Evidence map›Paper›PMID 20238230›Full record

Trial reportPediatric nephrology (Berlin, Germany)2010

Rituximab efficiency in children with steroid-dependent nephrotic syndrome.

Anne-Laure Sellier-Leclerc, Marie-Alice Macher, Chantal Loirat, Valérie Guérin, Hervé Watier, Michel Peuchmaur, Véronique Baudouin, Georges Deschênes

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Pediatric nephrology (Berlin, Germany), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% of its field
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

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 98 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Trial
  4. Rituximab in steroid-dependent or frequently relapsing idiopathic nephrotic syndrome.Journal of the American Society of Nephrology : JASN · 2014
    Trial
  5. Trial
  6. Rituximab for refractory cases of childhood nephrotic syndrome.Pediatric nephrology (Berlin, Germany) · 2011
    Trial
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Article
  20. 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

8 authors at 4 institutions in 1 country.

Anne-Laure Sellier-LeclercPediatric Nephrology Department, Hôpital Robert Debré, APHP, Université Paris VII, 48 Boulevard Sérurier, 75019, Paris, France. alaure.leclerc@gmail.com
Marie-Alice Macher
Chantal Loirat
Valérie Guérin
Hervé Watier
Michel Peuchmaur
Véronique Baudouin
Georges Deschênes
Hôpital Robert-Debré · FRAssistance Publique – Hôpitaux de Paris · FRUniversité Paris Cité · FRImagerie et Cerveau · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although most patients with idiopathic nephrotic syndrome (NS) respond to steroid treatment, development of steroid dependency may require a long-term multidrug therapy including steroid and calcineurin inhibitor. Rituximab was shown to allow a reduction of the doses of steroid and immunosuppressive drugs in those patients. In the present series, 22 patients with steroid-sensitive, but steroid-dependent nephrotic syndrome were treated with rituximab. Rituximab reduced B cell count down to an undetectable level in all patients. A second treatment was necessary in 18 patients in order to maintain B cell depletion for up to 18 months. B cell depletion lasted 4.9 to 26 months (mean 17.2 months). At last follow-up, 9 patients were in remission without oral steroid or calcineurin inhibitor, although B cell count had recovered for 2.9 to 17 months (mean 9.5 months). A remission under ongoing B cell depletion was observed in 10 other patients in the absence of oral steroid or calcineurin inhibitor. Rituximab failed in 2 patients and 1 refused any additional treatment, despite B cell recovery and relapse. Toxicity of rituximab was limited to reversible cytokine shock in 2 patients and reversible neutropenia in 1 patient. No severe infection was observed.

Indexed as

AdolescentAntibodies, MonoclonalAntibodies, Monoclonal, Murine-DerivedB-LymphocytesChildDrug Therapy, CombinationFemaleHumansImmunologic FactorsImmunosuppressive AgentsLymphocyte CountMaleNephrotic SyndromeRituximabTreatment OutcomeAntibodies, MonoclonalAntibodies, Monoclonal, Murine-DerivedImmunologic FactorsImmunosuppressive AgentsRituximab

Identifiers

PMID20238230
OpenAlexW2046672031

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.