Evidence map›Paper›PMID 41608295›Full record

ArticleKidney medicine2026

Early Experience With Iptacopan for Recurrent IgA Nephropathy After Kidney Transplantation.

Ayman Al Jurdi, Abraham Cohen Bucay, Pitchaphon Nissaisorakarn, Hannah Gilligan, Claire T Avillach, Veronica E Klepeis, Rex N Smith, Ragnar Palsson, Kassem Safa, Leonardo V Riella

Abstract readCase Reports
In one paragraph

Article in Kidney medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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

3 citing papers in PubMed.

  1. Article
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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

10 authors.

Ayman Al JurdiDepartment of Medicine, Nephrology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Abraham Cohen BucayDepartment of Medicine, Nephrology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Pitchaphon NissaisorakarnDepartment of Medicine, Nephrology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Hannah GilliganDepartment of Medicine, Nephrology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Claire T AvillachDepartment of Pathology, Massachusetts General Hospital, Boston, MA.
Veronica E KlepeisDepartment of Pathology, Massachusetts General Hospital, Boston, MA.
Rex N SmithDepartment of Pathology, Massachusetts General Hospital, Boston, MA.
Ragnar PalssonDepartment of Medicine, Nephrology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Kassem SafaDepartment of Medicine, Nephrology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Leonardo V RiellaDepartment of Medicine, Nephrology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunoglobulin A (IgA) nephropathy is a common cause of kidney failure and can recur after kidney transplantation, increasing the risk of allograft loss. Effective treatments for recurrent IgA nephropathy in kidney transplant recipients are urgently needed. Iptacopan is a complement factor B inhibitor that received accelerated approval by the US Food and Drug Administration in August 2024 for the treatment of high-risk native IgA nephropathy based on trials that excluded transplant recipients. In this case series, we report our early experience with iptacopan in three individuals with biopsy-confirmed recurrent IgA nephropathy after kidney transplant. All received iptacopan for ≥3 months in combination with a short course of systemic corticosteroids. Two individuals demonstrated significant reductions in proteinuria and resolution of microscopic hematuria. One individual developed progressive graft dysfunction; repeat biopsy showed persistent active glomerulonephritis with codeposition of IgG, suggesting a more aggressive or atypical disease phenotype. These early data suggest that iptacopan, in combination with short-term corticosteroids, may offer therapeutic benefit in selected kidney transplant recipients with recurrent IgA nephropathy, warranting further investigation.

Indexed as

GlomerulonephritisIgA nephropathyiptacopankidney transplantationrecurrent glomerular diseaserecurrent glomerulonephritisrecurrent IgA nephropathy

Identifiers

PMID41608295
PMCPMC12835414

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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.