Evidence map›Paper›PMID 38578337›Full record

ReviewClinical and experimental medicine2024

Letermovir prophylaxis for cytomegalovirus in lung-transplant recipients: a comprehensive study with literature review of off-label use and real-world experiences.

Takashi Hirama, Yuki Shundo, Toshikazu Watanabe, Akihiro Ohsumi, Tatsuaki Watanabe, Yoshinori Okada

Erratum issuedOpen access · hybridAbstract readMulticenter StudyReview
In one paragraph

Review in Clinical and experimental medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Takashi HiramaDepartment of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Miyagi, Japan. takashi.hirama.b5@tohoku.ac.jp.ORCID https://orcid.org/0000-0002-9390-5057
Yuki ShundoDepartment of Respiratory Medicine, Faculty of Medicine, Fukuoka University, Fukuoka, Fukuoka, Japan.
Toshikazu WatanabeDepartment of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Miyagi, Japan.
Akihiro OhsumiDepartment of Thoracic Surgery, Kyoto University Hospital, Kyoto, Kyoto, Japan.
Tatsuaki WatanabeDepartment of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Miyagi, Japan.
Yoshinori OkadaDepartment of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Miyagi, Japan.
Tohoku University · JPFukuoka University · JPKyoto University Hospital · JPTohoku Institute of Technology · JP

Funding

CATECHOLAMINES AND REPRODUCTIVE AGINGR01AG002021 · NIA · UNIVERSITY OF FLORIDA · PI SIMPKINS, JAMES W. · 1985 to 1990
–
Japan Society for the Promotion of Science 23K08287Takeda Science Foundation Visionary Research 2021The Institute of Development, Aging and Cancer, Tohoku University 2021Tokyo-Hokenkai Byotai-Seiri Laboratory Clinical Research Grant 2022
6 · The paper itself

Abstract

Letermovir, initially approved for cytomegalovirus (CMV) prophylaxis in hematopoietic stem-cell transplantation, has gained attention for off-label use in lung-transplant (LTx) recipients. Given the high susceptibility of LTx recipients to CMV infection, this study explores the effectiveness and safety of letermovir prophylaxis. A retrospective analysis of using letermovir for LTx recipients at Tohoku University Hospital (January 2000 to November 2023) was conducted. Case summaries from other Japanese transplant centers and a literature review were included. Six cases at Tohoku University Hospital and one at Kyoto University Hospital were identified. Prophylactic letermovir use showed positive outcomes in managing myelosuppression and preventing CMV replication. The literature review supported the safety of letermovir in high-risk LTx recipients. Despite limited reports, our findings suggest letermovir's potential as prophylaxis for LTx recipients intolerant to valganciclovir. Safety, especially in managing myelosuppression, positions letermovir as a promising option. However, careful consideration is important in judiciously integrating letermovir into the treatment protocol.

Indexed as

AcetatesCytomegalovirus InfectionsHematopoietic Stem Cell TransplantationQuinazolinesAntiviral AgentsCytomegalovirusHumansLungOff-Label UseRetrospective StudiesTransplant RecipientsAcetatesAntiviral AgentsletermovirQuinazolinesCytomegalovirusLetermovirLung transplantOff-label useProphylaxis

Identifiers

PMID38578337
PMCPMC10997533
OpenAlexW4393990013

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.