Evidence map›Paper›PMID 40584719›Full record

ArticleJHLT open2025

Belatacept-based immunosuppression in heart transplant recipients: A single center experience.

Wairimu Magua, Maggie Wang, Darlington Pobee, Anna Morris, Alexis K Okoh, Emily M Eichenberger, Geeta M Karadkhele, Divya Gupta, J David Vega, Christian P Larsen and 2 more

Abstract read
In one paragraph

Article in JHLT open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

12 authors.

Wairimu MaguaDepartment of Surgery, Transplant, Emory University, Atlanta, GA.
Maggie WangDepartment of Medicine, Cardiology, Emory University, Atlanta, GA.
Darlington PobeeDepartment of Medicine, Cardiology, Emory University, Atlanta, GA.
Anna MorrisDepartment of Pathology and Laboratory Medicine, Emory University, Atlanta, GA.
Alexis K OkohDepartment of Medicine, Cardiology, Emory University, Atlanta, GA.
Emily M EichenbergerDepartment of Medicine, Infectious Diseases, Emory University, Atlanta, GA.
Geeta M KaradkheleDepartment of Surgery, Transplant, Emory University, Atlanta, GA.
Divya GuptaDepartment of Medicine, Cardiology, Emory University, Atlanta, GA.
J David VegaDepartment of Surgery, Transplant, Emory University, Atlanta, GA.
Christian P LarsenDepartment of Surgery, Transplant, Emory University, Atlanta, GA.
Anne Van BeuningenDepartment of Medicine, Cardiology, Emory University, Atlanta, GA.
Alanna A MorrisDepartment of Medicine, Cardiology, Emory University, Atlanta, GA.

Funding

Immune biomarkers to predict outcomes in solid organ transplant patients with bloodstream infectionsK23AI175676 · NIAID · EMORY UNIVERSITY · PI Emily M. Eichenberger · 2024 to 2026
$589k
NIAID NIH HHS K23 AI175676
6 · The paper itself

Abstract

Background: We aim to describe the effect of belatacept on de novo donor-specific antibodies (DSA) formation, rejection, and renal function in heart transplant recipients. Methods: The cohort comprises 60 adult heart or heart-kidney recipients transplanted between 2005 and 2022. Twelve recipients initialized at ∼90 days post-transplantation on a belatacept-based immunosuppression regimen with tapered tacrolimus trough levels were matched to 48 standard tacrolimus-based regimen controls. Differences in the distribution of recipients with emergent de novo DSA and rejection were assessed over the first 85 days baseline period, the average duration pre-belatacept. Survival analysis assessed regimen group differences in the probability of remaining de novo DSA and rejection free over the follow-up period spanning 86 to 540 days. Renal function and cytomegalovirus viremia were examined as secondary outcomes. Results: There were no statistically significant regimen group differences in the distribution of recipients with de novo DSA or rejection during the baseline period. Furthermore, differences in the probability of remaining de novo DSA and rejection free during the follow-up period remained insignificant (log-rank test, Conclusion: Recipients treated with belatacept-based regimen exhibited a trend of reduced de novo DSA development compared to standard tacrolimus-based regimen controls. Larger studies are needed to evaluate the benefit of belatacept use in heart transplant populations.

Indexed as

AMRAntibody mediated rejectionBelataceptCalcineurin inhibitorsDe novo donor specific antibodiesDSARenal function

Identifiers

PMID40584719
PMCPMC12205671

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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.