><given-names>M</given-names></name>
<name><surname>Yamada</surname><given-names>T</given-names></name>
<etal/>
</person-group>
<article-title>A randomized controlled study of finerenone vs. eplerenone in Japanese patients with worsening chronic heart failure and diabetes and/or chronic kidney disease</article-title>
<source>Circ J</source>
<year>2016</year>
<volume>80</volume>
<fpage>1113</fpage>
<lpage>1122</lpage>
</element-citation></ref>
<ref id="b5-kjim-2017-154">
<label>5</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Kolkhof</surname><given-names>P</given-names></name>
<name><surname>Nowack</surname><given-names>C</given-names></name>
<name><surname>Eitner</surname><given-names>F</given-names></name>
</person-group>
<article-title>Nonsteroidal antagonists of the mineralocorticoid receptor</article-title>
<source>Curr Opin Nephrol Hypertens</source>
<year>2015</year>
<volume>24</volume>
<fpage>417</fpage>
<lpage>424</lpage>
</element-citation></ref>
</ref-list>
</back></article>