Evidence map›Paper›PMID 38541968›Full record

ReviewJournal of clinical medicine2024

Renal AL Amyloidosis: Updates on Diagnosis, Staging, and Management.

Areez Shafqat, Hassan Elmaleh, Ali Mushtaq, Zaina Firdous, Omer Ashruf, Debduti Mukhopadhyay, Maheen Ahmad, Mahnoor Ahmad, Shahzad Raza, Faiz Anwer

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.1field-weighted citation impact, top 13% 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, 9 citations in OpenAlex.

  1. Article
  2. Pathogenesis and kidney prognosis of renal amyloidosis.Cellular and molecular life sciences : CMLS · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Amyloids and the Heart: An Update.Journal of clinical medicine · 2024
    Review
  8. Article
  9. 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

10 authors at 6 institutions in 2 countries.

Areez ShafqatCollege of Medicine, Alfaisal University, Riyadh 11533, Saudi Arabia.ORCID 0000-0002-1202-7214
Hassan ElmalehDepartment of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, OH 44195, USA.
Ali MushtaqDepartment of Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.ORCID 0000-0003-1939-1665
Zaina FirdousDepartment of Hospital Medicine, WellSpan York Hospital, York, PA 17403, USA.
Omer AshrufCollege of Medicine, Northeast Ohio Medical University, Rootstown, OH 44272, USA.ORCID 0000-0003-1385-0090
Debduti MukhopadhyayDepartment of Medicine, Jacobs School of Medicine, State University of New York at Buffalo, Catholic Health System, Buffalo, NY 14260, USA.
Maheen AhmadDepartment of Molecular, Cellular, & Developmental Biology, University of California, Santa Barbara, CA 93106, USA.
Mahnoor AhmadDepartment of Human Biology and Society, University of California, Los Angeles, CA 90095, USA.
Shahzad RazaDepartment of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, OH 44195, USA.ORCID 0000-0002-2739-2265
Faiz AnwerDepartment of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, OH 44195, USA.ORCID 0000-0001-6914-7439
Cleveland Clinic · USUniversity of California, Santa Barbara · USAlfaisal University · SANortheast Ohio Medical University · USUniversity at Buffalo, State University of New York · USWellSpan York Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AL amyloidosis is caused by the excessive production of nonfunctional immunoglobulins, leading to the formation of amyloid fibrils that damage vital organs, especially the heart and kidneys. AL amyloidosis presents with non-specific symptoms such as fatigue, weight loss, numbness, pain, and nephrotic syndrome. Consequently, diagnosis is often delayed, and patients typically present with advanced disease at diagnosis. The Pavia renal staging model stratifies patients based on their likelihood of progressing to dialysis. Treatment with daratumumab plus cyclophosphamide, bortezomib, and dexamethasone (i.e., Dara-CyBorD) was effective in inducing renal response in the landmark phase III ANDROMEDA trial and reducing early mortality. However, determining the most appropriate treatment regimen for relapsed or refractory cases remains a challenge due to various patient- and disease-related factors. Encouragingly, t(11:14) may be a positive indicator of therapy responses to the anti-BCL2 therapy venetoclax. Moreover, it is increasingly possible-for the first time-to clear AL amyloid fibrils from peripheral organs by leveraging novel anti-fibril immunotherapeutic approaches, although these medications are still under investigation in clinical trials. Given these advancements, this review provides a comprehensive overview of the current strategies for diagnosing, staging, treating, and monitoring AL amyloidosis, emphasizing renal involvement.

Indexed as

AL amyloidosisanti-amyloid antibodiesdaratumumabimmunotherapyvenetoclax

Identifiers

PMID38541968
PMCPMC10971215
OpenAlexW4392897401

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.