Evidence map›Paper›PMID 37566114›Full record

ArticlePediatric nephrology (Berlin, Germany)2024

Real-world evidence on the dosing and safety of C.E.R.A. in pediatric dialysis patients: findings from the International Pediatric Dialysis Network registries.

Laura Kohlhas, Milena Studer, Loes Rutten-Jacobs, Sylvie Meyer Reigner, Anja Sander, Hui-Kim Yap, Karel Vondrak, Paula A Coccia, Francisco Cano, Claus Peter Schmitt and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

13 authors at 7 institutions in 7 countries.

Laura KohlhasInstitute of Medical Biometry, University of Heidelberg, Heidelberg, Germany.
Milena StuderF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Loes Rutten-JacobsF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Sylvie Meyer ReignerF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Anja SanderInstitute of Medical Biometry, University of Heidelberg, Heidelberg, Germany.
Hui-Kim YapDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Republic of Singapore.
Karel VondrakDepartment of Pediatrics and Transplantation Center, University Hospital Motol, 2nd Medical Faculty Prague, Charles University Prague, Prague, Czech Republic.
Paula A CocciaDivision of Pediatric Nephrology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Francisco CanoDivision of Pediatric Nephrology, Hospital Dr. Luis Calvo Mackenna, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Claus Peter SchmittDivision of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg, Germany.
Bradley A WaradyDivision of Pediatric Nephrology, Children's Mercy Kansas City, Kansas City, MO, USA.
Franz SchaeferDivision of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg, Germany. Franz.Schaefer@med.uni-heidelberg.de.ORCID 0000-0001-7564-9937
IPDN collaborators
Heidelberg University · DENational University of Singapore · SGCharles University · CZChildren's Mercy Hospital · USRoche (Switzerland) · CHHospital Italiano de Buenos Aires · ARHospital Luis Calvo Mackenna · CL

Funding

F. Hoffmann-La Roche LtdProjekt DEAL
6 · The paper itself

Abstract

backgroundThis retrospective real-world study used data from two registries, International Pediatric Peritoneal Dialysis Network (IPPN) and International Pediatric Hemodialysis Network (IPHN), to characterize the efficacy and safety of continuous erythropoietin receptor activator (C.E.R.A.) in pediatric patients with chronic kidney disease (CKD) on peritoneal dialysis (PD) or hemodialysis (HD).

methodsIPPN and IPHN collect prospective data (baseline and every 6 months) from pediatric PD and HD centers worldwide. Demographics, clinical characteristics, dialysis information, treatment, laboratory parameters, number and causes of hospitalization events, and deaths were extracted for patients on C.E.R.A. treatment (IPPN: 2007-2021; IPHN: 2013-2021).

resultsWe analyzed 177 patients on PD (median age 10.6 years) and 52 patients on HD (median age 14.1 years) who had ≥ 1 observation while being treated with C.E.R.A. The median (interquartile range [IQR]) observation time under C.E.R.A. exposure was 6 (0-12.5) and 12 (0-18) months, respectively. Hemoglobin concentrations were stable over time; respective means (standard deviation) at last observation were 10.9 (1.7) g/dL and 10.4 (1.7) g/dL. Respective median (IQR) monthly C.E.R.A. doses at last observation were 3.5 (2.3-5.1) µg/kg, or 95 (62-145) µg/m

conclusionsC.E.R.A. was associated with efficient maintenance of hemoglobin concentrations in pediatric patients with CKD on dialysis, and appeared to have a favorable safety profile. The current analysis revealed no safety signals.

Indexed as

ErythropoietinKidney Failure, ChronicRenal Insufficiency, ChronicAdolescentChildHemoglobinsHumansProspective StudiesRegistriesRenal DialysisRetrospective StudiesTreatment OutcomeErythropoietinHemoglobinsChronic kidney diseaseContinuous erythropoietin receptor activatorHemodialysisPeritoneal dialysisReal-world study

Identifiers

PMID37566114
PMCPMC10817843
OpenAlexW4385751629

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.