Evidence map›Paper›PMID 39417050›Full record

ArticleWorld journal of clinical cases2024

Combination treatment with telitacicept, mycophenolate mofetil and glucocorticoids for immunoglobulin A nephropathy: A case report.

Yan Shen, Jin Yuan, Shuang Chen, Yong-Feng Zhang, Ling Yin, Qin Hong, Yan Zha

Abstract readCase Reports
In one paragraph

Article in World journal of clinical cases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. 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.

Yan ShenDepartment of Nephrology, Guizhou Provincial People's Hospital, Guiyang 550002, Guizhou Province, China.
Jin YuanDepartment of Nephrology, Guizhou Provincial People's Hospital, Guiyang 550002, Guizhou Province, China.
Shuang ChenDepartment of Nephrology, Guizhou Provincial People's Hospital, Guiyang 550002, Guizhou Province, China.
Yong-Feng ZhangDepartment of Nephrology, Guizhou Provincial People's Hospital, Guiyang 550002, Guizhou Province, China.
Ling YinDepartment of Nephrology, Guizhou Provincial People's Hospital, Guiyang 550002, Guizhou Province, China.
Qin HongDepartment of Nephrology, Guizhou Provincial People's Hospital, Guiyang 550002, Guizhou Province, China.
Yan ZhaDepartment of Nephrology, Guizhou Provincial People's Hospital, Guiyang 550002, Guizhou Province, China. bookworm2023@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelitacicept reduces B cell activation and abnormal immunoglobulin A (IgA) antibody production by inhibiting the activity of B lymphocyte stimulator (BLyS) and a proliferation-inducing ligand (APRIL), thereby decreasing IgA deposition in the glomeruli and local inflammatory response. This ultimately protects the kidneys from damage. This mechanism suggests that Telitacicept has potential efficacy in the treatment of IgA nephropathy. CASE SUMMARY: We present the case of a 24-year-old female who was diagnosed with IgA nephropathy due to significant proteinuria and mild renal impairment. Pathologically, she exhibited focal proliferative glomerulonephritis. Treatment with angiotensin II receptor blocker, hormones, and mycophenolate mofetil did not lead to a significant improvement in her condition. However, upon the addition of telitacicept, the patient's renal function recovered and her proteinuria rapidly reduced. Hormones were swiftly tapered and discontinued, with no occurrence of severe infections or related complications.

conclusionTelitacicept combined with hormones and mycophenolate mofetil may be a safe and effective induction therapy for IgA nephropathy.

Indexed as

Case reportGlucocorticoidsIgA nephropathyMycophenolate mofetilTelitacicept

Identifiers

PMID39417050
PMCPMC11372520

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