Evidence map›Paper›PMID 37928476›Full record

ArticleFrontiers in medicine2023

Pharmacokinetics of immunosuppressive agents during hemoperfusion in a sheep model.

Bettina Leber, Uwe Liebchen, Lisa Rohrhofer, Jennifer Weber, Teresa Klaus, Joerg Scheier, Robert Sucher, Philipp Stiegler

Open access · goldAbstract read
In one paragraph

Article in Frontiers in medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 3% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Impact of extracorporeal circuits on systemic drug levels - a scoping review.Journal of anesthesia, analgesia and critical care · 2026
    Review
  5. Antibiotics and Other Drugs Removal by the CytoSorbAntibiotics (Basel, Switzerland) · 2026
    Review
  6. Article
  7. Challenges in the use of the CytoSorbJournal of medical case reports · 2025
    Article
  8. Intraoperative Hemoadsorption in Heart Transplant Surgery: A 5-Year Experience.Journal of cardiovascular development and disease · 2025
    Article
  9. 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

8 authors at 3 institutions in 2 countries.

Bettina LeberGeneral, Visceral and Transplant Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Uwe LiebchenDepartment of Anesthesiology, LMU Hospital, Munich, Germany.
Lisa RohrhoferGeneral, Visceral and Transplant Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Jennifer WeberGeneral, Visceral and Transplant Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Teresa KlausCytoSorbents Europe GmbH, Berlin, Germany.
Joerg ScheierCytoSorbents Europe GmbH, Berlin, Germany.
Robert SucherGeneral, Visceral and Transplant Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Philipp StieglerGeneral, Visceral and Transplant Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Medical University of Graz · ATCytoSorbents (Germany) · DELudwig-Maximilians-Universität München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Hemoadsorption shows promising signals in organ preservation and post lung transplantation. However, its potential impact on the pharmacokinetics of immunosuppressant drugs (ID) is still unknown. Methods: In this interventional study, CytoSorb® hemoperfusion was tested in healthy sheep ( Results: Negligible clearance was observed for PRED and BAS. For all other substances, a saturable adsorption sub-model with linear decrease of the adsorption effect over the adsorbed amount best described the measured concentrations. The maximum absolute adsorbed amounts (95% CI) for TAC, CYA, MMF, EVER, and MP were 0.040 (0.028-0.053), 1.15 (0.39-1.91), 4.17 (2.00-6.35), 0.0163 (0.007-0.026), and 53.4 mg (20.9-85.9), respectively, indicating an adsorption of less than 5% of the daily administered dosages for all investigated substances. Discussion: In this large animal model, CytoSorb® hemoperfusion appears to have a limited effect on the clearance of tested ID.

Indexed as

adsorptionblood purificationCytoSorbhemoadsorptionhemoperfusionimmunosuppressant drugsimmunosuppressants

Identifiers

PMID37928476
PMCPMC10623319
OpenAlexW4387811059

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.