Evidence map›Paper›PMID 42422566›Full record

ArticleClinical kidney journal2026

Long-term real-world evidence of sparsentan efficacy in patients with IgA nephropathy treated with SGLT2 inhibitors.

Moritz Schanz, Claudia Seikrit, Bernd Hohenstein, Aline Zimmermann, Leonie Kraft, Severin Schricker, Andrea Schwab, Tina Oberacker, Joerg Latus

Abstract read
In one paragraph

Article in Clinical kidney journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Moritz SchanzDepartment of General Internal Medicine and Nephrology, Robert Bosch Hospital Stuttgart, Stuttgart, Germany.ORCID https://orcid.org/0000-0001-7300-8132
Claudia SeikritDivision of Nephrology and Clinical Immunology, RWTH Aachen University Hospital, Aachen, Germany.ORCID https://orcid.org/0009-0007-8821-1978
Bernd HohensteinNephrological Center Villingen-Schwenningen, Villingen-Schwenningen, Germany.
Aline ZimmermannDialysis Center of the Arbeitsgemeinschaft Heimdialyse Saar e.V., Homburg, Germany.
Leonie KraftDepartment of General Internal Medicine and Nephrology, Robert Bosch Hospital Stuttgart, Stuttgart, Germany.ORCID https://orcid.org/0000-0002-5821-893X
Severin SchrickerDepartment of General Internal Medicine and Nephrology, Robert Bosch Hospital Stuttgart, Stuttgart, Germany.ORCID https://orcid.org/0000-0002-6770-3056
Andrea SchwabDepartment of General Internal Medicine and Nephrology, Robert Bosch Hospital Stuttgart, Stuttgart, Germany.
Tina OberackerDr Margarete Fischer-Bosch-Institute of Clinical Pharmacology and University of Tuebingen, Stuttgart, Germany.
Joerg LatusDepartment of General Internal Medicine and Nephrology, Robert Bosch Hospital Stuttgart, Stuttgart, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sparsentan has emerged as a promising therapeutic option for immunoglobulin A nephropathy. However, data on its effectiveness in real-world settings, particularly in combination with sodium-glucose cotransporter 2 (SGLT2) inhibitors remain limited. In our previously published real-world cohort ( Methods: After 1 year, 17 patients (74%) from the initial cohort remained on sparsentan therapy. As described previously, patients had been on stable, maximally tolerated renin-angiotensin system (RAS) inhibition and stable SGLT2 inhibitor therapy before replacement of RAS inhibition with sparsentan; eligibility required an estimated glomerular filtration rate (eGFR) >30 ml/min/1.73 m Results: Baseline median (interquartile range) eGFR (Chronic Kidney Disease Epidemiology Collaboration) was 48 ml/min/1.73 m Conclusions: In this 1-year follow-up of our real-world cohort, sparsentan was associated with a significant and sustained reduction in proteinuria over 12 months, with a numerically less steep eGFR decline during follow-up, even in patients already receiving SGLT2 inhibitors.

Indexed as

dual endothelin angiotensin receptor antagonist (DEARA)IgA nephropathyreal-world datasodium–glucose cotransporter 2 (SGLT2) inhibitionsparsentan

Identifiers

PMID42422566
PMCPMC13344172

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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.