Evidence map›Paper›PMID 37800549›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2024

Renal Response Outcomes of the EuroLupus and National Institutes of Health Cyclophosphamide Dosing Regimens in Childhood-Onset Proliferative Lupus Nephritis.

Christine S Wang, Rebecca E Sadun, Wenru Zhou, Kristen R Miller, Laura Pyle, Stacey P Ardoin, Christine Bacha, Emily Hause, Joyce Hui-Yuen, Nicole Ling and 12 more

Open access · hybridAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Renal disease in pediatric rheumatology.Current opinion in rheumatology · 2024
    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

22 authors at 14 institutions in 2 countries.

Christine S WangUniversity of Michigan C.S. Mott Children's Hospital, Ann Arbor.ORCID https://orcid.org/0000-0002-8706-7157
Rebecca E SadunDuke University School of Medicine, Durham, North Carolina.ORCID https://orcid.org/0000-0001-7768-3565
Wenru ZhouUniversity of Colorado Anschutz Medical Campus, Aurora.
Kristen R MillerUniversity of Colorado Anschutz Medical Campus, Aurora.
Laura PyleUniversity of Colorado Anschutz Medical Campus, Aurora.
Stacey P ArdoinThe Ohio State University, Columbus.
Christine BachaThe Ohio State University, Columbus.
Emily HauseUniversity of Minnesota Masonic Children's Hospital, Minneapolis.
Joyce Hui-YuenCohen Children's Medical Center, New Hyde Park, New York.
Nicole LingUniversity of California, San Francisco.
Maria PereiraTexas Children's Hospital and Baylor College of Medicine, Houston, Texas.
Meredith RiebschlegerUniversity of Michigan C.S. Mott Children's Hospital, Ann Arbor.
Kelly Rouster-StevensChildren's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Georgia.
Aliese SarkissianUniversity of North Carolina at Chapel Hill.
Julia ShalenJohns Hopkins University School of Medicine, Baltimore, Maryland.
William SoulsbyUniversity of California, San Francisco.ORCID https://orcid.org/0000-0003-1873-3520
Marinka TwiltAlberta Children's Hospital, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0003-1954-2822
Eveline Y WuUniversity of North Carolina at Chapel Hill.
Laura B LewandowskiNational Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, Maryland.ORCID https://orcid.org/0000-0002-4253-2545
Scott E WenderferUniversity of British Columbia, Vancouver, British Columbia, Canada.
Jennifer C CooperUniversity of Colorado Anschutz Medical Campus, Aurora.
Childhood Arthritis and Rheumatology Research Alliance (CARRA) Lupus Nephritis Working Group
University of Colorado Anschutz Medical Campus · USMichigan Medicine · USThe Ohio State University · USUniversity of California, San Francisco · USUniversity of North Carolina at Chapel Hill · USBaylor College of Medicine · USCohen Children's Medical Center · USDuke University · USEmory University · USJohns Hopkins University · USNational Institutes of Health · USUniversity of British Columbia · CAUniversity of Calgary · CAUniversity of Minnesota Children's Hospital · US

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Genetics and pathophysiology of systemic lupus erythematosus in global populationsZIAAR041214 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI LEWANDOWSKI, LAURA · 2021 to 2025
$4.5M
Intramural NIH HHS Z99 AR999999Intramural NIH HHS ZIA AR041214NCATS NIH HHS UL1 TR002535NIH HHS UL1-TR-002535
6 · The paper itself

Abstract

objectiveWe compared clinical characteristics and renal response in patients with childhood-onset proliferative lupus nephritis (LN) treated with the EuroLupus versus National Institutes of Health (NIH) cyclophosphamide (CYC) regimen.

methodsA retrospective cohort study was conducted at 11 pediatric centers in North America that reported using both CYC regimens. Data were extracted from the electronic medical record at baseline and 3, 6, and 12 months after treatment initiation with CYC. To evaluate the adjusted association between CYC regimen (EuroLupus vs NIH) and renal response over time, generalized estimating equations with a logit link were used. An interaction between time and CYC regimen was included, and a contrast between CYC regimens at 12 months was used to evaluate the primary outcome.

resultsOne hundred forty-five patients (58 EuroLupus, 87 NIH) were included. EuroLupus patients were on average older at the start of current CYC therapy, had longer disease duration, and more commonly had relapsed or refractory LN compared with the NIH group. After multivariable adjustment, there was no significant association between CYC regimen and achieving complete renal response at 12 months (odds ratio [OR] of response for the EuroLupus regimen, reference NIH regimen: 0.76; 95% confidence interval [CI] 0.29-1.98). There was also no significant association between CYC regimen and achieving at least a partial renal response at 12 months (OR 1.35, 95% CI 0.57-3.19).

conclusionOur study failed to demonstrate a benefit of the NIH regimen over the EuroLupus CYC regimen in childhood-onset proliferative LN. However, future prospective outcome studies are needed.

Indexed as

Lupus NephritisChildCyclophosphamideHumansImmunosuppressive AgentsKidneyRetrospective StudiesUnited StatesCyclophosphamideImmunosuppressive Agents

Identifiers

PMID37800549
PMCPMC12707559
OpenAlexW4387392818

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.