Evidence map›Paper›PMID 29771270›Full record

Trial reportJornal brasileiro de nefrologia

Effect of conversion from calcineurin inhibitors to everolimus on hepatitis C viremia in adult kidney transplant recipients.

Larissa Sgaria Pacheco, Valter Duro Garcia, Ronivan Luis Dal Prá, Bruna Doleys Cardoso, Mariana Ferras Rodrigues, Helen Kris Zanetti, Gisele Meinerz, Jorge Neumann, Diego Gnatta, Elizete Keitel

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Jornal brasileiro de nefrologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

10 authors.

Larissa Sgaria PachecoSanta Casa de Misericórdia de Porto Alegre, Departamento de Nefrologia e Transplante de Rim, Porto Alegre, RS, Brasil.
Valter Duro GarciaSanta Casa de Misericórdia de Porto Alegre, Departamento de Nefrologia e Transplante de Rim, Porto Alegre, RS, Brasil.
Ronivan Luis Dal PráSanta Casa de Misericórdia de Porto Alegre, Departamento de Nefrologia e Transplante de Rim, Porto Alegre, RS, Brasil.
Bruna Doleys CardosoSanta Casa de Misericórdia de Porto Alegre, Departamento de Nefrologia e Transplante de Rim, Porto Alegre, RS, Brasil.
Mariana Ferras RodriguesSanta Casa de Misericórdia de Porto Alegre, Departamento de Nefrologia e Transplante de Rim, Porto Alegre, RS, Brasil.
Helen Kris ZanettiSanta Casa de Misericórdia de Porto Alegre, Departamento de Nefrologia e Transplante de Rim, Porto Alegre, RS, Brasil.
Gisele MeinerzSanta Casa de Misericórdia de Porto Alegre, Departamento de Nefrologia e Transplante de Rim, Porto Alegre, RS, Brasil.
Jorge NeumannSanta Casa de Misericórdia de Porto Alegre, Departamento de Nefrologia e Transplante de Rim, Porto Alegre, RS, Brasil.
Diego GnattaSanta Casa de Misericórdia de Porto Alegre, Departamento de Nefrologia e Transplante de Rim, Porto Alegre, RS, Brasil.
Elizete KeitelSanta Casa de Misericórdia de Porto Alegre, Departamento de Nefrologia e Transplante de Rim, Porto Alegre, RS, Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCurrently, there is no specific immunosuppressive protocol for hepatitis C (HCV)-positive renal transplants recipients. Thus, the aim of this study was to evaluate the conversion effect to everolimus (EVR) on HCV in adult kidney recipients.

methodThis is an exploratory single-center, prospective, randomized, open label controlled trial with renal allograft recipients with HCV-positive serology. Participants were randomized for conversion to EVR or maintenance of calcineurin inhibitors.

resultsThirty patients were randomized and 28 were followed-up for 12 months (conversion group, Group 1 =15 and control group, Group 2 =13). RT-PCR HCV levels reported in log values were comparable in both groups and among patients in the same group. The statistical analysis showed no interaction effect between time and group (p value G*M= 0.852), overtime intra-groups (p-value M=0.889) and between group (p-value G=0.286). Group 1 showed a higher incidence of dyslipidemia (p=0.03) and proteinuria events (p=0.01), while no difference was observed in the incidence of anemia (p=0.17), new onset of post-transplant diabetes mellitus (p=1.00) or urinary tract infection (p=0.60). The mean eGFR was similar in both groups.

conclusionOur study did not show viral load decrease after conversion to EVR with maintenance of antiproliferative therapy.

Indexed as

Kidney TransplantationAdultCalcineurin InhibitorsEverolimusFemaleHepatitis C, ChronicHumansImmunosuppressive AgentsMalePostoperative ComplicationsProspective StudiesViremiaCalcineurin InhibitorsEverolimusImmunosuppressive Agents

Identifiers

PMID29771270
PMCPMC6533980

What OpenQuestion holds

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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.