Evidence map›Paper›PMID 40372551›Full record

ReviewClinical and experimental nephrology2025

Trend of treatment strategy for amyloid light-chain amyloidosis: a-single center experience.

Yoshifumi Ubara, Kei Kono, Junichi Hoshino, Takehiko Wada, Atsushi Wake, Kenichi Ohashi, Naoki Sawa

Abstract readReview
PubMed Publisher
In one paragraph

Review in Clinical and experimental nephrology, 2025. 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. [Clinical features and pathological scoring analysis of hepatic amyloidosis].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    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.

Yoshifumi UbaraNephrology Center, Toranomon Hospital, 2-2-2, Toranomon, Minato, Tokyo, Japan. ubara@toranomon.gr.jp.
Kei KonoDepartment of Pathology, Toranomon Hospital, Tokyo, Japan.
Junichi HoshinoNephrology Center, Toranomon Hospital, 2-2-2, Toranomon, Minato, Tokyo, Japan.
Takehiko WadaNephrology Center, Toranomon Hospital, 2-2-2, Toranomon, Minato, Tokyo, Japan.
Atsushi WakeDepartment of Hematology, Toranomon Hospital, Tokyo, Japan.
Kenichi OhashiDepartment of Pathology, Toranomon Hospital, Tokyo, Japan.
Naoki SawaNephrology Center, Toranomon Hospital, 2-2-2, Toranomon, Minato, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Before 2000, AL amyloidosis was considered an incurable disease. However, in the 2000s, autologous peripheral blood stem cell transplantation therapy using vincristine + doxorubicin + dexamethasone with high-dose melphalan (VAD + SCT) was initiated. Bone marrow cells are the site of AL amyloid production. By normalizing bone marrow cells, VAD + SCT not only reduces amyloid production but also improves renal tissue damaged by amyloid deposition. However, VAD + SCT was only applied to patients who met the criteria, such as being under 65 years of age and not affecting the heart. At our hospital, VAD + SCT was applied in 20 patients who met this criteria. After treatment, 5 died and 2 required hemodialysis, but the remaining 13 patients survived for more than 10 years, with resolution of proteinuria and maintenance of renal function. These outcomes indicate that suppression of amyloid production is an effective treatment for AL amyloidosis. In the 2020s, molecularly targeted drugs against the plasma cell CD38 began to be administered for the treatment of AL amyloidosis.

Indexed as

Immunoglobulin Light-chain AmyloidosisPeripheral Blood Stem Cell TransplantationAdultAgedDexamethasoneDoxorubicinFemaleHumansMaleMelphalanMiddle AgedRenal DialysisTreatment OutcomeVincristineDexamethasoneDoxorubicinMelphalanVincristineAL amyloidosisDaraCyBorD (daratumumab plus cyclophosphamide, Bortezomib and dexamethasone)VAD + SCTVincristine plus doxorubicin plus dexamethasone (VAD) + high-dose melphalan and autologous peripheral blood stem cell transplantation combination (SCT)

Identifiers

What OpenQuestion holds

Textmetadata
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.