Evidence map›Paper›PMID 24832093›Full record

ReviewClinical journal of the American Society of Nephrology : CJASN2014

Is newer safer? Adverse events associated with first-line therapies for ANCA-associated vasculitis and lupus nephritis.

Jonathan Hogan, Rupali Avasare, Jai Radhakrishnan

Abstract readReview
In one paragraph

Review in Clinical journal of the American Society of Nephrology : CJASN, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Observational
  6. Rituximab use in adult glomerulopathies and its rationale.Jornal brasileiro de nefrologia · 2020
    Review
  7. Article
  8. Article
  9. Article
  10. Targeting the tyrosine kinase signalling pathways for treatment of immune-mediated glomerulonephritis: from bench to bedside and beyond.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2017
    Review
  11. Glomerular Diseases: Registries and Clinical Trials.Clinical journal of the American Society of Nephrology : CJASN · 2016
    Article
  12. Adverse events and infectious burden, microbes and temporal outline from immunosuppressive therapy in antineutrophil cytoplasmic antibody-associated vasculitis with native renal function.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2015
    Article
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

3 authors.

Jonathan HoganDepartment of Medicine, Division of Nephrology, Columbia University Medical Center, New York, New York jjh2165@cumc.columbia.edu.
Rupali AvasareDepartment of Medicine, Division of Nephrology, Columbia University Medical Center, New York, New York.
Jai RadhakrishnanDepartment of Medicine, Division of Nephrology, Columbia University Medical Center, New York, New York.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical outcomes in ANCA-associated vasculitis (AAV) and lupus nephritis have improved greatly with treatment regimens containing high-dose glucocorticoids and cyclophosphamide. However, with the use of these medications come significant adverse events, most notably infections, cytopenias, malignancies, and reproductive abnormalities. Multiple recent randomized controlled trials in AAV and lupus nephritis have compared cyclophosphamide-based regimens with agents such as rituximab, mycophenolate mofetil, and azathioprine, with the hope of providing better clinical outcomes with improved safety profiles. Although some of these newer regimens are now considered first-line treatments of these diseases, their adverse event profiles have been disappointingly similar to those of cyclophosphamide-based protocols. Physicians and patients should consider the adverse event profiles generated by these trials in the context of their extensive use in other patient populations, as well as available measures to prevent such events, when choosing the ideal regimen for an individual patient.

Indexed as

Antibodies, Monoclonal, Murine-DerivedAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisCyclophosphamideHumansImmunologic FactorsImmunosuppressive AgentsLupus NephritisMycophenolic AcidRandomized Controlled Trials as TopicRituximabAntibodies, Monoclonal, Murine-DerivedCyclophosphamideImmunologic FactorsImmunosuppressive AgentsMycophenolic AcidRituximabglomerulonephritisimmunosuppressionrheumatology

Identifiers

PMID24832093
PMCPMC4152805

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.