Evidence map›Paper›PMID 41079179›Full record

ArticleImmunoTargets and therapy2025

Efficacy of Tacrolimus Plus Prednisone as Long-Term Immunosuppressive Therapy for Chronic Inflammatory Demyelinating Polyneuropathy: A Retrospective Cohort Study.

Li Di, Xinmei Wen, Wenjia Zhu, Min Wang, Yan Lu, Min Xu, Hai Chen, Yuwei Da

Abstract read
In one paragraph

Article in ImmunoTargets and therapy, 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

8 authors.

Li DiDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, People's Republic of China.ORCID 0000-0001-6359-7455
Xinmei WenDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, People's Republic of China.
Wenjia ZhuDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, People's Republic of China.ORCID 0000-0003-1397-4544
Min WangDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, People's Republic of China.
Yan LuDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, People's Republic of China.ORCID 0000-0003-2211-9515
Min XuDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, People's Republic of China.
Hai ChenDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, People's Republic of China.
Yuwei DaDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aimed to evaluate the efficacy and safety of tacrolimus as an add-on therapy in patients with chronic inflammatory demyelinating polyneuropathy (CIDP). Patients and Methods: This retrospective cohort analysis was conducted using data from CIDP patients in the database of Xuanwu Hospital, Capital Medical University between April 2019 and June 2023. This study compared the efficacy of tacrolimus plus prednisone (T&P) versus prednisone monotherapy (PM) as maintenance immunosuppressive therapy. The primary endpoint was the response rate, defined as ≥1-point improvement in INCAT score, assessed at 3, 6, and 12 months. Secondary endpoints included: (1) I-RODS score changes from baseline to 3, 6, and 12 months; (2) the monthly median daily prednisone dose; (3) relapse rate (INCAT score worsening ≥1 point) in the 12-month follow-up; and (4) adverse event profiles over the 12-month follow-up period. Results: Among 74 screened CIDP patients, 34 (45.9%) were included, with 16 receiving T&P and 18 receiving PM. All patients completed follow-up (median: 1.4 years; range: 1.0-6.5 years). The T&P group demonstrated significantly higher response rates at 3 and 6 months compared to PM, though this difference attenuated by 12 months. I-RODS improvements were significantly greater in the T&P group at all time points. The relapse rate was lower in the T&P group (12.5% vs 33.3%). The T&P group maintained significantly lower prednisone doses from month 2 onward, with higher prednisone discontinuation rates at 12 months (43.8% vs 11.1%; Conclusion: Tacrolimus plus prednisone therapy demonstrated superior clinical outcomes compared to prednisone monotherapy in CIDP maintenance treatment, including accelerated symptomatic improvement, reduced relapse risk, and facilitated corticosteroid tapering. The combination regimen maintained an acceptable safety profile without serious adverse events, supporting its corticosteroid-sparing role in CIDP management.

Indexed as

chronic inflammatory demyelinating polyneuropathyCIDPimmunosuppressive therapyprednisonetacrolimus

Identifiers

PMID41079179
PMCPMC12514958

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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.