Evidence map›Paper›PMID 40214779›Full record

Observational studyPediatric nephrology (Berlin, Germany)2025

Telitacicept as a BAFF/APRIL dual inhibitor: efficacy and safety in reducing proteinuria for refractory childhood IgA vasculitis nephritis.

Yanyan Jin, Jianhong Zhu, Aiqin Sheng, Qian Lin, Manli Zhao, Xue He, Jianhua Mao, Haidong Fu

Registry-linked trialAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Pediatric nephrology (Berlin, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07354503 (The Efficacy and Safety of Telitacicept in the Treatment of Pediatric IgA Vasculitis-Associated Nephritis), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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.

NCT07354503 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Efficacy and Safety of Telitacicept in the Treatment of Pediatric IgA Vasculitis-Associated Nephritis: A Multicenter Clinical Study

Typeobservational_patient_registrySponsorThe Children's Hospital of Zhejiang University School of MedicineRan2026 to 2028Enrolled300ConditionsIgAVN, IgA VasculitisArmsCollect clinical data from the patients., This study exclusively prospectively collected clinical data from the patients and did not involve any therapeutic interventions
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. [Research progress on the application of telitacicept in rheumatism and autoimmune diseases].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2026
    Review
  6. Observational
  7. Observational
  8. Article
  9. Review
  10. Review
  11. Observational
  12. Observational
  13. Review
  14. Article
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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

8 authors.

Yanyan JinDepartment of Nephrology, the Children'S Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, #3333 Binsheng Road, Hangzhou, 310052, Zhejiang Province, China.
Jianhong ZhuDepartment of Nephrology, Quanzhou Maternity and Children'S Hospital, Quanzhou, China.
Aiqin ShengDepartment of Nephrology, the Children'S Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, #3333 Binsheng Road, Hangzhou, 310052, Zhejiang Province, China.
Qian LinDepartment of Nephrology, the Children'S Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, #3333 Binsheng Road, Hangzhou, 310052, Zhejiang Province, China.
Manli ZhaoDepartment of Pathology, the Children'S Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China.
Xue HeDepartment of Nephrology, the Children'S Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, #3333 Binsheng Road, Hangzhou, 310052, Zhejiang Province, China.
Jianhua MaoDepartment of Nephrology, the Children'S Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, #3333 Binsheng Road, Hangzhou, 310052, Zhejiang Province, China.
Haidong FuDepartment of Nephrology, the Children'S Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, #3333 Binsheng Road, Hangzhou, 310052, Zhejiang Province, China. chfhd@zju.edu.cn.ORCID 0000-0001-9459-3078

Funding

Natural Science Foundation of Zhejiang Province LTGD24H050002The Medicine &Health Technology Project of Zhejiang Province 2024646275The National Key Research and Development Program of China 2022YFC2705100The National Key Research and Development Program of China 2022YFC2705103
6 · The paper itself

Abstract

backgroundPersistent proteinuria is an independent risk factor for poor prognosis in immunoglobulin A vasculitis nephritis (IgAVN). Recent studies have shown that telitacicept effectively reduces proteinuria levels in patients with IgA nephropathy (IgAN). The treatment has been associated with a significant decrease in galactose-deficient IgA1 (Gd-IgA1) levels. This study aims to elucidate the effectiveness and safety of telitacicept in treating refractory childhood IgAVN.

methodsThis is a single-center, retrospective observational study of seven children with IgAVN who had previously received glucocorticoids and at least one immunosuppressive therapy but still exhibited proteinuria. Telitacicept was administered subcutaneously once a week. Dosage was 80 mg for individuals weighing < 40 kg and 160 mg for those weighing > 40 kg.

resultsThe study encompassed seven children, comprising two boys and five girls, with a median age of 15 years. Among the participants, six children (85.7%) exhibited a reduction in proteinuria, ranging from - 23.6 to - 97.5% compared to baseline levels. Conversely, one child (14.3%) did not show any decrease in proteinuria. Throughout the follow-up period, two children (28.6%) achieved complete remission, characterized by proteinuria level below 0.2 g/day/1.73 m

conclusionsTelitacicept has demonstrated both efficacy and safety in treating children with refractory IgAVN.

Indexed as

Glomerulonephritis, IGAIgA VasculitisImmunosuppressive AgentsProteinuriaRecombinant Fusion ProteinsAdolescentChildFemaleGlucocorticoidsHumansImmunoglobulin AMaleRemission InductionRetrospective StudiesTreatment OutcomeGlucocorticoidsImmunoglobulin AImmunosuppressive AgentsRecombinant Fusion ProteinstelitaciceptBAFF/APRIL inhibitorsChildrenIgA vasculitis nephritisProteinuriaRefractoryTelitacicept

Identifiers

What OpenQuestion holds

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Registered trials

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.