Evidence map›Paper›PMID 38250251›Full record

ArticleClinical kidney journal2024

The spectrum of thrombotic microangiopathy related to monoclonal gammopathy.

Daan P C van Doorn, Myrurgia A Abdul-Hamid, Leon A M Frenken, Pieter van Paassen, Sjoerd A M E G Timmermans, Limburg Renal Registry

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Clinical kidney journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04745195 (Diagnostic and Risk Criteria for Complement Defects in Thrombotic Microangiopathy and Amplifying Conditions, Such as Severe Hypertension), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 23% 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.

NCT04745195 recruitingnot on this map

Diagnostic and Risk Criteria for Complement Defects in Thrombotic Microangiopathy and Amplifying Conditions, Such as Severe Hypertension: The COMPETE Study.

Typeobservational_patient_registrySponsorMaastricht University Medical CenterRan2021 to 2026Enrolled42ConditionsThrombotic Microangiopathies, Hemolytic Uremic Syndrome, Atypical, Hemolytic-Uremic Syndrome
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Monoclonal Gammopathy of Thrombotic Significance.American journal of hematology · 2026
    Review
  2. Review
  3. Complement activation in secondary thrombotic microangiopathies.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Review
  4. Article
  5. 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

6 authors at 2 institutions in 1 country.

Daan P C van DoornDepartment of Nephrology and Clinical Immunology, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID https://orcid.org/0000-0003-0854-2317
Myrurgia A Abdul-HamidDepartment of Pathology, Maastricht University Medical Center, Maastricht, The Netherlands.
Leon A M FrenkenDepartment of Internal Medicine, Zuyderland Medical Center, Heerlen, The Netherlands.
Pieter van PaassenDepartment of Nephrology and Clinical Immunology, Maastricht University Medical Center, Maastricht, The Netherlands.
Sjoerd A M E G TimmermansDepartment of Nephrology and Clinical Immunology, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID https://orcid.org/0000-0001-5925-2753
Limburg Renal Registry
Maastricht University · NLZuyderland Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Recent studies showed a high prevalence of monoclonal gammopathy (MG) in patients with thrombotic microangiopathy (TMA) aged over 50 years and suggested that complement dysregulation is pivotal for the disease to develop. Here, we studied this premise in seven patients with TMA and coexisting MG. Methods: Patients with TMA on kidney biopsy and/or peripheral blood were recruited from the prospective COMPETE cohort (NCT04745195) and Limburg Renal Registry. Patients were screened for complement dysregulation, including genetics/factor H autoantibodies (FHAA) and functional Results: Seven (8%) out of 84 patients with TMA presented with a coexisting MG. MG clustered in patients aged over 50 years ( Conclusions: MG clustered in patients with TMA aged over 50 years. TMA and coexisting MG represents a heterogeneous disease spectrum, including a small subset of patients who may present with complement dysregulation.

Indexed as

clone-directed treatmentcomplement dysregulationeculizumabmonoclonal gammopathy of renal significancethrombotic microangiopathy

Identifiers

PMID38250251
PMCPMC10797488
OpenAlexW4390777306

What OpenQuestion holds

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LicenceCC BY
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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.