What the evidence says
How to read these marks1 finding · 1 endpoint · 1 paper · by evidence strength
What moved
1 finding
Decreases visual analogue scale pain intensity
ModerateEvidence strength: moderate. Human evidence with one recorded weakness, or capped at moderate by its design or by unread numbers.Finding“PG showed significantly lower pain values compared to CG, both at T1 (PG: 3.1 ± 1.5; CG: 4.6 ± 1.8; p = 0.0006) and T2 (PG: 1.0 ± 0.8; CG: 1.9 ± 1.4; p = 0.0063).”
Quoted verbatim from Three-dimensional facial swelling evaluation of pre-operative single-dose of prednisone in third molar surgery: a split-mouth randomized controlled trial.. - Study
- RCT
- Dose
- single dose of 25 mg, 1 hour before third molar extraction
- Population
- Healthy adults aged 18 to 32 years undergoing surgical extraction of both mandibular third molars, split-mouth design, 32 patients and 64 extractions; postoperative pain on a 0 to 10 visual analogue scale at 2 days (T1) and 7 days (T2) after surgery; all patients also received paracetamol, chlorhexidine rinses and antibiotic prophylaxis
Three-dimensional facial swelling evaluation of pre-operative single-dose of prednisone in third molar surgery: a split-mouth randomized controlled trial.2023PMID:37653378Permalink
Papers screened
1,117 papers
- Compound
- prednisone
- Screened
- 1,117
- Admitted
- 1
- Discarded
- 46
- Not read
- 1,070
- Showing
- 200 of 1,117
Produced a finding1 paper
- PMID:376533782026-10-05
Discarded: the wrong intervention25 papers
- PMID:11549526cited by PMID:25410844; not about the subject it would be filed under2026-10-01
- PMID:11590372cited by PMID:25410844; not about the subject it would be filed under2026-10-01
- PMID:11833824cited by PMID:25410844; not about the subject it would be filed under2026-10-01
- PMID:12503691cited by PMID:25410844; not about the subject it would be filed under2026-10-01
- PMID:15215154cited by PMID:25410844; not about the subject it would be filed under2026-10-01
- PMID:1530827cited by PMID:25410844; not about the subject it would be filed under2026-10-01
- PMID:1535500cited by PMID:25410844; not about the subject it would be filed under2026-10-01
- PMID:16436275cited by PMID:25410844; not about the subject it would be filed under2026-10-01
- PMID:16507847cited by PMID:25410844; not about the subject it would be filed under2026-10-01
- PMID:16537853cited by PMID:25410844; not about the subject it would be filed under2026-10-01
- PMID:16675323cited by PMID:25410844; not about the subject it would be filed under2026-10-01
- PMID:17038197cited by PMID:25410844; not about the subject it would be filed under2026-10-01
and 13 more.
Discarded: another reason, stated per paper6 papers
- PMID:38347114no claim extracted — other2026-10-05
- PMID:39227450no claim extracted — other2026-10-05
- PMID:40407887no claim extracted — other2026-10-05
- PMID:41057655no claim extracted — other2026-10-05
- PMID:25410844no claim extracted — cause not determined (one pass only) — measured: sputum eosinophil count (percentage), pooled pre- vs post-treatment reduction analysis2026-09-29
- PMID:34488679no claim extracted — cause not determined2026-09-29
Discarded: no comparator5 papers
- PMID:38231017no claim extracted — comparator_not_absence2026-10-05
- PMID:38342441no claim extracted — comparator_not_absence2026-10-05
- PMID:39028887no claim extracted — comparator_not_absence2026-10-05
- PMID:31599456no claim extracted — comparator_not_absence2026-09-29
- PMID:40897521no claim extracted — comparator_not_absence2026-09-29
Discarded: not retrievable4 papers
- PMID:10452780no PMID parsed, abstract under 200 characters, or no record returned by efetch2026-10-01
- PMID:16880365no PMID parsed, abstract under 200 characters, or no record returned by efetch2026-10-01
- PMID:17055932no PMID parsed, abstract under 200 characters, or no record returned by efetch2026-10-01
- PMID:19478129no PMID parsed, abstract under 200 characters, or no record returned by efetch2026-10-01
Discarded: an endpoint this vocabulary does not hold3 papers
- PMID:38688692no claim extracted — endpoint_near_miss — measured: incident diabetes mellitus of unstated type, defined by random plasma glucose of 11.1 mmol/L or more on two occasions or hypoglycaemic medication | incident diabetes mellitus by any definition, diabetes type not stated, random (non-fasting) plasma glucose criterion, in patients with early rheumatoid arthritis2026-10-05
- PMID:39962604claims extracted but the object named resolved to no node — recorded in candidate_nodes (ADR-0070)2026-10-05
- PMID:42449025no claim extracted — vocabulary gap, passes disagreed: no_outcome_node / endpoint_near_miss — measured: lesion response rate at week 4 (decrease in maximal lesion diameter by ultrasound), diffuse infantile hepatic haemangioma | hepatic haemangioma lesion response rate, ultrasound-measured decrease in maximal lesion diameter ≥ 0.1 cm at week 4 (not a WHO/RECIST tumour-response criterion)2026-09-29
Discarded: no extractable result3 papers
- PMID:39097643no claim extracted — quote_not_self_supporting2026-10-05
- PMID:42547787claims extracted but refused by the deterministic validators2026-10-05
- PMID:41290206no claim extracted — no_quantitative_result2026-09-29
Not read yet1,070 papers
- PMID:108363172026-10-01
- PMID:116731972026-10-01
- PMID:170792582026-10-01
- PMID:194261262026-10-01
- PMID:66505472026-10-01
- PMID:89024852026-10-01
- PMID:91548492026-10-01
- PMID:96575862026-10-01
- PMID:374523292026-09-29
- PMID:180670082026-09-29
- PMID:183222522026-09-29
- PMID:183244192026-09-29
and 1,058 more.
Measured, not recorded
- Compound
- prednisone
- Endpoints measured
- 377 endpoints
- Recorded as a finding
- No
Show what was measured
post-bronchodilator FEV1, percent predicted, pooled pre- vs post-treatment
increases, significant mean increase (↑8.1%; 95% CI: 5.3-10.8; z = 5.8; p < 0.001), n = 194
After 6-14 days of treatment, there was a significant mean increase in post-bronchodilator FEV1 (↑8.1%; 95% CI: 5.3-10.8; z = 5.8; p < 0.001; Figure 5).
PMID:25410844 · one of two readings recorded this
post-bronchodilator FEV1
increases, significant mean increase (up 8.1%; 95% CI 5.3-10.8), n = 194
After 6-14 days of treatment, there was a significant mean increase in post-bronchodilator FEV1 (↑8.1%; 95% CI: 5.3-10.8; z = 5.8; p < 0.001; Figure 5).
PMID:25410844 · one of two readings recorded this
sputum eosinophil cationic protein (ECP), µg/L, pooled pre- vs post-treatment
decreases, five-fold mean reduction (↓267.6; 95% CI: 244.6-290.6; p < 0.001), n = 80
In addition, among the studies evaluating ECP (in µg/L) in subjects receiving prednisone or prednisolone (n = 80), the treatment resulted in a five-fold mean reduction in ECP levels (↓267.6; 95% CI: 244.6-290.6; p < 0.001; Figure 4).
