Evidence map›Paper›PMID 40711544›Full record

Observational studyPediatric nephrology (Berlin, Germany)2025

Efficacy and safety of telitacicept in IgA nephropathy and IgA vasculitis nephropathy in adolescents: a case series.

Jingyi Wu, Pei Chen, Lijun Liu, Sufang Shi, Fang Wang, Xuhui Zhong, Jicheng Lv, Hong Zhang

Abstract 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. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

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

  1. Pooled it
  2. Article
  3. Article
  4. 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

8 authors.

Jingyi WuRenal Division, Peking University First Hospital, Peking University Institute of Nephrology, Beijing, China.
Pei ChenRenal Division, Peking University First Hospital, Peking University Institute of Nephrology, Beijing, China.
Lijun LiuRenal Division, Peking University First Hospital, Peking University Institute of Nephrology, Beijing, China.
Sufang ShiRenal Division, Peking University First Hospital, Peking University Institute of Nephrology, Beijing, China.
Fang WangDepartment of Pediatric Nephrology, Peking University First Hospital, Beijing, China.
Xuhui ZhongDepartment of Pediatric Nephrology, Peking University First Hospital, Beijing, China. xuhui7876@126.com.
Jicheng LvRenal Division, Peking University First Hospital, Peking University Institute of Nephrology, Beijing, China. jichenglv75@gmail.com.
Hong ZhangRenal Division, Peking University First Hospital, Peking University Institute of Nephrology, Beijing, China.

Funding

Capital Health Research and Development of Special Fund 2024-1-4073National High Level Hospital Clinical Research Funding 2022CR81National Key Research and Development Program of China 2022YFC2705100National Key Research and Development Program of China 2022YFC2705104National Natural Science Foundation of China 82100737
6 · The paper itself

Abstract

backgroundIgA nephropathy (IgAN) and IgA vasculitis nephritis (IgAVN) are among the most common glomerulopathies in adolescents, yet treatment options remain limited. Telitacicept (TACI), a dual-target fusion protein, has shown therapeutic potential in adult patients. This study aimed to evaluate the efficacy and safety of telitacicept in adolescents with IgAN and IgAVN.

methodsThis retrospective observational study included 15 adolescent patients (11 with IgAN and 4 with IgAVN) who received telitacicept between January 2023 and January 2025. Patients received weekly subcutaneous injections of 80 mg or 160 mg. The primary efficacy outcome was proteinuria from baseline to follow-up. Secondary outcomes included changes in eGFR, serum albumin, and hemoglobin.

resultsThe median age of the patients was 16.91 years. After TACI treatment, the median proteinuria decreased from 2.0 g/day at baseline to 1.0 g/day at month 3 (P = 0.074) and further to 0.5 g/day at month 12 (P = 0.015), corresponding to median reductions of 31.2% and 59.0%, respectively. Median eGFR remained stable, showing an 1.1% increase at month 12 (P = 0.912). At month 12, serum albumin and hemoglobin increased by 5.6 g/L (5.8%) and 12.5 g/L (10.6%), respectively. Subgroup analyses showed consistent proteinuria reduction across baseline characteristics. Most patients tolerated telitacicept well, with no serious adverse events or treatment discontinuations reported.

conclusionsTelitacicept appeared to be well-tolerated and was associated with substantial reductions in proteinuria in adolescent patients with IgAN and IgAVN. Larger studies are needed to validate these findings.

Indexed as

Glomerulonephritis, IGAIgA VasculitisRecombinant Fusion ProteinsVasculitisAdolescentFemaleGlomerular Filtration RateHumansInjections, SubcutaneousMaleProteinuriaRetrospective StudiesSerum AlbuminTreatment OutcomeRecombinant Fusion ProteinsSerum AlbumintelitaciceptAdolescentIgA nephropathyIgA vasculitis nephropathyTelitacicept

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Registered trials

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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.