Prospective validation of an equation based on plasma cystatin C for monitoring the glomerular filtration rate in children treated with cisplatin or ifosfamide for cancer

Cancer Chemother Pharmacol. 2024 Apr;93(4):393-395. doi: 10.1007/s00280-023-04597-6. Epub 2023 Oct 3.

Abstract

We recently proposed an equation to estimate the glomerular filtration rate (GFR) in children with cancer based on plasma cystatin C and serum creatinine levels together with body weight (the "CysPed equation"). The current clinical study reports a prospective evaluation of this equation in 18 children treated by nephrotoxic chemotherapy. The CysPed equation resulted in less bias and greater precision compared to two equations previously proposed equations by Schwartz, with or without plasma cystatin C. Moreover, the decrease in GFR due to chemotherapy was clearly identified by the CysPed equation. This equation may be used to monitor the renal function in childhood cancer units.

Keywords: Chemotherapy; Cystatin C; Nephrotoxicity; Pediatrics.

MeSH terms

  • Biomarkers
  • Child
  • Cisplatin / adverse effects
  • Creatinine
  • Cystatin C*
  • Glomerular Filtration Rate
  • Humans
  • Ifosfamide / therapeutic use
  • Neoplasms* / drug therapy

Substances

  • Cystatin C
  • Cisplatin
  • Ifosfamide
  • Creatinine
  • Biomarkers