PMID:25410844 · one of two readings recorded this
sputum eosinophil cationic protein
decreases, five-fold mean reduction (down 267.6 µg/L; 95% CI 244.6-290.6), n = 80
In addition, among the studies evaluating ECP (in µg/L) in subjects receiving prednisone or prednisolone (n = 80), the treatment resulted in a five-fold mean reduction in ECP levels (↓267.6; 95% CI: 244.6-290.6; p < 0.001; Figure 4).
PMID:25410844 · one of two readings recorded this
sputum eosinophil count, percentage change pooled across pre- vs post-treatment observational and randomised studies of prednisone/prednisolone
decreases, six-fold mean reduction (↓8.2%; 95% CI: 7.7-8.7; p < 0.001), n = 198
Not recorded as a finding: this platform holds no node for the endpoint
The pooled analysis (n = 198) showed a six-fold mean reduction in the number of sputum eosinophils after treatment (↓8.2%; 95% CI: 7.7-8.7; p < 0.001; Figure 2).
PMID:25410844 · one of two readings recorded this
sputum eosinophil count, percentage, pooled pre- vs post-treatment
decreases, six-fold mean reduction (↓8.2%; 95% CI: 7.7-8.7; p < 0.001), n = 198
The pooled analysis (n = 198) showed a six-fold mean reduction in the number of sputum eosinophils after treatment (↓8.2%; 95% CI: 7.7-8.7; p < 0.001; Figure 2).
PMID:25410844 · one of two readings recorded this
sputum eosinophil percentage, sputum IL-5, sputum eosinophil cationic protein, and post-bronchodilator FEV1, pooled pre- versus post-treatment with oral prednisone or prednisolone in asthma patients
decreases, six-fold mean reduction in sputum eosinophils (down 8.2%; 95% CI 7.7-8.7), n = 198
Not recorded as a finding: the result compares a group with itself, not with a control
The pooled analysis (n = 198) showed a six-fold mean reduction in the number of sputum eosinophils after treatment (↓8.2%; 95% CI: 7.7-8.7; p < 0.001; Figure 2).
PMID:25410844 · one of two readings recorded this
sputum eosinophils
decreases, six-fold mean reduction (down 8.2%; 95% CI 7.7-8.7), n = 198
The pooled analysis (n = 198) showed a six-fold mean reduction in the number of sputum eosinophils after treatment (↓8.2%; 95% CI: 7.7-8.7; p < 0.001; Figure 2).
PMID:25410844 · one of two readings recorded this
sputum IL-5, pg/mL, pooled pre- vs post-treatment
decreases, approximately four-fold mean decrease (↓83.6; 95% CI: 52.5-83.6; p < 0.001), n = 114
Among studies evaluating IL-5 (in pg/mL) before and after treatment with prednisone or prednisolone (n = 114), there was an approximately four-fold mean decrease in IL-5 levels (↓83.6; 95% CI: 52.5-83.6; p < 0.001; Figure 3).
PMID:25410844 · one of two readings recorded this
sputum IL-5
decreases, approximately four-fold mean decrease (down 83.6 pg/mL; 95% CI 52.5-83.6), n = 114
Among studies evaluating IL-5 (in pg/mL) before and after treatment with prednisone or prednisolone (n = 114), there was an approximately four-fold mean decrease in IL-5 levels (↓83.6; 95% CI: 52.5-83.6; p < 0.001; Figure 3).
PMID:25410844 · one of two readings recorded this
North Star Ambulatory Assessment linearized score, 48-week change
decreases
Deflazacort-treated patients experienced significantly lower functional decline over 48 weeks.
PMID:31599456 · one of two readings recorded this
overall survival (OS)
increases, pooled HR CD38 0.56 (95%CI 0.41-0.70); SLAMF7 0.69 (95%CI 0.56-0.82)
Two RCTs about the MAbs targeting CD38 and three RCTs about the MAbs targeting SLAMF7 provided OS and HR with the pooled HRs being 0.56 (95%CI 0.41–0.70) and 0.69 (95%CI 0.56–0.82), respectively.
PMID:34488679 · one of two readings recorded this
progression-free survival (PFS)
increases, pooled HR CD38 vs control 0.45 (95%CI 0.40-0.50)
The pooled HRs for the PFS of the MAbs targeting CD38, SLAMF7, and PD-1/PD-L1 groups vs their corresponding control groups were 0.45 (95%CI 0.40–0.50), 0.68 (95%CI 0.57–0.79), and 1.42 (95%CI 0.95–1.88), respectively.
PMID:34488679 · one of two readings recorded this
progression-free survival
pooled HRs for CD38 0.45 (95% CI 0.40-0.50), SLAMF7 0.68 (95% CI 0.57-0.79), PD-1/PD-L1 1.42 (95% CI 0.95-1.88) vs corresponding control groups, n = 5367
The pooled HRs for the PFS of the MAbs targeting CD38, SLAMF7, and PD-1/PD-L1 groups vs their corresponding control groups were 0.45 (95%CI 0.40–0.50), 0.68 (95%CI 0.57–0.79), and 1.42 (95%CI 0.95–1.88), respectively.
PMID:34488679 · one of two readings recorded this
change in facial swelling from T1 to T2
no effect, p = 0.7
no statistically significant differences have been found between the groups (PG: 2.1 ± 1.5; CG: 2.0 ± 1.3; p = 0.7)
PMID:37653378 · one of two readings recorded this
correlation of facial swelling with surgery time
increases, p = 0.001
longer surgical time was related to higher facial swelling at both T1 and T2 (p < 0.001)
PMID:37653378 · one of two readings recorded this
facial swelling (3D scan)
decreases, p = 0.02
at T1, PG showed a significantly lower facial swelling compared to CG (PG: 3.3 ± 2.1 mm; CG: 4.2 ± 1.7 mm; p = 0.02)
PMID:37653378 · one of two readings recorded this
facial swelling (3D scan)
decreases, p = 0.0005
Similar results were recorded comparing the groups one week after surgery (PG: 1.2 ± 1.2; CG: 2.1 ± 1.3; p = 0.0005)
PMID:37653378 · one of two readings recorded this
facial swelling by three-dimensional face scan, Bellus3D app with 3D Slicer model-to-model distance, in millimetres at 2 and 7 days
decreases, PG 3.3 versus CG 4.2 mm at T1, p = 0.02
Not recorded as a finding: no_outcome_node: no outcome for 3D-scan facial swelling
According to the primary predictor variable, at T1, PG showed a significantly lower facial swelling compared to CG (PG: 3.3 ± 2.1 mm; CG: 4.2 ± 1.7 mm; p = 0.02).
PMID:37653378 · one of two readings recorded this
facial swelling by three-dimensional face scan, Bellus3D camera with 3D Slicer model-to-model distance, in millimetres
decreases, p = 0.02
Not recorded as a finding: no outcome node for 3D facial swelling
According to the primary predictor variable, at T1, PG showed a significantly lower facial swelling compared to CG (PG: 3.3 ± 2.1 mm; CG: 4.2 ± 1.7 mm; p = 0.02).
PMID:37653378 · one of two readings recorded this
facial swelling vs baseline, all patients
increases
All patients showed an increase in facial swelling after surgery compared to T0 (T0-T1: 3.8 ± 2 mm; T0-T2: 1.7 ± 1.3 mm)
PMID:37653378 · one of two readings recorded this
facial swelling vs baseline, all patients
increases
All patients showed an increase in facial swelling after surgery compared to T0 (T0-T1: 3.8 ± 2 mm; T0-T2: 1.7 ± 1.3 mm)
PMID:37653378 · one of two readings recorded this
maximum mouth opening (trismus), maximum inter-incisal distance with a calibrated rule, in millimetres
no effect, PG 35.6 mm versus CG 33.7 mm at T1, no difference
Not recorded as a finding: no outcome node for maximum mouth opening
At T1, the maximum buccal opening was significantly reduced with no difference between PG (35.6 ± 8.2 mm) and CG (33.7 ± 7.3 mm) (p > 0.05).
