Evidence map›Paper›PMID 33853432›Full record

ReviewThe Journal of international medical research2021

Successful application of roxadustat in the treatment of patients with anti-erythropoietin antibody-mediated renal anaemia: a case report and literature review.

Ke-Dan Cai, Bei-Xia Zhu, Hai-Xue Lin, Qun Luo

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in The Journal of international medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. 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.

Ke-Dan CaiDepartment of Nephrology, HwaMei Hospital, University of Chinese Academy of Sciences, Ningbo, Zhejiang Province, China.ORCID https://orcid.org/0000-0003-3169-5143
Bei-Xia ZhuDepartment of Nephrology, HwaMei Hospital, University of Chinese Academy of Sciences, Ningbo, Zhejiang Province, China.
Hai-Xue LinDepartment of Nephrology, HwaMei Hospital, University of Chinese Academy of Sciences, Ningbo, Zhejiang Province, China.
Qun LuoDepartment of Nephrology, HwaMei Hospital, University of Chinese Academy of Sciences, Ningbo, Zhejiang Province, China.ORCID https://orcid.org/0000-0001-7498-5883
University of Chinese Academy of Sciences · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recombinant human erythropoietin (rHuEPO) has been used worldwide for treatment of renal anaemia due to its good curative effect. However, rHuEPO treatment is associated with a rare but severe complication because of the development of anti-EPO antibodies, which are difficult to treat. Currently, the main treatments for the anti-EPO antibodies include withdrawing the rHuEPO, providing blood transfusions and administrating steroid-based immunosuppressive agents. Although the above methods can alleviate anti-EPO-related anaemia, there are obvious side-effects such as decreased immunity and an increased risk of infection. Therefore, accurately identifying anti-EPO-related anaemia and effectively treating this complication is worth exploring. This current case report describes a 49-year-old female patient with chronic kidney disease that received rHuEPO subcutaneously and then developed anti-EPO antibody-mediated renal anaemia with her haemoglobin levels dropping to 37 g/l. The patient refused to be treated with steroids, so she received 120 mg roxadustat administered orally every 72 h and her Hb level increased to 110 g/l over a few months. This current case report demonstrates that roxadustat can be used to successfully treat anti-EPO antibody-mediated renal anaemia without the use of steroid-based immunosuppressants.

Indexed as

AnemiaErythropoietinFemaleGlycineHumansIsoquinolinesMiddle AgedRecombinant ProteinsErythropoietinGlycineIsoquinolinesRecombinant ProteinsroxadustatAnti-erythropoietin antibodieshaemoglobinhypoxia-inducible factor prolyl hydroxylase inhibitorroxadustat

Identifiers

PMID33853432
PMCPMC8054214
OpenAlexW3154862417

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.