Evidence map›Paper›PMID 26804020›Full record

ReviewNature reviews. Nephrology2016

Hurdles to the introduction of new therapies for immune-mediated kidney diseases.

Hans-Joachim Anders, David R W Jayne, Brad H Rovin

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Nephrology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
6.9field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Quantity and Reporting Quality of Kidney Research.Journal of the American Society of Nephrology : JASN · 2019
    Pooled it
  4. Trial
  5. Trial
  6. Review
  7. Lupus Nephritis: Unmet Needs and Evolving Solutions.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Lupus nephritis.Nature reviews. Disease primers · 2020
    Review
  14. Review
  15. Re-biopsy in lupus nephritis.Annals of translational medicine · 2018
    Article
  16. Review
  17. Article
  18. Review
  19. A systems approach to renal inflammation in SLE.Clinical immunology (Orlando, Fla.) · 2017
    Review
  20. 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 at 3 institutions in 3 countries.

Hans-Joachim AndersMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, Ziemssenstrasse 1, 80336 München, Germany.
David R W JayneVasculitis and Lupus Clinic, Addenbrooke's Hospital, Hill's Road, Cambridge CB2 2QQ, UK.
Brad H RovinDivision of Nephrology, Ohio State University Wexner Medical Center, 395 West 12th Avenue, Columbus, Ohio 43210, USA.
Addenbrooke's Hospital · GBLMU Klinikum · DEThe Ohio State University Wexner Medical Center · US

Funding

Discovery & Validation of Biomarkers of Kidney PathologyU01DK096927 · NIDDK · OHIO STATE UNIVERSITY · PI ROVIN, BRAD H · 2013 to 2017
$2.0M
NIDDK NIH HHS U01 DK096927
6 · The paper itself

Abstract

Innovative immunotherapies continue to markedly benefit many disciplines in clinical medicine but disappointingly, these benefits have not translated to the treatment of kidney diseases despite encouraging findings from preclinical models of kidney dysfunction. This lack of progress in nephrology might relate to the unique biology of the kidney. More likely, this lack of progress relates to conceptual hurdles in the application of newer therapies to renal disease. In this Review we discuss seven hurdles that must be addressed in order to appropriately assess and introduce immunologic therapies for immune-mediated kidney disease: the use of appropriate criteria to define disease categories; issues relating to the heterogeneity of kidney diseases and how this heterogeneity affects approaches to treatment; issues related to the rarity of most kidney diseases; the paucity of good animal models of human kidney disease; issues relating to trial design; problems with current approaches to the identification and use of appropriate and feasible study end points; and a lack of adequate biomarkers of intrarenal inflammation and parenchymal injury. We suggest that overcoming these hurdles, in addition to searching for better therapeutic targets, will be necessary to progress the treatment of immune-mediated kidney disease into a new age of drug therapy.

Indexed as

Clinical Trials as TopicDrug DiscoveryAnimalsBiomarkersDisease Models, AnimalGlomerulonephritisHumansImmunologic FactorsKidney DiseasesLupus NephritisRare DiseasesBiomarkersImmunologic Factors

Identifiers

PMID26804020
OpenAlexW2266910600

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.