Evidence map›Paper›PMID 34236770›Full record

Trial reportAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2021

Outcomes at 3 years posttransplant in imlifidase-desensitized kidney transplant patients.

Christian Kjellman, Angela Q Maldonado, Kristoffer Sjöholm, Bonnie E Lonze, Robert A Montgomery, Anna Runström, Tomas Lorant, Niraj M Desai, Christophe Legendre, Torbjörn Lundgren and 4 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
11.8field-weighted citation impact, top 1% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.

  1. Guideline
  2. Five Years Follow-up of Imlifidase Desensitized Kidney Transplant Recipients.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Trial
  3. Trial
  4. Outcomes at 3 years posttransplant in imlifidase-desensitized kidney transplant patients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Trial
  5. Polypharmacology of S-1117, an Fc-fused IgG-selective degrading enzyme, for chronic treatment of autoantibody-mediated diseases.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 7 institutions in 3 countries.

Christian KjellmanHansa Biopharma AB, Lund, Sweden.
Angela Q MaldonadoHansa Biopharma AB, Lund, Sweden.ORCID 0000-0002-9633-1247
Kristoffer SjöholmHansa Biopharma AB, Lund, Sweden.
Bonnie E LonzeNYU Langone Transplant Institute, New York, New York, USA.ORCID 0000-0002-0973-1657
Robert A MontgomeryNYU Langone Transplant Institute, New York, New York, USA.
Anna RunströmHansa Biopharma AB, Lund, Sweden.
Tomas LorantDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Niraj M DesaiJohns Hopkins University, Baltimore, Maryland, USA.
Christophe LegendreHôpital Necker & Paris Descartes University, Paris, France.
Torbjörn LundgrenDepartment of Transplantation Surgery, Karolinska Institutet, Stockholm, Sweden.
Bengt von Zur MühlenDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Ashley A VoCedars-Sinai Medical Center, Comprehensive Transplant Center, Los Angeles, California, USA.ORCID 0000-0003-4492-5331
Håkan OlssonHansa Biopharma AB, Lund, Sweden.
Stanley C JordanCedars-Sinai Medical Center, Comprehensive Transplant Center, Los Angeles, California, USA.ORCID 0000-0002-0456-8635
Hansa Biopharma (Sweden) · SECedars-Sinai Medical Center · USMiami Transplant Institute · USUppsala University · SEHôpital Necker-Enfants Malades · FRJohns Hopkins University · USKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Imlifidase is a cysteine proteinase which specifically cleaves IgG, inhibiting Fc-mediated effector function within hours of administration. Imlifidase converts a positive crossmatch to a potential donor (T cell, B cell, or both), to negative, enabling transplantation to occur between previously HLA incompatible donor-recipient pairs. To date, 39 crossmatch positive patients received imlifidase prior to a kidney transplant in four single-arm, open-label, phase 2 studies. At 3 years, for patients who were AMR+ compared to AMR-, death-censored allograft survival was 93% vs 77%, patient survival was 85% vs 94%, and mean eGFR was 49 ml/min/1.73 m

Indexed as

Kidney TransplantationDesensitization, ImmunologicGraft RejectionGraft SurvivalHistocompatibility TestingHLA AntigensHumansHLA Antigensalloantibodyclinical research/practicecrossmatchdesensitizationimmunosuppressant - otherimmunosuppression/immune modulationkidney transplantation/nephrologysensitization

Identifiers

PMID34236770
PMCPMC9290474
OpenAlexW3181068542

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.