Evidence map›Paper›PMID 39775018›Full record

ArticleEuropean journal of clinical pharmacology2025

Correlation of cyclosporine A blood concentration with kidney injury for pediatric patients after hematopoietic stem cell transplantation: a retrospective cohort study.

Wei Shi, Xin Qiu, Liang Huang, Linan Zeng, Runxin Lu, Hailong Li, Kun Zou, Zhijun Jia, Guo Cheng, Qin Yu and 2 more

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Article in European journal of clinical pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Wei Shi *NMPA Key Laboratory for Technical Research On Drug Products In Vitro and In Vivo Correlation, Chengdu, 610041, China.
Xin Qiu *Department of Pharmacy, West China Second University Hospital, Sichuan University, Chengdu, 610041, China.
Liang HuangDepartment of Pharmacy, West China Second University Hospital, Sichuan University, Chengdu, 610041, China.
Linan ZengDepartment of Pharmacy, West China Second University Hospital, Sichuan University, Chengdu, 610041, China.
Runxin LuDepartment of Pharmacy, West China Second University Hospital, Sichuan University, Chengdu, 610041, China.
Hailong LiDepartment of Pharmacy, West China Second University Hospital, Sichuan University, Chengdu, 610041, China.
Kun ZouDepartment of Pharmacy, West China Second University Hospital, Sichuan University, Chengdu, 610041, China.
Zhijun JiaDepartment of Pharmacy, West China Second University Hospital, Sichuan University, Chengdu, 610041, China.
Guo ChengKey Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Sichuan University, Chengdu, 610041, China.
Qin YuNMPA Key Laboratory for Technical Research On Drug Products In Vitro and In Vivo Correlation, Chengdu, 610041, China.
Limei ZhaoDepartment of Pharmacy, Shengjing Hospital of China Medical University, Shenyang, 110004, China. mlzhao@cmu.edu.cn.
Lingli ZhangDepartment of Pharmacy, West China Second University Hospital, Sichuan University, Chengdu, 610041, China. zhanglingli@scu.edu.cn.

Funding

Sichuan Provincial Science and Technology Support Program 2023NSFSC1690
6 · The paper itself

Abstract

backgroundThe potential nephrotoxicity of cyclosporine A (CsA) has been a problem for treating graft-versus-host disease (GVHD) after allogeneic hematopoietic stem cell transplantation (allo-HSCT). However, the relationship between CsA blood concentration and acute kidney injury (AKI) in pediatric patients after allo-HSCT remains unclear.

methodsWe performed a retrospective study including pediatric patients who received allo-HSCT in West China Second Hospital of Sichuan University from 2000 to 2022 and collected their clinical data. Included patients' CsA blood concentration were divided into three cohorts according to the guideline. Multivariate logistic regression was used to estimate the relationship between AKI and CsA blood concentration and other factors. And the maximum cut-off value for the safe blood concentration range of CsA was obtained by the receiver operating characteristic (ROC) curve.

resultsSeventy-nine patients (average age 6.75 ± 4.25) were included. The incidence of kidney injury for three CsA blood concentration cohorts (< 200 ng/ml, 200-300 ng/ml, > 300 ng/ml) were 21.30%, 23.50%, and 66.70%, respectively. A multivariate logistic regression identified CsA blood concentration (> 300 ng/ml) and infection were risk factors for AKI (OR

conclusionIn conclusion, clinical treatment for the pediatric patients after allo-HSCT may be considered to control the blood concentration of CsA in 200-276.85 ng/ml and closely monitoring patients who have infections.

Indexed as

Acute Kidney InjuryCyclosporineHematopoietic Stem Cell TransplantationImmunosuppressive AgentsAdolescentChildChild, PreschoolChinaFemaleGraft vs Host DiseaseHumansInfantMaleRetrospective StudiesRisk FactorsCyclosporineImmunosuppressive AgentsAllogeneic hematopoietic stem cellsBlood concentrationCyclosporine AKidney injuryPediatric patients

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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.