Evidence map›Paper›PMID 35683619›Full record

ArticleJournal of clinical medicine2022

Time-Limited Therapy with Belatacept in Kidney Transplant Recipients.

Thibault Letellier, Delphine Kervella, Abderrahmane Sadek, Christophe Masset, Claire Garandeau, Cynthia Fourgeux, Victor Gourain, Jeremie Poschmann, Gilles Blancho, Simon Ville and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 35% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

11 authors at 2 institutions in 1 country.

Thibault LetellierInstitut de Transplantation Urologie Néphrologie (ITUN), Centre Hospitalo-Universitaire Nantes, 44000 Nantes, France.ORCID 0000-0002-2901-0697
Delphine KervellaInstitut de Transplantation Urologie Néphrologie (ITUN), Centre Hospitalo-Universitaire Nantes, 44000 Nantes, France.ORCID 0000-0001-8069-6105
Abderrahmane SadekBiotechnology and Bio Resources Development Laboratory, Faculty of Sciences, Moulay Ismail University, Meknes 50050, Morocco.
Christophe MassetInstitut de Transplantation Urologie Néphrologie (ITUN), Centre Hospitalo-Universitaire Nantes, 44000 Nantes, France.ORCID 0000-0002-7442-2164
Claire GarandeauInstitut de Transplantation Urologie Néphrologie (ITUN), Centre Hospitalo-Universitaire Nantes, 44000 Nantes, France.
Cynthia FourgeuxCR2TI-U1064 The Center for Research in Transplantation and Translational Immunology, Université de Nantes, 44000 Nantes, France.ORCID 0000-0002-3330-7530
Victor GourainCR2TI-U1064 The Center for Research in Transplantation and Translational Immunology, Université de Nantes, 44000 Nantes, France.
Jeremie PoschmannCR2TI-U1064 The Center for Research in Transplantation and Translational Immunology, Université de Nantes, 44000 Nantes, France.ORCID 0000-0002-9613-5297
Gilles BlanchoInstitut de Transplantation Urologie Néphrologie (ITUN), Centre Hospitalo-Universitaire Nantes, 44000 Nantes, France.
Simon VilleInstitut de Transplantation Urologie Néphrologie (ITUN), Centre Hospitalo-Universitaire Nantes, 44000 Nantes, France.
On Behalf Of The Divat Consortium
Inserm · FRCentre Hospitalier Universitaire de Nantes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn kidney transplant recipients, belatacept is usually pursued indefinitely after it has been started. In the setting of the belatacept shortage and after having evaluated the benefit-risk ratio, we established a strategy consisting of time-limited belatacept therapy/transient calcineurin inhibitor withdrawal, whose results are analyzed in that study.

methodsWe considered all the kidney transplant recipients that had been switched from conventional immunosuppressive therapy to belatacept and then for whom belatacept has been withdrawn intentionally. Furthermore, in the first 8 patients, we assessed changes in peripheral blood mononuclear cells (PBMC) transcriptome using RNAseq before and 3 months after belatacept withdrawal.

resultsOver the study period, 28 out of 94 patients had belatacept intentionally withdrawn including 25 (89%) switched to low-dose CNI. One rejection due to poor compliance occurred. The eGFR after 12 months remained stable from 48 ± 19 mL.1.73 m

conclusionsThese findings underpin the use of belatacept as part of a time-limited therapy, in selected kidney transplant recipients, possibly as an approach to allow efficient vaccination against SARS-CoV-2.

Indexed as

belataceptcalcineurin inhibitorkidney transplantationRNAseqtranscriptome

Identifiers

PMID35683619
PMCPMC9181670
OpenAlexW4281678423

What OpenQuestion holds

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LicenceCC BY
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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.