PMID:37653378 · one of two readings recorded this
maximum mouth opening (trismus), maximum inter-incisal distance with a calibrated rule
no effect, PG 35.6 versus CG 33.7 mm at T1, p > 0.05
Not recorded as a finding: no_outcome_node: no outcome for maximum mouth opening or trismus
At T1, the maximum buccal opening was significantly reduced with no difference between PG (35.6 ± 8.2 mm) and CG (33.7 ± 7.3 mm) (p > 0.05).
PMID:37653378 · one of two readings recorded this
maximum mouth opening
Before surgery, all patients showed good values of buccal opening (44.9 ± 4.6 mm; PG: 44.9 ± 4.5 mm; CG: 44.8 ± 4.8 mm)
PMID:37653378 · one of two readings recorded this
maximum mouth opening
no effect, p = 0.05
At T1, the maximum buccal opening was significantly reduced with no difference between PG (35.6 ± 8.2 mm) and CG (33.7 ± 7.3 mm) (p > 0.05)
PMID:37653378 · one of two readings recorded this
maximum mouth opening
no effect, p = 0.05
The inflammatory effect persisted one week after surgery in both groups (PG: 33.2 ± 14.4 mm; CG: 33.7 ± 13.1 mm; p > 0.05)
PMID:37653378 · one of two readings recorded this
pain (VAS), all patients
increases
After surgery, the pain trend increased at T1 (3.9 ± 1.8) and then reduced at T2 (1.4 ± 1.2)
PMID:37653378 · one of two readings recorded this
pain (VAS), all patients
decreases
After surgery, the pain trend increased at T1 (3.9 ± 1.8) and then reduced at T2 (1.4 ± 1.2)
PMID:37653378 · one of two readings recorded this
pain (VAS)
All patients showed low values of local pain at T0 (0.83 ± 1.2; PG: 0.75 ± 1.2; CG: 0.9 ± 1.1)
PMID:37653378 · one of two readings recorded this
pain (VAS)
decreases, p = 0.0006
PG showed significantly lower pain values compared to CG, both at T1 (PG: 3.1 ± 1.5; CG: 4.6 ± 1.8; p = 0.0006) and T2 (PG: 1.0 ± 0.8; CG: 1.9 ± 1.4; p = 0.0063)
PMID:37653378 · one of two readings recorded this
pain (VAS)
decreases, p = 0.0063
PG showed significantly lower pain values compared to CG, both at T1 (PG: 3.1 ± 1.5; CG: 4.6 ± 1.8; p = 0.0006) and T2 (PG: 1.0 ± 0.8; CG: 1.9 ± 1.4; p = 0.0063)
PMID:37653378 · one of two readings recorded this
surgery time
no effect, p = 0.05
Surgery time recorded a mean value of 15.6 ± 3.7 min, without statistically significant difference between the groups (PG: 15.7 ± 3.9 min; CG: 15.6 ± 3.5 min; p > 0.05)
PMID:37653378 · one of two readings recorded this
complete response at initial assessment
n = 56
In Arm A, CRs were 35 (62.50%); PRs, 7 (12.50%); MRs, 2 (3.57%); and NRs, 12 (21.43%)
PMID:38231017 · one of two readings recorded this
complete response at initial assessment
n = 49
In Arm B, CRs were 31 (63.27%); PRs, 11 (22.45%); MRs, 4 (8.16%); and NRs, 3 (6.12%)
PMID:38231017 · one of two readings recorded this
disease-free survival of responders
with 89.84% (95% CI, 77.34-100.00) in Arm A and 70.88% (95% CI, 51. 80-96.79) in Arm B
PMID:38231017 · one of two readings recorded this
disease-free survival of responders
overall DFS was estimated to be 81.11% (95% CI, 69.20-95.06) at 48 months from day 180
PMID:38231017 · one of two readings recorded this
final response (CR + R), IWG criteria post hoc
no effect, p = 0.8907, n = 82
Final response | CR + R | 26 (60.47%) | 23 (58.97%) |.8907
PMID:38231017 · one of two readings recorded this
initial, final and persistent platelet response rate (complete, partial or minimal response by platelet count and bleeding score) in newly diagnosed primary immune thrombocytopenia, prednisone 1 mg/kg/day versus high-dose dexamethasone 40 mg/day
p = 0.0284, n = 105
Not recorded as a finding: the comparison was against another active treatment
The difference in initial response rate between the 2 arms was statistically significant (P =.0284), in favor of Arm B (Table 7).
PMID:38231017 · one of two readings recorded this
initial no response (NR)
n = 105
NR | 12 (21.43%) | 3 (6.12%)
PMID:38231017 · one of two readings recorded this
initial response (CR + R), IWG criteria post hoc
no effect, p = 0.0592, n = 105
Initial response | CR + R | 44 (78.57%) | 45 (91.84%) |.0592
PMID:38231017 · one of two readings recorded this
loss of response + NR at final assessment
n = 82
Loss of response + NR | 17 (39.53%) | 16 (41.03%)
PMID:38231017 · one of two readings recorded this
overall survival
overall survival was estimated to be 100% (95% confidence interval [CI], 100-100) at 48 months
PMID:38231017 · one of two readings recorded this
persistent no response (NR)
n = 67
NR | 6 (19.35%) | 16 (44.40%)
PMID:38231017 · one of two readings recorded this
persistent response (CR + R), IWG criteria post hoc
increases, p = 0.0292, n = 67
Persistent response | CR + R | 25 (80.65%) | 20 (55.56%) |.0292
PMID:38231017 · one of two readings recorded this
relapses
In total, 7 relapses occurred: 2 in Arm A and 5 in Arm B
PMID:38231017 · one of two readings recorded this
total final response (CR + PR + MR)
no effect, p = 0.8907, n = 82
Final response | CR + PR + MR | 26 (60.47%) | 23 (58.97%) |.8907
PMID:38231017 · one of two readings recorded this
total initial response (CR + PR + MR)
decreases, p = 0.0284, n = 105
Initial response | CR + PR + MR | 44 (78.57%) | 46 (93.88%) |.0284
PMID:38231017 · one of two readings recorded this
total persistent response (CR + PR + MR)
increases, p = 0.0292, n = 67
Persistent response | CR + PR + MR | 25 (80.65%) | 20 (55.56%) |.0292
PMID:38231017 · one of two readings recorded this
180-day survival among Day-7 Lille non-responders (landmark)
no effect, p = 0.139, n = 27
12 of 13 (92.3%) participants classified as non-responders per Day-7 Lille score survived 180 days, in comparison to 10 of 14 (71.4%) in the A+Z group (P = 0.139)
PMID:38342441 · one of two readings recorded this
90-day survival, participants older than 44 years
increases, p = 0.013
but the difference reached statistical significance in participants older than 44 years old [93.5% vs 61.1%, respectively, P=0.013]
PMID:38342441 · one of two readings recorded this
90-day survival, participants younger than 44 years
no effect, p = 0.73
There was no significant difference in survival between the two groups in participants younger than 44 years old [85.3% in PRED vs 78.4% in A+Z, P =0.73)
PMID:38342441 · one of two readings recorded this
