Evidence map›Paper›PMID 30348935›Full record

ArticleAnnals of transplantation2018

Everolimus Use for Intolerance or Failure of Baseline Immunosuppression in Adult Heart and Lung Transplantation.

Shelby E Kelsh, Reda Girgis, Michael Dickinson, Jennifer K McDermott

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Annals of transplantation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07234760 (ex Vivo Study of Liposomes Loaded With Everolimus in Chronic Lung Allograft Disfunction), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 39% 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.

NCT07234760 completednot on this mapstarted 2022, after this paper: background citation

ex Vivo Study of Liposomes Loaded With Everolimus in Chronic Lung Allograft Disfunction

TypeobservationalSponsorFondazione IRCCS Policlinico San Matteo di PaviaRan2022 to 2025Enrolled19ConditionsBronchiolitis Obliterans Syndrome (BOS)ArmsLiposomes
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

4 authors at 1 institution in 1 country.

Shelby E KelshRichard DeVos Heart and Lung Transplant Program, Spectrum Health, Grand Rapids, MI, USA.
Reda GirgisRichard DeVos Heart and Lung Transplant Program, Spectrum Health, Grand Rapids, MI, USA.
Michael DickinsonRichard DeVos Heart and Lung Transplant Program, Spectrum Health, Grand Rapids, MI, USA.
Jennifer K McDermottRichard DeVos Heart and Lung Transplant Program, Spectrum Health, Grand Rapids, MI, USA.
Spectrum Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND Everolimus can be utilized after heart or lung transplantation to reduce calcineurin inhibitor associated nephrotoxicity, due to cell cycle inhibitor adverse effects, and as adjunct therapy for rejection, cardiac allograft vasculopathy, and bronchiolitis obliterans syndrome. MATERIAL AND METHODS A single-center, retrospective cohort study was conducted including 51 adult heart transplant patients (n=32) and lung transplant patients (n=19) started on everolimus due to immunosuppressive therapy intolerance or failure, between 2010 and 2017. Everolimus indication, response, efficacy, and tolerability were assessed. RESULTS Everolimus was most commonly initiated due to leukopenia/neutropenia (n=17, 33%) or renal dysfunction (n=13, 25%). Leukopenia/neutropenia resolved in 76% of patients (13 out of 17 patients). Renal function (GFR) increased 7.4 mL/min from baseline to 3 months after everolimus initiation (P=0.011). The most common adverse effects were edema (n=23, 45%) and hyperlipidemia (n=25, 49%). A high discontinuation rate was observed (n=21, 41%), mostly from edema. CONCLUSIONS Everolimus might be beneficial in heart and lung transplant patients with leukopenia or neutropenia and lead to modest, short-term renal function improvement. Patient selection is crucial because adverse effects frequently lead to everolimus discontinuation.

Indexed as

AdultEverolimusFemaleGraft RejectionHeart TransplantationHumansImmunosuppression TherapyImmunosuppressive AgentsLung TransplantationMaleMiddle AgedRetrospective StudiesTreatment OutcomeEverolimusImmunosuppressive Agents

Identifiers

PMID30348935
PMCPMC6248067
OpenAlexW2896635764

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.