Evidence map›Paper›PMID 33126667›Full record

ArticleJournal of clinical medicine2020

Opportunistic Infections and Efficacy Following Conversion to Belatacept-Based Therapy after Kidney Transplantation: A French Multicenter Cohort.

Dominique Bertrand, Florian Terrec, Isabelle Etienne, Nathalie Chavarot, Rebecca Sberro, Philippe Gatault, Cyril Garrouste, Nicolas Bouvier, Anne Grall-Jezequel, Maïté Jaureguy and 12 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05316038 (Study of the Impact of Belatacept Conversion on Metabolic and Infectious Complications in Kidney Transplant Recipients at Grenoble-Alpes University Hospital), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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.

NCT05316038 unknown statusnot on this mapstarted 2022, after this paper: background citation

Study of the Impact of Belatacept Conversion on Metabolic and Infectious Complications in Kidney Transplant Recipients at Grenoble-Alpes University Hospital

TypeobservationalSponsorUniversity Hospital, GrenobleRan2022 to 2024Enrolled100ConditionsKidney Transplant Infection, Cardiovascular Diseases, Immunosuppression, Kidney TransplantArmsOral glucose tolerance test
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. De novo belatacept-based immunosuppression is not associated with increased risk of invasive fungal infection in kidney transplant recipients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  3. Interactions Between Immunosuppressive Regimens and Cytomegalovirus Infection After Solid-Organ Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Review
  4. Review
  5. Abatacept as maintenance therapy in kidney transplantation: a retrospective comparative study.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Belatacept in Kidney Transplantation: Reflecting on the Past, Shaping the Future.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Review
  10. Article
  11. Biopsy-Proven T-Cell Mediated Rejection After Belatacept Rescue Conversion: A Multicenter Retrospective Study.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
  12. Article
  13. Article
  14. Review
  15. Three-Year Outcomes in Kidney Transplant Recipients Switched From Calcineurin Inhibitor-Based Regimens to Belatacept as a Rescue Therapy.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Article
  16. Review
  17. Article
  18. Epidemiology of Infections in Lung Transplant Recipients Treated With Belatacept.Transplant infectious disease : an official journal of the Transplantation Society
    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

22 authors at 14 institutions in 1 country.

Dominique BertrandDepartment of Nephrology and Transplantation, Rouen University Hospital, 76000 Rouen, France.
Florian TerrecNephrology, Hemodialysis, Apheresis and Kidney Transplantation Department, University Hospital Grenoble, 38000 Grenoble, France.
Isabelle EtienneDepartment of Nephrology and Transplantation, Rouen University Hospital, 76000 Rouen, France.
Nathalie ChavarotDepartment of Adult Kidney Transplantation, Necker-Enfants Malades University Hospital, 75000 Paris, France.
Rebecca SberroDepartment of Adult Kidney Transplantation, Necker-Enfants Malades University Hospital, 75000 Paris, France.
Philippe GataultDepartment of Nephrology, Tours University Hospital, 37000 Tours, France.ORCID 0000-0003-1664-2879
Cyril GarrousteDepartment of Nephrology, Clermont Ferrand University Hospital, 63000 Clermont Ferrand, France.
Nicolas BouvierDepartment of Nephrology, Caen University Hospital, 14000 Caen, France.
Anne Grall-JezequelDepartment of Nephrology, Brest University Hospital, 28200 Brest, France.
Maïté JaureguyDepartment of Nephrology, Amiens University Hospital, 80000 Amiens, France.
Sophie CaillardDepartment of Nephrology, Strasbourg University Hospital, 67000 Strasbourg, France.
Eric ThervetDepartment of Nephrology, European Georges Pompidou University Hospital, 75000 Paris, France.
Charlotte ColosioDepartment of Nephrology, Reims University Hospital, 51100 Reims, France.
Leonard GolbinDepartment of Nephrology, Rennes University Hospital, 35000 Rennes, France.
Jean-Philippe RerolleDepartment of Nephrology, Limoges University Hospital, 87000 Limoges, France.
Antoine ThierryDepartment of Nephrology, Poitiers University Hospital, 86000 Poitiers, France.
Johnny SayeghDepartment of Nephrology, Angers University Hospital, 49000 Angers, France.
Bénédicte JanbonNephrology, Hemodialysis, Apheresis and Kidney Transplantation Department, University Hospital Grenoble, 38000 Grenoble, France.
Paolo MalvezziNephrology, Hemodialysis, Apheresis and Kidney Transplantation Department, University Hospital Grenoble, 38000 Grenoble, France.
Thomas JouveNephrology, Hemodialysis, Apheresis and Kidney Transplantation Department, University Hospital Grenoble, 38000 Grenoble, France.ORCID 0000-0001-9016-7506
Lionel RostaingNephrology, Hemodialysis, Apheresis and Kidney Transplantation Department, University Hospital Grenoble, 38000 Grenoble, France.ORCID 0000-0002-5130-7286
Johan NobleNephrology, Hemodialysis, Apheresis and Kidney Transplantation Department, University Hospital Grenoble, 38000 Grenoble, France.ORCID 0000-0002-2329-0392
Centre Hospitalier Universitaire de Grenoble · FRInstitut Necker Enfants Malades · FRUniversité de Rouen Normandie · FRCentre Hospitalier Régional Universitaire de Brest · FRCentre Hospitalier Universitaire Amiens-Picardie · FRCentre Hospitalier Universitaire d'Angers · FRCentre Hospitalier Universitaire de Reims · FRCentre Hospitalier Universitaire de Rennes · FRHôpital Européen Georges-Pompidou · FRHôpital Universitaire Dupuytren · FRUniversité de Caen Normandie · FRUniversité de Poitiers · FRUniversité de Strasbourg · FRUniversité de Tours · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Conversion from calcineurin-inhibitors (CNIs) to belatacept can help kidney-transplant (KT) recipients avoid CNI-related nephrotoxicity. The risk of associated opportunistic infections (OPIs) is ill-defined. We conducted a multicentric cohort study across 15 French KT-centers in a real-life setting. Between 07-2010 and 07-2019, 453 KT recipients were converted from CNI- to belatacept-based therapy at 19 [0.13-431] months post-transplantation. Most patients, i.e., 332 (79.3%), were converted after 6-months post-transplantation. Follow-up time after conversion was 20.1 +/- 13 months. OPIs developed in 42(9.3%) patients after 14 +/- 12 months post-conversion. Eight patients (19%) had two OPI episodes during follow-up. Incidences of CMV DNAemia and CMV disease were significantly higher in patients converted before 6-months post-KT compared to those converted later (i.e., 31.6% vs. 11.5%;

Indexed as

belataceptCMV infectionkidney transplantationopportunistic infectionspneumocystis pneumoniatacrolimus

Identifiers

PMID33126667
PMCPMC7693007
OpenAlexW3097472941

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.