acute kidney injury incidence (Fine-Gray)
increases, p = 0.001, n = 147
AKI occurred in 44.6% (33/74) participants in the A+Z group during the study period, more than doubled that in the PRED group 21.9% (16/73) (p=0.001 per Fine-Gray test)
PMID:38342441 · one of two readings recorded this
acute kidney injury (secondary endpoint)
increases, p = 0.0008, n = 147
AKI (44.6% (33/74) versus 21.9% (16/73), HR = 2.67, 95% CI: [1.49, 4.80], P=0.0008)
PMID:38342441 · one of two readings recorded this
acute kidney injury serious adverse events
increases, p = 0.005
The most common SAE was AKI (15 events in the PRED group versus 36 events in the A+Z group, P = 0.005)
PMID:38342441 · one of two readings recorded this
death contributed to by severe infection
no effect, p = 0.097, n = 147
[2/73 (3%) in the PRED group versus 8/74 (11%) in the A+Z group, P = 0.097]
PMID:38342441 · one of two readings recorded this
death while experiencing AKI
increases, p = 0.022, n = 147
The proportion of participants that died while experiencing AKI was also greater in the A+Z [14/74 (18.9%)] than that in the PRED group [4/73 (5.5%), P = 0.022]
PMID:38342441 · one of two readings recorded this
deaths, per-protocol analysis
decreases, p = 0.0282
Seven deaths were observed in the PRED group compared to 18 in the A+Z group (p=0.0282)
PMID:38342441 · one of two readings recorded this
infection incidence (Fine-Gray)
no effect, p = 0.3887, n = 147
In the PRED group, 27.4% (20/73) participants experienced infections versus 31.1% (23/74) in the A+Z group (P=0.3887 per Fine-Gray test)
PMID:38342441 · one of two readings recorded this
infections after stopping prednisone/prednisone placebo
no effect, p = 0.999, n = 27
The rates of infections after stopping prednisone/prednisone placebo were 23.1% (3/13) in the PRED group vs 28.6% (4/14) in the A+Z group (p>0.999)
PMID:38342441 · one of two readings recorded this
liver transplant
n = 147
One of 73 (1.4%) participants in the PRED group and 4 of 74 (5.4%) in the A+Z group received a liver transplant
PMID:38342441 · one of two readings recorded this
MELD increase by more than 5 points
increases, p = 0.0002, n = 147
The A+Z arm had a higher frequency of MELD increase by >5 points [28.4% (21/74) versus 4.1% (3/73), HR = 7.56, 95% CI: (2.26, 25.30), P =0.0002)
PMID:38342441 · one of two readings recorded this
overall 90-day mortality, adjusted Cox regression
decreases, p = 0.018, n = 147
adjusted HR = 0.34, 95% CI [0.14, 0.83], P=0.018
PMID:38342441 · one of two readings recorded this
overall mortality at 90 days (primary), transplant-free survival, acute kidney injury, infection; prednisone 40 mg daily for 30 days versus anakinra plus zinc in severe alcohol-associated hepatitis
decreases, p = 0.018, n = 147
Not recorded as a finding: the comparison was against another active treatment
A Cox regression analysis with baseline MELD score and clinical site as stratification factor further confirmed that PRED was associated with lower overall 90-day mortality (adjusted HR = 0.34, 95% CI [0.14, 0.83], P=0.018).
PMID:38342441 · one of two readings recorded this
overall survival at 180 days
no effect, p = 0.205, n = 147
survival at 30 and 180 days, were 97% and 81% in the PRED versus 85% and 68% in the A+Z group (respective HR and 95%CI were 0.23 [0.05, 1.06] and 0.62 [0.30, 1.30], P=0.059 and P=0.205)
PMID:38342441 · one of two readings recorded this
overall survival at 30 days
no effect, p = 0.059, n = 147
survival at 30 and 180 days, were 97% and 81% in the PRED versus 85% and 68% in the A+Z group (respective HR and 95%CI were 0.23 [0.05, 1.06] and 0.62 [0.30, 1.30], P=0.059 and P=0.205)
PMID:38342441 · one of two readings recorded this
overall survival at 90 days
increases, n = 147
At 90 days, 66 of 73 participants in the PRED group survived, as compared to 55 out of 74 in the A+Z group, with an estimated overall 90-day survival of 90% and 70%, respectively
PMID:38342441 · one of two readings recorded this
overall survival (mortality) at 90 days, severe alcohol-associated hepatitis, prednisone 40 mg orally once daily for 30 days versus anakinra plus zinc sulfate, Cox regression stratified by MELD and site; also transplant-free survival and acute kidney injury incidence
decreases, adjusted HR 0.34 (95% CI 0.14 to 0.83) for 90-day mortality, prednisone versus anakinra plus zinc (active comparator, not placebo), p = 0.018
Not recorded as a finding: the comparison was against another active treatment
A Cox regression analysis with baseline MELD score and clinical site as stratification factor further confirmed that PRED was associated with lower overall 90-day mortality (adjusted HR = 0.34, 95% CI [0.14, 0.83], P=0.018).
PMID:38342441 · one of two readings recorded this
participants completing all study visits
n = 147
In the PRED group 50.7% (37/73) participants completed all study visits versus 40.5% (30/74) in the A+Z group
PMID:38342441 · one of two readings recorded this
protocol-mandated discontinuation for Lille score above 0.45
Lille score >0.45 (13 versus 14)
PMID:38342441 · one of two readings recorded this
protocol-mandated discontinuation for MELD score increase
MELD score increase by > 5 points (3 versus 21)
PMID:38342441 · one of two readings recorded this
protocol-mandated discontinuation for serious adverse events
SAEs (13 versus 14)
PMID:38342441 · one of two readings recorded this
serious adverse events, participants affected
no effect, p = 0.109, n = 147
111 SAEs occurred in 56.2% (41/73) participants in the PRED group versus 138 SAEs in 66.2% (49/74) (participants in the A+Z group (P = 0.109)
PMID:38342441 · one of two readings recorded this
severe infections as share of infections
no effect, p = 0.45, n = 56
In the PRED group 40% (10/25) of infections were severe vs 58.1% (18/31) in the A+Z group (P = 0.45)
PMID:38342441 · one of two readings recorded this
transplant-free survival at 90 days, per-protocol analysis
increases, p = 0.0069
The 90-day transplant-free survival similarly favored PRED (p= 0.0069)
PMID:38342441 · one of two readings recorded this
transplant-free survival at 90 days
increases, p = 0.004, n = 147
