Evidence map›Paper›PMID 30116795›Full record

ArticleKidney international reports2018

Effect of Combined Gluten-Free, Dairy-Free Diet in Children With Steroid-Resistant Nephrotic Syndrome: An Open Pilot Trial.

Juliette Leon, María José Pérez-Sáez, Audrey Uffing, Naoka Murakami, Andreia Watanabe, Pamela Cureton, Victoria Kenyon, Leigh Keating, Karen Yee, Carla Aline Fernandes Satiro and 4 more

Open access · goldAbstract read
In one paragraph

Article in Kidney international reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 28% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Precision Nutrition and Personalized Diet Plan for Kidney Health and Kidney Disease Management.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation · 2020
    Article
  8. 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

14 authors at 4 institutions in 3 countries.

Juliette LeonRenal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
María José Pérez-SáezRenal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Audrey UffingRenal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Naoka MurakamiRenal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Andreia WatanabeDepartment of Pediatrics, Pediatric Nephrology Unit, Instituto da Criança, Hospital das Clinicas, University of São Paulo Medical School, São Paulo, Brazil.
Pamela CuretonCenter for Celiac Research and Treatment, Massachusetts General Hospital for Children, Harvard Medical School, Boston, Massachusetts, USA.
Victoria KenyonCenter for Celiac Research and Treatment, Massachusetts General Hospital for Children, Harvard Medical School, Boston, Massachusetts, USA.
Leigh KeatingCenter for Clinical Investigation, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Karen YeeCenter for Clinical Investigation, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Carla Aline Fernandes SatiroDivision of Nutrition, Instituto da Criança, Hospital das Clínicas, University of Sao Paulo Medical School, São Paulo, Brazil.
Bryant YuRenal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Joseph V BonventreRenal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Alessio FasanoCenter for Celiac Research and Treatment, Massachusetts General Hospital for Children, Harvard Medical School, Boston, Massachusetts, USA.
Leonardo V RiellaRenal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Harvard University · USBrigham and Women's Hospital · USHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRMassachusetts General Hospital · US

Funding

TRAINING PROGRAM IN ACADEMIC NEPHROLOGYT32DK007527 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI BONVENTRE, JOSEPH VINCENT · 1986 to 2021
$8.8M
KIDNEY INJURY MOLECULE-1 IN EPITHELIAL REPAIRR01DK072381 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI BONVENTRE, JOSEPH VINCENT · 2005 to 2025
$8.6M
NIDDK NIH HHS R01 DK072381NIDDK NIH HHS T32 DK007527
6 · The paper itself

Abstract

introductionSteroid-resistant nephrotic syndrome (SRNS) affects both children and adults and has a high rate of progression to end-stage renal disease. Although a subset of patients have well-characterized genetic mutation(s), in the majority of cases, the etiology is unknown. Over the past 50 years, a number of case reports have suggested the potential impact of dietary changes in controlling primary nephrotic syndrome, especially gluten and dairy restrictions.

methodsWe have designed a prospective, open-label, nonrandomized, pilot clinical trial, to study the effect of a gluten-free and dairy-free (GF/DF) diet in children with SRNS. The study will be organized as a 4-week summer camp to implement a GF/DF diet in a tightly controlled and monitored setting. Blood, urine, and stool samples will be collected at different time points during the study.

resultsThe primary end point is a reduction of more than 50% in the urine protein:creatinine ratio. The secondary end points include changes in urine protein, kidney function, and serum albumin, as well as effects in immune activation, kidney injury biomarkers, and gut microbiome composition and function (metagenomic/metatranscriptomic).

conclusionThis study will advance the field by testing the effect of dietary changes in patients with SRNS in a highly controlled camp environment. In addition, we hope the results will help to identify a responder profile that may guide the design of a larger trial for further investigation.

Indexed as

dairy-freedietgluten-freepediatric summer campproteinuriasteroid-resistant nephrotic syndrome

Identifiers

PMID30116795
PMCPMC6093178
OpenAlexW2792856196

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.