Evidence map›Paper›PMID 42170590›Full record

ArticleJournal of human immunity2026

Clinical experience with emapalumab treatment in a group of children with primary hemophagocytic lymphohistiocytosis.

Yulia Rodina, Vasiliy Burlakov, Varvara Brilliantova, Anna Roppelt, Nelli Kan, Ulijna Petrova, Elena Raykina, Dmitry Pershin, Dmitry Balashov, Alexey Maschan and 2 more

Abstract read
In one paragraph

Article in Journal of human immunity, 2026. 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. 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

12 authors.

Yulia RodinaDmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Department of Immunology, Moscow, Russia.ORCID https://orcid.org/0000-0001-9857-4456
Vasiliy BurlakovDmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Department of Immunology, Moscow, Russia.ORCID https://orcid.org/0000-0003-1267-9957
Varvara BrilliantovaDmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Department of Immunology, Moscow, Russia.
Anna RoppeltMoscow City Hospital 52, Moscow, Russia.ORCID https://orcid.org/0000-0001-5132-1267
Nelli KanDmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Department of Immunology, Moscow, Russia.ORCID https://orcid.org/0000-0003-3564-6496
Ulijna PetrovaDmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Department of Immunology, Moscow, Russia.ORCID https://orcid.org/0000-0002-1258-8281
Elena RaykinaDmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Department of Immunology, Moscow, Russia.ORCID https://orcid.org/0000-0002-7634-2053
Dmitry PershinDmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Department of Immunology, Moscow, Russia.ORCID https://orcid.org/0000-0002-6148-7209
Dmitry BalashovDmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Department of Immunology, Moscow, Russia.
Alexey MaschanDmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Department of Immunology, Moscow, Russia.ORCID https://orcid.org/0000-0002-0016-6698
Galina NovichkovaDmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Department of Immunology, Moscow, Russia.ORCID https://orcid.org/0000-0002-2322-5734
Anna ShcherbinaDmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Department of Immunology, Moscow, Russia.ORCID https://orcid.org/0000-0002-3113-4939

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary hemophagocytic lymphohistiocytosis (pHLH) is a group of genetically determined disorders characterized by severe and fulminant systemic inflammation, cytopenia, and multiple organ involvement. A dexamethasone-and-etoposide-based HLH-2004 protocol is widely used to treat pHLH, yet often fails to produce the disease control required for the next treatment step: hematopoietic stem cell transplantation (HSCT). We report on the use of the interferon gamma inhibitor emapalumab in seven children aged 6-39 months with pHLH. Three patients received emapalumab at an average starting dose of 1.7 mg/kg and had no active HLH by median day 28. Four patients received emapalumab at an average starting dose of 7.2 mg/kg and had no active HLH by median day 14 (P = 0,0015). We suggest that the higher starting dose of emapalumab, as well as its combination with Janus kinase inhibitors, might increase the remission rate in pHLH and the success of subsequent HSCT.

Identifiers

PMID42170590
PMCPMC13177692

What OpenQuestion holds

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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.