Evidence map›Paper›PMID 30538815›Full record

ArticleLupus science & medicine2018

Tacrolimus in non-Asian patients with SLE: a real-life experience from three European centres.

Chiara Tani, Elena Elefante, Miguel Martin-Cascón, Meriem Belhocine, Cristina Lavilla Olleros, Roberta Vagelli, Chiara Stagnaro, Nathalie Costedoat-Chalumeau, Guillermo Ruiz-Irastorza, Marta Mosca

Open access · goldAbstract read
In one paragraph

Article in Lupus science & medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Frontiers in immunology · 2023
    Review
  3. Mesangial cell: A hub in lupus nephritis.Frontiers in immunology · 2022
    Review
  4. COVID-19 in patients with systemic lupus erythematosus: lessons learned from the inflammatory disease.Translational research : the journal of laboratory and clinical medicine · 2021
    Review
  5. Review
  6. Tacrolimus reduces atherosclerotic plaque formation in ApoEExperimental and therapeutic medicine · 2020
    Article
  7. 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

10 authors at 1 institution in 3 countries.

Chiara TaniDepartment of Clinical and Experimental Medicine, Rheumatology Unit, University of Pisa, Pisa, Italy.
Elena ElefanteDepartment of Clinical and Experimental Medicine, Rheumatology Unit, University of Pisa, Pisa, Italy.
Miguel Martin-CascónDepartment of Clinical and Experimental Medicine, Rheumatology Unit, University of Pisa, Pisa, Italy.
Meriem BelhocineDepartment of Clinical and Experimental Medicine, Rheumatology Unit, University of Pisa, Pisa, Italy.
Cristina Lavilla OllerosDepartment of Clinical and Experimental Medicine, Rheumatology Unit, University of Pisa, Pisa, Italy.
Roberta VagelliDepartment of Clinical and Experimental Medicine, Rheumatology Unit, University of Pisa, Pisa, Italy.
Chiara StagnaroDepartment of Clinical and Experimental Medicine, Rheumatology Unit, University of Pisa, Pisa, Italy.
Nathalie Costedoat-ChalumeauDepartment of Clinical and Experimental Medicine, Rheumatology Unit, University of Pisa, Pisa, Italy.
Guillermo Ruiz-IrastorzaDepartment of Clinical and Experimental Medicine, Rheumatology Unit, University of Pisa, Pisa, Italy.ORCID 0000-0001-7788-1043
Marta MoscaDepartment of Clinical and Experimental Medicine, Rheumatology Unit, University of Pisa, Pisa, Italy.
University of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo analyse the real-life practice on the use of Tacrolimus (TAC) in patients with systemic lupus erythematosus (SLE) from three European SLE referral centres.

methodsAdult patients with SLE regularly followed at three European referral centres were included. Demographics, cumulative organ involvement, treatment history, Systemic Lupus Disease Activity Index (SLEDAI), laboratory features and physician's judgement were collected at baseline and at 3-6-12 months after starting TAC.

results29 patients were included (89% female, mean age 38±9 years). Ethnicity was predominantly Caucasian (82%), Black African (11%), Hispanic (3.5%) and Caribbean (3.5%). The main indications for TAC prescription were renal involvement (82.7%), arthritis (10.3%), cutaneous manifestations (6.8%), haematological manifestations (6.8%), serositis (3.4%). At 3 months, there was a clinical improvement in 21 patients (72.4%) and 9 of these experienced a complete resolution of symptoms (31%). This corresponds to: (1) a significant decrease in the mean SLEDAI; (2) a significant decrease in the mean 24  hours proteinuria; a significant increase in C3 and stable creatinine values. At 6 months (n=25), the physician declared an improvement in 19 patients (76%) and a complete resolution of symptoms in 9 (36%). The same trend was observed at 12 months of follow-up. TAC was discontinued in nine pts (31%); reasons for discontinuation were inefficacy (13.8%), drug intolerance (10%) and disease remission (6.9%).

conclusionsDespite the limitation due to the small number of patients and the uncontrolled nature of the study, these data show that TAC can be considered a valid therapeutic option in patients with SLE, especially for renal involvement.

Indexed as

lupus nephritissystemic Lupus erythematosustacrolimus

Identifiers

PMID30538815
PMCPMC6257376
OpenAlexW2898752056

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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.