Evidence map›Paper›PMID 29561066›Full record

Trial reportAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2018

Safety, immunogenicity, pharmacokinetics, and efficacy of degradation of anti-HLA antibodies by IdeS (imlifidase) in chronic kidney disease patients.

Tomas Lorant, Mats Bengtsson, Torsten Eich, Britt-Marie Eriksson, Lena Winstedt, Sofia Järnum, Yvonne Stenberg, Anna-Karin Robertson, Kristina Mosén, Lars Björck and 5 more

Open access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

48 citing papers in PubMed, 102 citations in OpenAlex.

  1. Trial
  2. Five Years Follow-up of Imlifidase Desensitized Kidney Transplant Recipients.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Trial
  3. Endopeptidase Cleavage of Anti-Glomerular Basement Membrane AntibodiesJournal of the American Society of Nephrology : JASN · 2022
    Trial
  4. Outcomes at 3 years posttransplant in imlifidase-desensitized kidney transplant patients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Trial
  5. Trial
  6. Safety, immunogenicity, pharmacokinetics, and efficacy of degradation of anti-HLA antibodies by IdeS (imlifidase) in chronic kidney disease patients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2018
    Trial
  7. Article
  8. Acute Management of Guillain-Barré Syndrome: A Narrative Review.Archives of internal medicine research · 2026
    Article
  9. Biologics in Kidney Transplantation: Why and How Should We Personalize Their Dosage?BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Targeting the Neonatal Fc Receptor in Autoimmune Diseases: Pipeline and Progress.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Imlifidase in kidney transplantation.Clinical kidney journal · 2024
    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

15 authors at 4 institutions in 2 countries.

Tomas LorantDepartment of Surgical Sciences, Section of Transplantation Surgery, Uppsala University, Uppsala, Sweden.
Mats BengtssonDepartment of Immunology, Genetics and Pathology, Section of Clinical Immunology, Uppsala University, Uppsala, Sweden.
Torsten EichDepartment of Immunology, Genetics and Pathology, Section of Clinical Immunology, Uppsala University, Uppsala, Sweden.ORCID 0000-0001-7557-7531
Britt-Marie ErikssonDepartment of Medical Sciences, Section of Infectious Diseases, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-4237-7255
Lena WinstedtHansa Medical AB, Lund, Sweden.
Sofia JärnumHansa Medical AB, Lund, Sweden.
Yvonne StenbergHansa Medical AB, Lund, Sweden.
Anna-Karin RobertsonHansa Medical AB, Lund, Sweden.ORCID 0000-0003-2955-9898
Kristina MosénHansa Medical AB, Lund, Sweden.
Lars BjörckDepartment of Clinical Sciences, Division of Infection Medicine, Lund University, Lund, Sweden.ORCID 0000-0003-1686-3161
Lars BäckmanDepartment of Surgical Sciences, Section of Transplantation Surgery, Uppsala University, Uppsala, Sweden.
Erik LarssonDepartment of Immunology, Genetics and Pathology, Section of Molecular and Morphological Pathology, Uppsala University, Uppsala, Sweden.
Kathryn WoodNuffield Department of Surgical Sciences, Oxford University, Oxford, UK.
Gunnar TufvesonDepartment of Surgical Sciences, Section of Transplantation Surgery, Uppsala University, Uppsala, Sweden.
Christian KjellmanHansa Medical AB, Lund, Sweden.
Uppsala University · SEHansa Biopharma (Sweden) · SELund University · SENuffield Orthopaedic Centre · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Safety, immunogenicity, pharmacokinetics, and efficacy of the IgG-degrading enzyme of Streptococcus pyogenes (IdeS [imlifidase]) were assessed in a single-center, open-label ascending-dose study in highly sensitized patients with chronic kidney disease. Eight patients with cytotoxic PRAs (median cytotoxic PRAs of 64%) at enrollment received 1 or 2 intravenous infusions of IdeS on consecutive days (0.12 mg/kg body weight ×2 [n = 3]; 0.25 mg/kg ×1 [n = 3], or 0.25 mg/kg ×2 [n = 2]). IgG degradation was observed in all subjects after IdeS treatment, with <1% plasma IgG remaining within 48 hours and remaining low up to 7 days. Mean fluorescence intensity values of HLA class I and II reactivity were substantially reduced in all patients, and C1q binding to anti-HLA was abolished. IdeS also cleaved the IgG-type B cell receptor on CD19

Indexed as

AdultAgedBacterial ProteinsComplement C1qDesensitization, ImmunologicFemaleFollow-Up StudiesGraft RejectionGraft SurvivalHistocompatibilityHLA AntigensHumansImmunoglobulin GInfusions, IntravenousIsoantibodiesKidney TransplantationBacterial ProteinsComplement C1qHLA AntigensImmunoglobulin GIsoantibodiesclinical research/practiceclinical trialcrossmatchdesensitizationhistocompatibilitykidney transplantation: living donorkidney transplantation/nephrologypharmacokinetics/pharmacodynamics

Identifiers

PMID29561066
PMCPMC6221156
OpenAlexW2789946756

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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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.