Evidence map›Paper›PMID 40696685›Full record

SynthesisMedicine2025

Efficacy and safety of tacrolimus versus cyclophosphamide therapy for Henoch-Schönlein purpura nephritis in children: A systematic review.

Wei Jiang, Xianping Li, Xiaoming Liu, Chi Zhang, Guoyuan Lu, Jiangang Yang, Li Qiao, Yu Bai, Changle Zhou, Qiuya Niu and 7 more

Abstract readSystematic ReviewComparative Study
In one paragraph

Synthesis in Medicine, 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. 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

17 authors.

Wei JiangDepartment of Nephrology, Wujin Hospital Affiliated with Jiangsu University, Changzhou, Jiangsu, China.
Xianping LiDepartment of Internal Medicine, People's Hospital of Hainan Tibetan Autonomous Prefecture, Hainan Tibetan Autonomous Prefecture, Qinghai, China.
Xiaoming LiuDepartment of Internal Medicine, People's Hospital of Hainan Tibetan Autonomous Prefecture, Hainan Tibetan Autonomous Prefecture, Qinghai, China.
Chi ZhangDepartment of Nephrology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Guoyuan LuDepartment of Nephrology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Jiangang YangDepartment of Internal Medicine, People's Hospital of Hainan Tibetan Autonomous Prefecture, Hainan Tibetan Autonomous Prefecture, Qinghai, China.
Li QiaoDepartment of Internal Medicine, People's Hospital of Hainan Tibetan Autonomous Prefecture, Hainan Tibetan Autonomous Prefecture, Qinghai, China.
Yu BaiDepartment of Internal Medicine, People's Hospital of Hainan Tibetan Autonomous Prefecture, Hainan Tibetan Autonomous Prefecture, Qinghai, China.
Changle ZhouDepartment of Internal Medicine, People's Hospital of Hainan Tibetan Autonomous Prefecture, Hainan Tibetan Autonomous Prefecture, Qinghai, China.
Qiuya NiuDepartment of Internal Medicine, People's Hospital of Hainan Tibetan Autonomous Prefecture, Hainan Tibetan Autonomous Prefecture, Qinghai, China.
Qing LuoDepartment of Internal Medicine, People's Hospital of Hainan Tibetan Autonomous Prefecture, Hainan Tibetan Autonomous Prefecture, Qinghai, China.
Wanxin ZhongDepartment of Internal Medicine, People's Hospital of Hainan Tibetan Autonomous Prefecture, Hainan Tibetan Autonomous Prefecture, Qinghai, China.
Fancheng KongDepartment of Internal Medicine, People's Hospital of Hainan Tibetan Autonomous Prefecture, Hainan Tibetan Autonomous Prefecture, Qinghai, China.
Wanping ZhouDepartment of Internal Medicine, People's Hospital of Hainan Tibetan Autonomous Prefecture, Hainan Tibetan Autonomous Prefecture, Qinghai, China.
Cuoji YinDepartment of Internal Medicine, People's Hospital of Hainan Tibetan Autonomous Prefecture, Hainan Tibetan Autonomous Prefecture, Qinghai, China.
Weigang TangDepartment of Nephrology, Wujin Hospital Affiliated with Jiangsu University, Changzhou, Jiangsu, China.
Wei XuDepartment of Nephrology, Wujin Hospital Affiliated with Jiangsu University, Changzhou, Jiangsu, China.ORCID 0009-0008-7783-2709

Funding

he Open Research Project of Key Laboratories in Jiangsu Province Universities he Open Research Project of Key Laboratories in Jiangsu Province Universitiesthe Guiding planning Project of Qinghai Health Commission
6 · The paper itself

Abstract

backgroundThis systematic review studied and compared the safety and efficacy of glucocorticoids (GCs) + cyclophosphamide (CTX) and GCs + tacrolimus (TAC) therapies for treating children with Henoch-Schönlein purpura nephritis (HSPN).

methodsThe data on GCs + CTX and GCs + TAC therapies for HSPN children were procured from the EMbase, China National Knowledge Infrastructure, the Cochrane Library, PubMed, and Wanfang from the inception to May 10, 2024.

resultsThis review included 5 studies (2 non-randomized and 3 randomized controlled trials), comprising 363 patients. Furthermore, the complete remission within 6 months in the TAC group (43.3%) was higher than that in CTX group (26.2%) and the total remission within 6 months in the TAC (76.7%) was higher than that in CTX groups (54.1%). Moreover, in terms of adverse reactions, the incidence of hypertension in TAC group was higher than that in CTX group, whereas the incidences of other adverse reactions such as liver function injury, hyperglycemia, myelosuppression and gastrointestinal discomfort in TAC group were lower than that in CTX group.

conclusionThis systematic review indicated that for HSPN children, the TAC therapy may have relatively higher remission rate and fewer adverse reactions than the CTX therapy.

Indexed as

CyclophosphamideIgA VasculitisImmunosuppressive AgentsNephritisTacrolimusChildChild, PreschoolDrug Therapy, CombinationGlucocorticoidsHumansRemission InductionTreatment OutcomeCyclophosphamideGlucocorticoidsImmunosuppressive AgentsTacrolimuscyclophosphamideHenoch–Schönlein purpura nephritissystematic reviewtacrolimus

Identifiers

PMID40696685
PMCPMC12282697

What OpenQuestion holds

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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.