The 90-day transplant-free survival rates for the PRED and A+Z groups were 88% and 64%, respectively (HR = 0.30, 95% CI: [0.13, 0.69], P=0.004)
PMID:38342441 · one of two readings recorded this
correlation of Ang-2 with clinical risk score
increases
while Ang-2 (0.37), IL-6 (0.34) and chromogranin A (0.33) were also found to correlate with increasing risk
PMID:38347114 · one of two readings recorded this
correlation of chromogranin A with clinical risk score
increases
while Ang-2 (0.37), IL-6 (0.34) and chromogranin A (0.33) were also found to correlate with increasing risk
PMID:38347114 · one of two readings recorded this
correlation of IL-6 with clinical risk score
increases
while Ang-2 (0.37), IL-6 (0.34) and chromogranin A (0.33) were also found to correlate with increasing risk
PMID:38347114 · one of two readings recorded this
correlation of osteopontin with clinical risk score
increases
OPN was found to have the strongest correlation with increasing clinical risk score (Spearman correlation coefficient=0.61)
PMID:38347114 · one of two readings recorded this
median overall survival
increases
median OS improved from 17.4 (95% CI: 14.1-20.3) to 19.7 months (95% CI: 16.3-21.8) in men with high OPN levels upon addition of B to DP
PMID:38347114 · one of two readings recorded this
median overall survival
no effect
The median OS for low OPN patients was 28.5 (95% CI: 25.2-31.9) months in the DP arm and 28.5 (95% CI: 25.1-33.0) months in the DP+B arm
PMID:38347114 · one of two readings recorded this
median progression-free survival
increases
in high OPN patients, the median PFS improved from 5.9 (95% CI: 5.1-7.2) to 8.3 (95% CI: 7.3-10.2) with the addition of B to DP
PMID:38347114 · one of two readings recorded this
median progression-free survival
increases
The median PFS in low OPN patients improved from 9.4 months (95% CI: 8.2-10.5) to 11.2 months (95% CI: 10.1-12.6) with the addition of B to DP
PMID:38347114 · one of two readings recorded this
median progression-free survival
no effect
Median PFS time was 8.8 months for the biomarker selected population and 8.5 months for the overall population
PMID:38347114 · one of two readings recorded this
overall survival by BMP-9 level
decreases
BMP-9 (OS of 21.3 vs. 25.1 months in marker low vs. high groups, HR 0.9; 95% CI= 0.8-1.0)
PMID:38347114 · one of two readings recorded this
overall survival, multivariable adjusted for risk score
increases
Ang-2 (HR=1.2, 95% CI=1.1-1.3)
PMID:38347114 · one of two readings recorded this
overall survival, multivariable adjusted for risk score
increases
HGF (HR=1.1, 95% CI=1.0-1.2
PMID:38347114 · one of two readings recorded this
overall survival, multivariable adjusted for risk score
increases
ICAM-1 (HR=1.5, 95% CI=1.2-1.9)
PMID:38347114 · one of two readings recorded this
overall survival, multivariable adjusted for risk score
increases
TIMP-1 (HR=1.3, 95% CI=1.1-1.5)
PMID:38347114 · one of two readings recorded this
overall survival, multivariable adjusted for risk score
increases
TSP-2 (HR=1.2, 95% CI=1.0-1.3)
PMID:38347114 · one of two readings recorded this
overall survival, multivariable adjusted for risk score
increases
VEGF-R3 (HR=1.4, 95% CI=1.2-1.7)
PMID:38347114 · one of two readings recorded this
overall survival, multivariable adjusted for risk score
increases
VEGF (HR=1.1, 95% CI=1.0-1.2)
PMID:38347114 · one of two readings recorded this
overall survival, treatment-by-biomarker interaction
unclear, p = 0.063
consisting of OPN (Pintx=0.063), PDGF-BB (Pintx=0.064), and PDGF-AA (Pintx=0.094)
PMID:38347114 · one of two readings recorded this
overall survival, treatment-by-biomarker interaction
unclear, p = 0.094
consisting of OPN (Pintx=0.063), PDGF-BB (Pintx=0.064), and PDGF-AA (Pintx=0.094)
PMID:38347114 · one of two readings recorded this
overall survival, treatment-by-biomarker interaction
unclear, p = 0.064
consisting of OPN (Pintx=0.063), PDGF-BB (Pintx=0.064), and PDGF-AA (Pintx=0.094)
PMID:38347114 · one of two readings recorded this
progression-free survival difference, low vs high biomarker level
decreases
Patients with low levels of the biomarkers (less than the observed median levels) had an average of 1.7 month longer median PFS than patients will high levels of the biomarkers
PMID:38347114 · one of two readings recorded this
progression-free survival, treatment-by-OPN interaction (multivariable)
increases, p = 0.027
in both univariate (Pintx=0.016), and multivariable analysis (Pintx=0.027)
PMID:38347114 · one of two readings recorded this
progression-free survival, treatment-by-OPN interaction (univariate)
increases, p = 0.016
in both univariate (Pintx=0.016), and multivariable analysis (Pintx=0.027)
PMID:38347114 · one of two readings recorded this
DAS at visits after vs before/without diabetes
increases, p = 0.03
in visits of DM patients before diagnosis and in patients without diabetes, mean (SD) DAS 2.07 (1.06) vs 1.94 (1.06), p=0.03
PMID:38688692 · one of two readings recorded this
development of diabetes by any definition (random plasma glucose of 11.1 mmol/L or more on two occasions, or hypoglycaemic medication), Cox regression with time-varying prednisone variables; random glucose level; hyperglycaemia at 7.8 mmol/L or more
no effect, n = 504
Not recorded as a finding: a node exists but the paper states a different instrument or population
Likewise, none of the prednisone variables were significantly associated with an increased risk of developing hyperglycaemia in the main analyses (table 4), nor with the development of diabetes.
PMID:38688692 · one of two readings recorded this
development of diabetes mellitus (random plasma glucose of 11.1 mmol/L or more on at least two occasions, or use of hypoglycaemic agents), hyperglycaemia (random glucose 7.8 mmol/L or more) and random plasma glucose over time, in association with time-varying prednisone dose and exposure in early rheumatoid arthritis, mixed-effects and Cox models
no effect, no significant association between prednisone use and diabetes in sensitivity analyses
Not recorded as a finding: a node exists but the paper states a different instrument or population
There was no significant association between prednisone use and diabetes in sensitivity analyses.
