Evidence map›Paper›PMID 42417154›Full record

ArticleClinical transplantation2026

Early Post-Kidney Transplant Treatment With Roxadustat Ameliorates Anemia and Reduces Blood Transfusion Needs in Inflamed Patients: A Case-Matched Study.

Paolo Randone, Laura Valenza, Alberto Mella, Fabrizio Fop, Caterina Dolla, Ester Gallo, Ana Maria Manzione, Silvia Mingozzi, Rita Tarragoni, Enrico Sanna and 1 more

Abstract read
In one paragraph

Article in Clinical transplantation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Paolo RandoneRenal Transplant Center "A. Vercellone", Nephrology, Dialysis and Renal Transplant Division, Department of Medical Sciences, "Città Della Salute e della Scienza" Hospital, University of Turin, Turin, Italy.
Laura ValenzaRenal Transplant Center "A. Vercellone", Nephrology, Dialysis and Renal Transplant Division, Department of Medical Sciences, "Città Della Salute e della Scienza" Hospital, University of Turin, Turin, Italy.
Alberto MellaRenal Transplant Center "A. Vercellone", Nephrology, Dialysis and Renal Transplant Division, Department of Medical Sciences, "Città Della Salute e della Scienza" Hospital, University of Turin, Turin, Italy.
Fabrizio FopRenal Transplant Center "A. Vercellone", Nephrology, Dialysis and Renal Transplant Division, Department of Medical Sciences, "Città Della Salute e della Scienza" Hospital, University of Turin, Turin, Italy.
Caterina DollaRenal Transplant Center "A. Vercellone", Nephrology, Dialysis and Renal Transplant Division, Department of Medical Sciences, "Città Della Salute e della Scienza" Hospital, University of Turin, Turin, Italy.
Ester GalloRenal Transplant Center "A. Vercellone", Nephrology, Dialysis and Renal Transplant Division, Department of Medical Sciences, "Città Della Salute e della Scienza" Hospital, University of Turin, Turin, Italy.
Ana Maria ManzioneRenal Transplant Center "A. Vercellone", Nephrology, Dialysis and Renal Transplant Division, Department of Medical Sciences, "Città Della Salute e della Scienza" Hospital, University of Turin, Turin, Italy.
Silvia MingozziRenal Transplant Center "A. Vercellone", Nephrology, Dialysis and Renal Transplant Division, Department of Medical Sciences, "Città Della Salute e della Scienza" Hospital, University of Turin, Turin, Italy.
Rita TarragoniRenal Transplant Center "A. Vercellone", Nephrology, Dialysis and Renal Transplant Division, Department of Medical Sciences, "Città Della Salute e della Scienza" Hospital, University of Turin, Turin, Italy.
Enrico SannaRenal Transplant Center "A. Vercellone", Nephrology, Dialysis and Renal Transplant Division, Department of Medical Sciences, "Città Della Salute e della Scienza" Hospital, University of Turin, Turin, Italy.
Luigi BianconeRenal Transplant Center "A. Vercellone", Nephrology, Dialysis and Renal Transplant Division, Department of Medical Sciences, "Città Della Salute e della Scienza" Hospital, University of Turin, Turin, Italy.ORCID https://orcid.org/0000-0002-7700-6350

Funding

University of Turin
6 · The paper itself

Abstract

backgroundRoxadustat is an oral hypoxia-inducible factor prolyl-hydroxylase inhibitor. Recent studies have shown no inferiority of roxadustat compared to erythropoietin in chronic kidney disease and in post-transplant patients. We evaluated roxadustat versus erythropoiesis-stimulating agents (ESAs) in very early posttransplant patients.

methodsWe performed a retrospective analysis of the clinical course and laboratory changes in posttransplant patients treated with roxadustat (16 patients) or a high-dose erythropoiesis-stimulating agent (ESA) (16 patients) for anemia between March and September 2025. We compared haemoglobin, creatinine, lipid levels, and iron status. The therapy was started after the kidney transplant, respectively, after a median of 3.5 and two days. Every patient was followed up at two weeks, one month, two months, and three months.

resultsPatients treated with roxadustat showed a significantly greater and faster increase in Hb levels at 2 weeks (p = 0.047) than the ESA group. After 2 weeks, we observed a significant difference in the need for blood transfusions between the groups (p = 0.029; 18.8% in the roxadustat group vs. 62.5% in the ESA group). No significant differences were observed in iron or inflammation status during the study. The roxadustat group achieved a significantly better lipid profile after one month (p < 0.05 for cholesterol and LDL). During the follow-up, no adverse events related to roxadustat were reported.

conclusionAdministration of oral roxadustat in very early post-transplant patients is effective and safe, rapidly improving anemia and reducing the need for transfusions.

Indexed as

AnemiaBlood TransfusionGlycineInflammationIsoquinolinesKidney Failure, ChronicKidney TransplantationPostoperative ComplicationsAdultCase-Control StudiesFemaleFollow-Up StudiesGlomerular Filtration RateHematinicsHumansKidney Function TestsGlycineHematinicsIsoquinolinesroxadustatblood transfusionerythropoiesis‐stimulating agentspost‐transplant anemiaroxadustat

Identifiers

PMID42417154
PMCPMC13343392

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