Evidence map›Paper›PMID 12919182›Full record

Trial reportBritish journal of clinical pharmacology2003

Tacrolimus dose requirement in renal transplant recipients is significantly higher when used in combination with corticosteroids.

Dennis A Hesselink, Hien Ngyuen, Marike Wabbijn, Peter J H Smak Gregoor, Ewout W Steyerberg, Iza C van Riemsdijk, Willem Weimar, Teun van Gelder

Open access · bronzeAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in British journal of clinical pharmacology, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 80 citations in OpenAlex.

  1. Steroid avoidance or withdrawal for kidney transplant recipients.The Cochrane database of systematic reviews · 2016
    Pooled it
  2. Interleukin 2 receptor antagonists for kidney transplant recipients.The Cochrane database of systematic reviews · 2010
    Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Influence ofInternational journal of molecular sciences · 2020
    Article
  8. The Clinical Impact of the CFrontiers in pharmacology · 2020
    Review
  9. Article
  10. Interventions for preventing bone disease in kidney transplant recipients.The Cochrane database of systematic reviews · 2019
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Dennis A HesselinkDepartment of Internal Medicine, Renal Transplant Unit, Room D 412, Erasmus Medical Centre, PO Box 2040, 3000 CA Rotterdam, the Netherlands. d.a.hesselink@erasmusmc.nl
Hien Ngyuen
Marike Wabbijn
Peter J H Smak Gregoor
Ewout W Steyerberg
Iza C van Riemsdijk
Willem Weimar
Teun van Gelder
Erasmus University Rotterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo evaluate the effect of corticosteroids on tacrolimus pharmacokinetics.

methodsIn a randomized trial, kidney transplant recipients were treated with tacrolimus and mycophenolate mofetil with either daclizumab (n = 31) or 3 months of prednisone (n = 34). Tacrolimus dose-adjusted predose concentrations (C0) at month 1-6 were compared between both groups and within the corticosteroid group before and after prednisone withdrawal.

resultsAt month 1 the tacrolimus dose-adjusted C0 in the corticosteroid group was 83 +/- 8 vs 119 +/- 17 ng ml-1 mg-1 kg-1 in the daclizumab group. The tacrolimus dose-adjusted C0 within the corticosteroid group at month 1 and 2 was 42% and 29% lower compared with month 4 (P < 0.001).

conclusionsA higher tacrolimus dose is required to reach target concentrations when used in combination with corticosteroids.

Indexed as

Kidney TransplantationAdrenal Cortex HormonesAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedDaclizumabDose-Response Relationship, DrugDrug CombinationsHumansImmunoglobulin GImmunosuppressive AgentsMycophenolic AcidTacrolimusAdrenal Cortex HormonesAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedDaclizumabDrug CombinationsImmunoglobulin GImmunosuppressive AgentsMycophenolic AcidTacrolimus

Identifiers

PMID12919182
PMCPMC1884345
OpenAlexW2096810184

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.