PMID:38688692 · one of two readings recorded this
diabetes by any definition (hazard ratio)
no effect, n = 504
Any previous prednisone use* | 0.72 | 0.28 to 1.84 | 0.72 | 0.33 to 1.51
PMID:38688692 · one of two readings recorded this
diabetes by any definition (hazard ratio)
no effect
Any previous prednisone use* | 0.72 | 0.28 to 1.84 | 0.72 | 0.33 to 1.51
PMID:38688692 · one of two readings recorded this
diabetes by any definition (hazard ratio)
no effect, n = 504
Cumulative prednisone dose* | 0.96 | 0.89 to 1.05 | 0.97 | 0.90 to 1.03
PMID:38688692 · one of two readings recorded this
diabetes by any definition (hazard ratio)
no effect
Cumulative prednisone dose* | 0.96 | 0.89 to 1.05 | 0.97 | 0.90 to 1.03
PMID:38688692 · one of two readings recorded this
diabetes by any definition (hazard ratio)
increases, n = 504
Current DAS† | 1.80 | 1.19 to 2.72 | 1.80 | 1.28 to 2.53
PMID:38688692 · one of two readings recorded this
diabetes by any definition (hazard ratio)
increases
Current DAS† | 1.80 | 1.19 to 2.72 | 1.80 | 1.28 to 2.53
PMID:38688692 · one of two readings recorded this
diabetes by any definition (hazard ratio)
no effect, n = 504
Current prednisone dose* | 1.07 | 0.98 to 1.16 | 1.07 | 1.00 to 1.15
PMID:38688692 · one of two readings recorded this
diabetes by any definition (hazard ratio)
no effect
Current prednisone dose* | 1.07 | 0.98 to 1.16 | 1.07 | 1.00 to 1.15
PMID:38688692 · one of two readings recorded this
diabetes by any definition (hazard ratio)
no effect, n = 504
Maximum previous prednisone dose* | 0.97 | 0.95 to 1.04 | 1.00 | 0.96 to 1.03
PMID:38688692 · one of two readings recorded this
diabetes by any definition (hazard ratio)
no effect
Maximum previous prednisone dose* | 0.97 | 0.95 to 1.04 | 1.00 | 0.96 to 1.03
PMID:38688692 · one of two readings recorded this
diabetes by any definition (hazard ratio)
no effect, n = 504
Previous time on prednisone* | 0.97 | 0.91 to 1.02 | 0.97 | 0.93 to 1.01
PMID:38688692 · one of two readings recorded this
diabetes by any definition (hazard ratio)
no effect
Previous time on prednisone* | 0.97 | 0.91 to 1.02 | 0.97 | 0.93 to 1.01
PMID:38688692 · one of two readings recorded this
diabetes development
no effect, p = 1, n = 504
Diabetes development, % | 6.1 | 6.3 | 1.00
PMID:38688692 · one of two readings recorded this
diabetes per 0.2 point DAS increase (text)
increases, n = 504
(or an HR of 1.12 (95% CI 1.05 to 1.21) per 0.2 point DAS increase)
PMID:38688692 · one of two readings recorded this
diabetes per one-point higher DAS (text)
increases, p = 0.001, n = 504
a one-point higher DAS over time was associated with an HR of 1.80 (95% CI 1.28 to 2.53, p=0.001) for developing diabetes in the main analyses
PMID:38688692 · one of two readings recorded this
diabetes prevalence by treatment arm
no effect, p = 0.83
Patients with diabetes were equally distributed among the treatment arms, ranging from 5.5% in arm 4 to 8.3% in arm 2 (p=0.83)
PMID:38688692 · one of two readings recorded this
duration of a prednisone course (median)
n = 240
The median (IQR) duration of a prednisone course was 9 (6–12) months
PMID:38688692 · one of two readings recorded this
glucose increase per point DAS after first hyperglycaemia (text)
increases
increase in glucose of 0.08 mmol/L (95% CI 0.04 to 0.12) per point increase in DAS in visits after the first hyperglycaemia
PMID:38688692 · one of two readings recorded this
glucose over time (beta)
no effect, n = 504
Any previous prednisone use* | 0.03 | −0.09 to 0.14 | −0.02 | −0.13 to 0.08
PMID:38688692 · one of two readings recorded this
glucose over time (beta)
no effect
Any previous prednisone use* | 0.03 | −0.09 to 0.14 | −0.02 | −0.13 to 0.08
PMID:38688692 · one of two readings recorded this
glucose over time (beta)
no effect, n = 504
Cumulative prednisone dose* | −0.00 | −0.00 to 0.00 | −0.00 | −0.01 to 0.01
PMID:38688692 · one of two readings recorded this
glucose over time (beta)
no effect
Cumulative prednisone dose* | −0.00 | −0.00 to 0.00 | −0.00 | −0.01 to 0.01
PMID:38688692 · one of two readings recorded this
glucose over time (beta)
no effect, n = 504
Current DAS† | 0.03 | −0.01 to 0.06 | 0.08 | 0.04 to 0.12
PMID:38688692 · one of two readings recorded this
glucose over time (beta)
increases
Current DAS† | 0.03 | −0.01 to 0.06 | 0.08 | 0.04 to 0.12
PMID:38688692 · one of two readings recorded this
glucose over time (beta)
no effect, n = 504
Current prednisone dose* | 0.00 | −0.01 to 0.01 | 0.01 | −0.01 to 0.02
PMID:38688692 · one of two readings recorded this
glucose over time (beta)
no effect
Current prednisone dose* | 0.00 | −0.01 to 0.01 | 0.01 | −0.01 to 0.02
PMID:38688692 · one of two readings recorded this
glucose over time (beta)
no effect, n = 504
Maximum previous prednisone dose* | 0.00 | −0.00 to 0.01 | −0.00 | −0.01 to 0.01
PMID:38688692 · one of two readings recorded this
glucose over time (beta)
no effect
Maximum previous prednisone dose* | 0.00 | −0.00 to 0.01 | −0.00 | −0.01 to 0.01
PMID:38688692 · one of two readings recorded this
glucose over time (beta)
no effect, n = 504
Previous time on prednisone* | −0.00 | −0.01 to 0.00 | −0.00 | −0.01 to 0.00
PMID:38688692 · one of two readings recorded this
glucose over time (beta)
no effect
Previous time on prednisone* | −0.00 | −0.01 to 0.00 | −0.00 | −0.01 to 0.00
PMID:38688692 · one of two readings recorded this
glucose over time, mean (SD)
no effect, p = 0.05, n = 504
Glucose over time, mean (SD) | 5.7 | (1.8) | 5.7 | (1.4) | 0.05
PMID:38688692 · one of two readings recorded this
glucose over time, mean (SD)
increases, p = 0.001, n = 504
Glucose over time, mean (SD) | 5.5 | (1.4) | 8.1 | (3.3) | <0.001
PMID:38688692 · one of two readings recorded this
hyperglycaemia ≥7.8 (odds ratio)
no effect, n = 504
Any previous prednisone use* | 1.22 | 0.90 to 1.65 | 0.89 | 0.69 to 1.14
PMID:38688692 · one of two readings recorded this
hyperglycaemia ≥7.8 (odds ratio)
no effect
Any previous prednisone use* | 1.22 | 0.90 to 1.65 | 0.89 | 0.69 to 1.14
PMID:38688692 · one of two readings recorded this
hyperglycaemia ≥7.8 (odds ratio)
no effect, n = 504
Cumulative prednisone dose* | 1.01 | 0.99 to 1.04 | 0.99 | 0.97 to 1.00
PMID:38688692 · one of two readings recorded this
hyperglycaemia ≥7.8 (odds ratio)
no effect
Cumulative prednisone dose* | 1.01 | 0.99 to 1.04 | 0.99 | 0.97 to 1.00
PMID:38688692 · one of two readings recorded this
hyperglycaemia ≥7.8 (odds ratio)
no effect, n = 504
Current DAS† | 1.04 | 0.94 to 1.16 | 1.29 | 1.17 to 1.42
PMID:38688692 · one of two readings recorded this
hyperglycaemia ≥7.8 (odds ratio)
increases
Current DAS† | 1.04 | 0.94 to 1.16 | 1.29 | 1.17 to 1.42
PMID:38688692 · one of two readings recorded this
hyperglycaemia ≥7.8 (odds ratio)
no effect, n = 504
Current prednisone dose* | 1.01 | 0.98 to 1.04 | 1.03 | 1.00 to 1.06
PMID:38688692 · one of two readings recorded this
hyperglycaemia ≥7.8 (odds ratio)
no effect
Current prednisone dose* | 1.01 | 0.98 to 1.04 | 1.03 | 1.00 to 1.06
PMID:38688692 · one of two readings recorded this
hyperglycaemia ≥7.8 (odds ratio)
no effect, n = 504
