Evidence map›Paper›PMID 41368601›Full record

ReviewJournal of research in pharmacy practice

A Systematic Review of the Efficacy and Safety of Sirolimus (Rapamycin) in the Management of Infantile Hemangioma.

Bahareh Abtahi-Naeini, Fateme Ahmadinia, Fatemeh Ghorbali, Elaheh Foroughi

Abstract readReview
In one paragraph

Review in Journal of research in pharmacy practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. Review
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

4 authors.

Bahareh Abtahi-NaeiniSkin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Fateme AhmadiniaDepartment of Dermatology, Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.
Fatemeh GhorbaliDepartment of Dermatology, Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.
Elaheh ForoughiDepartment of Dermatology, Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The use of rapamycin (sirolimus) in the treatment of infantile hemangioma (IH) is a persistent challenge in dermatology. We aim to systematically review the efficacy and safety of rapamycin for IH treatment. Methods: We systematically searched PubMed, Web of Science, and Scopus for relevant English papers up to December 2024. After screening the full texts, eight studies met the inclusion criteria. The quality of the included articles was assessed using the Joanna Briggs Institute checklist. Detailed data about the effectiveness and safety of rapamycin in IH were collected. Findings: A total of 8 articles published between 2013 and 2021 were included, with 8 cases. The ages of the participants ranged from 3 weeks to 10 years. The most common dose of rapamycin used in these papers was 0.8 mg/m2 twice daily, with a range of 0.1 mg/m2 to 2 mg/m2 daily. Most patients had a response to rapamycin therapy (five out of eight patients). Two cases reported gastrointestinal adverse effects, whereas one developed severe, fatal hypoglycemia after angiography, which the authors considered the role that rapamycin in causing this complication to be unlikely. Conclusion: Rapamycin can be a safe and efficient medication in the treatment of IH. Combination therapy, especially in patients resistant to treatment for IH, is a preferred choice for IH treatment and reduces the side effects of propranolol. It is also preferred for the treatment of lesions in the mucosal areas and near important organs.

Indexed as

Efficacyinfantile hemangiomamechanistic target of rapamycinrapamycinsafetysirolimus

Identifiers

PMID41368601
PMCPMC12684998

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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.