Evidence map›Paper›PMID 37903568›Full record

ArticleRMD open2023

Serum calprotectin and renal function decline in ANCA-associated vasculitides: a post hoc analysis of MAINRITSAN trial.

Xavier Romand, Marie Hélène Paclet, Minh Vu Chuong, Philippe Gaudin, Christian Pagnoux, Loïc Guillevin, Benjamin Terrier, Athan Baillet

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in RMD open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00748644 (MAINtenance of Remission Using RITuximab in Systemic ANCA-associated Vasculitis), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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.

NCT00748644 phase3completednot on this map

MAINtenance of Remission Using RITuximab in Systemic ANCA-associated Vasculitis

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2008 to 2013Enrolled117ConditionsWegener Granulomatosis, Microscopic PolyangiitisArmsRituximab, Azathioprine
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. 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

8 authors at 3 institutions in 2 countries.

Xavier RomandCNRS, UMR 5525, T-RAIG, TIMC, CHU Grenoble Alpes, Universite Grenoble Alpes, Grenoble, France xromand@chu-grenoble.fr.ORCID 0000-0003-2222-1456
Marie Hélène PacletCNRS, UMR 5525, T-RAIG, TIMC, CHU Grenoble Alpes, Universite Grenoble Alpes, Grenoble, France.
Minh Vu ChuongCNRS, UMR 5525, T-RAIG, TIMC, CHU Grenoble Alpes, Universite Grenoble Alpes, Grenoble, France.
Philippe GaudinCNRS, UMR 5525, T-RAIG, TIMC, CHU Grenoble Alpes, Universite Grenoble Alpes, Grenoble, France.
Christian PagnouxVasculitis clinic, Mount Sinai Hospital, Toronto, Ontario, Canada.
Loïc GuillevinUniversité de Paris, Paris, France.
Benjamin Terrier *Université de Paris, Paris, France.ORCID 0000-0001-6612-7336
Athan Baillet *CNRS, UMR 5525, T-RAIG, TIMC, CHU Grenoble Alpes, Universite Grenoble Alpes, Grenoble, France.ORCID 0000-0001-6006-2519
Centre National de la Recherche Scientifique · FRUniversité Paris Cité · FRMount Sinai Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSerum calprotectin appears to be an interesting biomarker associated with renal vascular disease activity in antineutrophil cytoplasm antibody (ANCA)-associated vasculitis (AAV). The aim of this study was to assess whether serum calprotectin levels can predict decline in renal function in AAV patients receiving maintenance therapy.

methodsSerum calprotectin levels were assessed at inclusion and month 6 in AAV patients, in complete remission after induction therapy, randomly assigned to rituximab or azathioprine. Renal function decline was defined as a 25% decrease in estimated glomerular filtration rate (eGFR) and a change in the eGFR category, or a decrease of 15 mL/min/1.73 m

resultsSeventy-six AAV were included. Serum calprotectin increased from baseline to month 6 in patients with renal function decline (7940 (-226.0, 28 691) ng/ml vs -4800 (-18 777, 3708) ng/ml; p<0.001). An increase of calprotectin level was associated with a higher risk of subsequent renal function decline even after adjustment (OR 6.50 (95% CI 1.7 to 24.9) p=0.006). A significantly higher risk of relapse was observed in proteinase 3- AAV patients with an increase of serum calprotectin levels (OR 5.6 (95% CI 1.0 to 31.2), p=0.03).

conclusionAn increase in serum calprotectin by month 6 compared with inclusion during remission-maintenance therapy in AAV was associated with a higher risk of renal function decline in the following 12 months. TRIAL REGISTRATION NUMBER: NCT00748644.

Indexed as

Anti-Neutrophil Cytoplasmic Antibody-Associated VasculitisLeukocyte L1 Antigen ComplexHumansKidneyRecurrenceRituximabLeukocyte L1 Antigen ComplexRituximabautoimmune diseasesgranulomatosis with polyangiitissystemic vasculitis

Identifiers

PMID37903568
PMCPMC10619089
OpenAlexW4388034345

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.