Maximum previous prednisone dose* | 1.00 | 0.99 to 1.02 | 1.00 | 0.99 to 1.01
PMID:38688692 · one of two readings recorded this
hyperglycaemia ≥7.8 (odds ratio)
no effect
Maximum previous prednisone dose* | 1.00 | 0.99 to 1.02 | 1.00 | 0.99 to 1.01
PMID:38688692 · one of two readings recorded this
hyperglycaemia ≥7.8 (odds ratio)
no effect, n = 504
Previous time on prednisone* | 1.00 | 0.99 to 1.02 | 0.99 | 0.98 to 1.00
PMID:38688692 · one of two readings recorded this
hyperglycaemia ≥7.8 (odds ratio)
no effect
Previous time on prednisone* | 1.00 | 0.99 to 1.02 | 0.99 | 0.98 to 1.00
PMID:38688692 · one of two readings recorded this
mean DAS over time
increases, p = 0.03, n = 504
Mean DAS (SD) over time | 1.9 | (1.1) | 2.1 | (1.1) | 0.03
PMID:38688692 · one of two readings recorded this
mean glucose at visits with vs without prednisone
no effect, p = 0.94
The mean (SD) glucose level at visits with prednisone (1220/12 184 visits) was 5.7 (1.7) mmol/L, which was similar to mean (SD) glucose levels at visits without prednisone (10 964/12 184 visits, 5.7 (1.3) mmol/L), p=0.94)
PMID:38688692 · one of two readings recorded this
mean glucose before vs after intramuscular glucocorticoids
no effect, p = 0.21
The mean (SD) glucose on visits before imGCs was 5.2 (1.1) compared with 5.5 (1.4) on visits after imGCs (p=0.21, paired t-test)
PMID:38688692 · one of two readings recorded this
mean glucose by disease activity category (crude)
no effect
In visits where patients were in remission, low, moderate and high disease activity, mean (SD) glucose was 5.7 (1.7), 5.7 (1.6), 5.8 (1.8) and 5.8 (2.0), respectively
PMID:38688692 · one of two readings recorded this
mean glucose by disease activity category (crude)
no effect
In visits where patients were in remission, low, moderate and high disease activity, mean (SD) glucose was 5.7 (1.7), 5.7 (1.6), 5.8 (1.8) and 5.8 (2.0), respectively
PMID:38688692 · one of two readings recorded this
mean glucose by disease activity category (crude)
no effect
In visits where patients were in remission, low, moderate and high disease activity, mean (SD) glucose was 5.7 (1.7), 5.7 (1.6), 5.8 (1.8) and 5.8 (2.0), respectively
PMID:38688692 · one of two readings recorded this
mean glucose by disease activity category (crude)
no effect
In visits where patients were in remission, low, moderate and high disease activity, mean (SD) glucose was 5.7 (1.7), 5.7 (1.6), 5.8 (1.8) and 5.8 (2.0), respectively
PMID:38688692 · one of two readings recorded this
patients who developed diabetes
n = 504
During the study, 31 (6.2%) patients developed DM based on our definitions
PMID:38688692 · one of two readings recorded this
patients with hyperglycaemia
no effect, p = 0.72, n = 504
Patients with hyperglycaemia, % | 45 | 47 | 0.72
PMID:38688692 · one of two readings recorded this
patients with hyperglycaemia
increases, p = 0.001, n = 504
Patients with hyperglycaemia, % | 43 | 94 | <0.001
PMID:38688692 · one of two readings recorded this
recurrence of hyperglycaemia per mg current prednisone dose (text)
no effect, p = 0.026
OR 1.03, 95% CI 1.00 to 1.06 for each mg increase in the current prednisone dose used, p=0.026
PMID:38688692 · one of two readings recorded this
recurrence of hyperglycaemia per point DAS (text)
increases
OR 1.29 for each point higher DAS, 95% CI 1.17 to 1.42
PMID:38688692 · one of two readings recorded this
time from baseline to development of diabetes (median)
n = 31
The median (IQR) time from baseline to development of DM was 6.3 (3.3–7.5) years
PMID:38688692 · one of two readings recorded this
AKI phenotype: acute tubular necrosis (ATN)
no effect
ATN (24% A+Z vs. 25% PRED) as the most common cause, followed by prerenal (12% A + Z vs. 31% PRED)
PMID:39028887 · one of two readings recorded this
AKI phenotype: prerenal
ATN (24% A+Z vs. 25% PRED) as the most common cause, followed by prerenal (12% A + Z vs. 31% PRED)
PMID:39028887 · one of two readings recorded this
Complete recovery from AKI
no effect
Complete recovery from AKI was noted in 9/33 (27.3%) versus 6/16 (37.5%) participants
PMID:39028887 · one of two readings recorded this
Correlation between MAP and serum creatinine, A+Z, day 14
decreases, p = 0.001
This negative correlation between MAP and sCr became significant on day 7 (R = −0.30, p =0.017) and peaked on days 14 (R = −0.53, p< 0.001) and 28 (R =−0.37, p =0.017)
PMID:39028887 · one of two readings recorded this
Correlation between MAP and serum creatinine, A+Z, day 28
decreases, p = 0.017
This negative correlation between MAP and sCr became significant on day 7 (R = −0.30, p =0.017) and peaked on days 14 (R = −0.53, p< 0.001) and 28 (R =−0.37, p =0.017)
PMID:39028887 · one of two readings recorded this
Correlation between MAP and serum creatinine, A+Z, day 7
decreases, p = 0.017
This negative correlation between MAP and sCr became significant on day 7 (R = −0.30, p =0.017) and peaked on days 14 (R = −0.53, p< 0.001) and 28 (R =−0.37, p =0.017)
PMID:39028887 · one of two readings recorded this
Correlation between MAP and serum creatinine, PRED, day 28
decreases, p = 0.014
a negative correlation was found between MAP and sCr in PRED-treated participants on day 28 (R =−0.34, p =0.014)
PMID:39028887 · one of two readings recorded this
Diuretic use before AKI onset
no effect, p = 0.272
diuretic use was similar in both treatment arms (n= 10/33 [30.3%] A+Z vs. n= 7/15 [46.7%] PRED, p= 0.272)
PMID:39028887 · one of two readings recorded this
Gastrointestinal bleed before AKI onset
no effect, p = 1
a gastrointestinal bleed (n =4/33 [12.1%] A+Z vs. n= 2/16 [13.3%] PRED, p= 1.000)
PMID:39028887 · one of two readings recorded this
Incidence of acute kidney injury (AKI)
increases, p = 0.001, n = 147
the incidence of AKI was higher in A+Z than in PRED, 45% (n= 33) vs. 22% (n= 16), p =0.001
PMID:39028887 · one of two readings recorded this
incidence of acute kidney injury by KDIGO criteria within 90 days, prednisone 40 mg orally once daily for 30 days versus anakinra plus zinc sulfate, severe alcohol-associated hepatitis
AKI incidence 45% (n = 33) in anakinra plus zinc versus 22% (n = 16) in prednisone, p = 0.001
Not recorded as a finding: the comparison was against another active treatment
During the course of treatment, 33% (n= 49) developed AKI, and the incidence of AKI was higher in A+Z than in PRED, 45% (n= 33) vs. 22% (n= 16), p =0.001.
PMID:39028887 · one of two readings recorded this
Incidence of AKI, overall
n = 147
During the course of treatment, 33% (n= 49) developed AKI
PMID:39028887 · one of two readings recorded this
incident acute kidney injury by KDIGO serum creatinine criteria over 90 days, prednisone 40 mg daily versus anakinra plus zinc in severe alcohol-associated hepatitis
AKI in 45% (n=33) of anakinra plus zinc versus 22% (n=16) of prednisone, p = 0.001, n = 147
Not recorded as a finding: the comparison was against another active treatment
During the course of treatment, 33% (n= 49) developed AKI, and the incidence of AKI was higher in A+Z than in PRED, 45% (n= 33) vs. 22% (n= 16), p =0.001.
