Evidence map›Paper›PMID 23340857›Full record

ArticlePediatric nephrology (Berlin, Germany)2013

Long-term outcome of children treated with rituximab for idiopathic nephrotic syndrome.

Stéphanie Tellier, Karine Brochard, Arnaud Garnier, Flavio Bandin, Brigitte Llanas, Vincent Guigonis, Mathilde Cailliez, Christine Pietrement, Olivier Dunand, Sylvie Nathanson and 3 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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  17. Observational
  18. Rituximab for troublesome cases of childhood nephrotic syndrome.World journal of clinical pediatrics · 2014
    Review
  19. Rituximab in idiopathic nephrotic syndrome: does it make sense?Pediatric nephrology (Berlin, Germany) · 2014
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 9 institutions in 1 country.

Stéphanie TellierPediatric Nephrology, Hôpital des Enfants, Toulouse, France. s.tellier@chu-toulouse.fr
Karine Brochard
Arnaud Garnier
Flavio Bandin
Brigitte Llanas
Vincent Guigonis
Mathilde Cailliez
Christine Pietrement
Olivier Dunand
Sylvie Nathanson
Aurélia Bertholet-Thomas
Lydia Ichay
Stéphane Decramer
Hôpital des Enfants · FRCentre Hospitalier Saint-Denis · FRHôpital André Mignot · FRHôpital Arnaud de Villeneuve · FRHôpital de la Timone · FRHôpital Femme Mère Enfant · FRHôpital Mère-Enfant · FRHôpital Pellegrin · FRUniversité de Reims Champagne-Ardenne · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRituximab (RTX) has recently showed promising results in the treatment of steroid-dependent idiopathic nephrotic syndrome (SDNS).

methodsThis was a retrospective multicenter study of 18 children treated with RTX for SDNS, with a mean follow-up of 3.2 years. RTX was introduced because of side effects or relapses during therapy with immunosuppressive agents. The children received one to four infusions of RTX during the first course of treatment, and subsequent infusions were given due to CD19-cell recovery (CD19 >1 %; 54 % of children) or relapse (41 %), as well as systematically (5 %).

resultsTreatment with RTX maintained sustained remission without relapse in 22 % of patients and increased the duration of remission in all other patients. The time between two successive relapses was 9 months in the absence of re-treatment and 24.5 months when infusions were performed at the time of CD19-cell recovery. At the last follow-up, 44.5 % of patients were free of oral drug therapy. Of those still receiving oral drugs, all doses had been decreased. No serious adverse events occurred.

conclusionThe results of this retrospective study confirm the efficacy and very good safety of RTX in the treatment of SDNS. The optimal therapeutic protocol seems to be a repeated single infusion at the time of CD19-cell recovery.

Indexed as

Antibodies, Monoclonal, Murine-DerivedChildChild, PreschoolFemaleHumansImmunologic FactorsInfantMaleNephrotic SyndromeRetrospective StudiesRituximabTime FactorsTreatment OutcomeAntibodies, Monoclonal, Murine-DerivedImmunologic FactorsRituximab

Identifiers

PMID23340857
OpenAlexW1980926849

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.