Evidence map›Paper›PMID 39156858›Full record

ArticleIndian journal of nephrology

Exposure to Mycophenolic Acid and Its Clinical Response in an Indian Pediatric Population with Nephrotic Syndrome.

R V Deepthi, Manjusha Arumadi, Vishnu Eriyat, Sumith K Mathew, Binu S Mathew, Indira Agarwal, Ratna Prabha

Abstract read
In one paragraph

Article in Indian journal of nephrology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 2024 - A Year in Review.Indian journal of nephrology
    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

7 authors.

R V DeepthiDepartment of Pediatric Nephrology, Christian Medical College, Vellore, Tamil Nadu, India.
Manjusha ArumadiDepartment of Pediatric Nephrology, Christian Medical College, Vellore, Tamil Nadu, India.
Vishnu EriyatDepartment of Pharmacology and Clinical Pharmacology, Christian Medical College, Vellore, Tamil Nadu, India.
Sumith K MathewDepartment of Pharmacology and Clinical Pharmacology, Christian Medical College, Vellore, Tamil Nadu, India.
Binu S MathewDepartment of Pharmacology and Clinical Pharmacology, Christian Medical College, Vellore, Tamil Nadu, India.
Indira AgarwalDepartment of Pediatric Nephrology, Christian Medical College, Vellore, Tamil Nadu, India.
Ratna PrabhaDepartment of Pharmacology and Clinical Pharmacology, Christian Medical College, Vellore, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Children with nephrotic syndrome experience many side effects and frequent relapses when treated with steroids and other drugs. Mycophenolic acid (MPA) is one of the effective and least toxic drug for the treatment of nephrotic syndrome. This drug needs to be monitored for maximal efficacy and minimal toxicity. The therapeutic reference range for this drug is not established for the aforementioned patient population of Indian origin. Materials and Methods: In this observational study, children with nephrotic syndrome on mycophenolate mofetil were followed up for a minimum duration of three months. Following this, their clinical status (relapse/remission) was determined and the mycophenolate exposure was measured for over 12 hours. Results: A total of 34 participants were included, with 17 (50%) in relapse. Median MPA Area under the curve over 12 hours (AUC0-12h) (36.5 µg·h/ml) in the remission group differed significantly compared to that in the relapse group (17.2 µg·h/ml). Conclusion: Higher exposure to MPA AUC0-12h is associated with clinical remission of pediatric nephrotic syndrome.

Indexed as

Mycophenolic acidNephrotic syndromePediatricsTherapeutic drug monitoring

Identifiers

PMID39156858
PMCPMC11326783

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