PMID:39028887 · one of two readings recorded this
Incident AKI, multivariable competing risk analysis (A+Z vs PRED)
increases, p = 0.005, n = 147
only A+Z was independently associated with increased risk for AKI (subdistribution hazard ratio 2.35 [95% CI: 1.29, 4.27] p =0.005)
PMID:39028887 · one of two readings recorded this
Intravenous contrast 3 days before AKI onset
no effect, p = 0.227
received i.v. contrast (n =1/33 [3.0%] A+Z vs. n =2/16 [13.3%] PRED, p= 0.227)
PMID:39028887 · one of two readings recorded this
Log IL-1Ra level, AKI vs no AKI (A+Z arm)
no effect, p = 0.771
day 0 (3.8±1.9 AKI vs. 4.0±1.6 no-AKI, p=0.771)
PMID:39028887 · one of two readings recorded this
Log IL-1Ra level, AKI vs no AKI (A+Z arm)
no effect, p = 0.242
day 14 (6.7±3.5 AKI vs. 7.8±2.9 no-AKI, p=0.242)
PMID:39028887 · one of two readings recorded this
Log IL-1Ra level, AKI vs no AKI (A+Z arm)
decreases, p = 0.01
There was a difference in day 28 (2.7±1.1 AKI vs. 3.8±1.3 no-AKI, p=0.010)
PMID:39028887 · one of two readings recorded this
Log IL-1Ra level, AKI vs no AKI (A+Z arm)
no effect, p = 0.182
day 7 (8.4±3.0 AKI vs. 9.4±2.4 no-AKI, p=0.182)
PMID:39028887 · one of two readings recorded this
Mean serum creatinine on day 14, by arm and AKI status
increases, p = 0.001
2.5±2.7mg/dL (on A+Z and had AKI), 0.8±0.3mg/dL (on A+Z, did not have AKI), 1.2±0.7 mg/dL (on PRED and had AKI), and 0.7±0.2 mg/dL (on PRED, did not have AKI); p<0.001
PMID:39028887 · one of two readings recorded this
Mean serum creatinine on day 7, A+Z arm (with AKI vs without AKI)
increases
the mean sCr levels for those on A+Z were 1.5±0.9 mg/dL (with AKI) and 0.9±0.6 mg/dL (without AKI)
PMID:39028887 · one of two readings recorded this
Mean serum creatinine on day 7, PRED arm (with AKI vs without AKI)
increases, p = 0.001
for those on PRED, the mean values were 1.0±0.4 mg/dL (with AKI) and 0.7±0.2 mg/dL (without AKI); p<0.001
PMID:39028887 · one of two readings recorded this
Median albumin given in participants with AKI
no effect, p = 0.582
A+Z 100.0 [62.5, 127.5] g vs. PRED 118.8 [50.0, 200.0] g, p=0.582
PMID:39028887 · one of two readings recorded this
Median time from treatment start to AKI development
no effect, p = 0.186
The median (IQR) days of time from treatment start to AKI development was 10 days and did not differ between the 2 treatment arms (p = 0.186)
PMID:39028887 · one of two readings recorded this
Partial recovery from AKI
no effect
partial recovery was noted in 6/33 (18.2%) versus 3/16 (18.8%) on A+Z versus PRED respectively
PMID:39028887 · one of two readings recorded this
Participants who died with an AKI
increases, p = 0.022
the proportion of participants who died with an AKI was greater in the A+Z (14/74 [18.9%] than in the PRED group 4/73 [5.5%], p= 0.022
PMID:39028887 · one of two readings recorded this
Peak AKI stage 2
increases
peak stage 2 n=8/33 (24.2%) A+Z vs. n=1/16 (6.3%) PRED
PMID:39028887 · one of two readings recorded this
Peak AKI stage 3
increases, p = 0.035
peak stage 3 n=21/33 (63.6%) A+Z vs. n=8/16 (50.0%) PRED, p=0.035
PMID:39028887 · one of two readings recorded this
Progression of AKI
6/16 (37.5%) and 13/33 (39.4%) participants in the PRED and A+Z arm experienced progression of AKI
PMID:39028887 · one of two readings recorded this
Renal replacement therapy among participants with AKI
10/33 (30.3%) on A+Z versus 7/16 (43.8%) on PRED received RRT
PMID:39028887 · one of two readings recorded this
Treated for infection before AKI onset
no effect, p = 0.703
The proportion of participants being treated for infection was also similar in both treatment arms (n =6/33 [18.2%] A+Z vs. n= 4/16 [26.7%] PRED, p= 0.703)
PMID:39028887 · one of two readings recorded this
Urine KIM-1, AKI A+Z vs AKI PRED
increases, p = 0.039
1.5±0.9 vs. 0.2±2.1 ng/mL (p=0.039)
PMID:39028887 · one of two readings recorded this
Urine NGAL, AKI A+Z vs AKI PRED
increases, p = 0.032
5.0±1.3 vs. 3.1±1.4 ng/mL (p=0.002), 5.5±2.0 vs. 3.4±1.4 (p=0.032), and 4.5±0.9 vs. 2.6±1.2 (p=0.007)
PMID:39028887 · one of two readings recorded this
Urine NGAL, AKI A+Z vs AKI PRED
increases, p = 0.007
5.0±1.3 vs. 3.1±1.4 ng/mL (p=0.002), 5.5±2.0 vs. 3.4±1.4 (p=0.032), and 4.5±0.9 vs. 2.6±1.2 (p=0.007)
PMID:39028887 · one of two readings recorded this
Urine NGAL, AKI A+Z vs AKI PRED
increases, p = 0.002
5.0±1.3 vs. 3.1±1.4 ng/mL (p=0.002), 5.5±2.0 vs. 3.4±1.4 (p=0.032), and 4.5±0.9 vs. 2.6±1.2 (p=0.007)
PMID:39028887 · one of two readings recorded this
Adrenal suppression, peak cortisol <400 nmol/L
Placebo | 589.9 (458, 750) [19] | 20.0% [4/20] | 0% [0/20]
PMID:39097643 · one of two readings recorded this
Adrenal suppression, peak cortisol <400 nmol/L
increases
Prednisone 0.75 mg/kg/day | 277.6 (138, 436) [25] | 100% [25/25] | 92.0% [23/25]
PMID:39097643 · one of two readings recorded this
Adrenal suppression, peak cortisol <400 nmol/L
increases
Vamorolone 2 mg/kg/day | 392.8 (193, 618) [19] | 84.2% [16/19] | 47.4% [9/19]
PMID:39097643 · one of two readings recorded this
Adrenal suppression, peak cortisol <400 nmol/L
increases
Vamorolone 6 mg/kg/day | 180.9 (11, 665) [21] | 95.2% [20/21] | 90.5% [19/21]
PMID:39097643 · one of two readings recorded this
Adrenal suppression, peak cortisol <500 nmol/L
Placebo | 589.9 (458, 750) [19] | 20.0% [4/20] | 0% [0/20]
PMID:39097643 · one of two readings recorded this
Adrenal suppression, peak cortisol <500 nmol/L
increases
Prednisone 0.75 mg/kg/day | 277.6 (138, 436) [25] | 100% [25/25] | 92.0% [23/25]
PMID:39097643 · one of two readings recorded this
Sources cited
1 paper
- Subject
- prednisone
- Findings
- 1
- Papers
- 1