Evidence map›Paper›PMID 37268051›Full record

ArticleThe Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation2023

Tocilizumab for antibody-mediated rejection treatment in lung transplantation.

Spenser E January, Keith A Fester, Laura P Halverson, Chad A Witt, Derek E Byers, Rodrigo Vazquez-Guillamet, Jennifer Alexander-Brett, Laneshia K Tague, Daniel Kreisel, Andrew Gelman and 5 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
7.3field-weighted citation impact, top 2% 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

12 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Taming the Immaturity of Neutrophils Driving Injury in Lung Transplantation.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2026
    Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Antibody-Mediated Rejection in Lung Transplantation: Diagnosis and Therapeutic Armamentarium in a 21st Century Perspective.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Review
  10. Review
  11. Review
  12. Review
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

15 authors at 3 institutions in 1 country.

Spenser E JanuaryDepartment of Pharmacy, Barnes-Jewish Hospital , Saint Louis, Missouri. Electronic address: spenser.january@bjc.org.
Keith A FesterDepartment of Pharmacy, Barnes-Jewish Hospital , Saint Louis, Missouri.
Laura P HalversonDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, Saint Louis, Missouri.
Chad A WittDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, Saint Louis, Missouri.
Derek E ByersDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, Saint Louis, Missouri.
Rodrigo Vazquez-GuillametDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, Saint Louis, Missouri.
Jennifer Alexander-BrettDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, Saint Louis, Missouri.
Laneshia K TagueDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, Saint Louis, Missouri.
Daniel KreiselDivision of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Saint Louis, Missouri.
Andrew GelmanDivision of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Saint Louis, Missouri.
Varun PuriDivision of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Saint Louis, Missouri.
Ruben Nava BahenaDivision of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Saint Louis, Missouri.
Tsuyoshi TakahashiDivision of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Saint Louis, Missouri.
Ramsey R HachemDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, Saint Louis, Missouri.
Hrishikesh S KulkarniDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, Saint Louis, Missouri.
Washington University in St. Louis · USBarnes-Jewish Hospital · USJewish Hospital · US

Funding

Targeting Inflammation and Alloimmunity in Lung Transplant Recipients With ClazakizumabU01AI163086 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI Ramsey Hachem, Daniel Kreisel · 2021 to 2026
$15.5M
THE ROLE OF ISCHEMIA REPERFUSION INJURY IN LUNG ALLOGRAFT REJECTIONR01HL094601 · NHLBI · WASHINGTON UNIVERSITY · PI Andrew Eric Gelman, Daniel Kreisel · 2009 to 2026
$6.9M
Optimizing Donor Management in Lung TransplantationR01HL146856 · NHLBI · WASHINGTON UNIVERSITY · PI Ana Baumann Walker, Matthew Galen Hartwig · 2020 to 2026
$2.7M
Comparative Effectiveness of Surgery vs Stereotactic Radiation Therapy for Stage I Lung CancerR01CA258681 · NCI · WASHINGTON UNIVERSITY · PI Benjamin D Kozower, Varun Puri · 2022 to 2026
$2.7M
TREATMENT OF ANTI-HLA ANTIBODIES TO PREVENT BOS AFTER LUNG TRANSPLANTATIONR34HL105412 · NHLBI · WASHINGTON UNIVERSITY · PI HACHEM, RAMSEY, YUSEN, ROGER D · 2010 to 2011
$1.4M
C3 Mitigates Epithelial Injury in PneumoniaK08HL148510 · NHLBI · WASHINGTON UNIVERSITY · PI KULKARNI, HRISHIKESH SATISH · 2019 to 2023
$740k
A Pilot Randomized Controlled Trial of De Novo Belatacept-Based Immunosuppression in Lung TransplantationR34HL138186 · NHLBI · WASHINGTON UNIVERSITY · PI HACHEM, RAMSEY, HUANG, HOWARD J · 2018 to 2020
$726k
Influence of Mycophenolic Acid Pharmacogenomics on Lung Transplant OutcomesK01HL155231 · NHLBI · WASHINGTON UNIVERSITY · PI TAGUE, LANESHIA K · 2021 to 2024
$596k
HSRD VA I01 HX002475NCI NIH HHS R01 CA258681NHLBI NIH HHS K01 HL155231NHLBI NIH HHS K08 HL148510NHLBI NIH HHS R01 HL094601NHLBI NIH HHS R01 HL146856NHLBI NIH HHS R34 HL105412NHLBI NIH HHS R34 HL138186NIAID NIH HHS U01 AI163086
6 · The paper itself

Abstract

Tocilizumab (TCZ), an IL-6 inhibitor, has shown promise in the treatment of donor-specific antibodies (DSA) and chronic antibody-mediated rejection (AMR) in renal transplant recipients. However, its use in lung transplantation has not been described. This retrospective case-control study compared AMR treatments containing TCZ in 9 bilateral lung transplant recipients to 18 patients treated for AMR without TCZ. Treatment with TCZ resulted in more clearance of DSA, lower recurrence of DSA, lower incidence of new DSA, and lower rates of graft failure when compared to those treated for AMR without TCZ. The incidence of infusion reactions, elevation in transaminases, and infections were similar between the 2 groups. These data support a role for TCZ in pulmonary AMR and establish preliminary evidence to design a randomized controlled trial of IL-6 inhibition for the management of AMR.

Indexed as

Kidney TransplantationLung TransplantationAntibodies, Monoclonal, HumanizedCase-Control StudiesGraft RejectionHLA AntigensHumansInterleukin-6IsoantibodiesRetrospective StudiesAntibodies, Monoclonal, HumanizedHLA AntigensInterleukin-6Isoantibodiestocilizumabantibody-mediated rejectiondonor-specific antibodiesinterleukin-6 inhibitionlung transplantationtocilizumab

Identifiers

PMID37268051
PMCPMC10529998
OpenAlexW4379013613

What OpenQuestion holds

Textmetadata
LicenceTDM
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.