Evidence map›Paper›PMID 28487395›Full record

Observational studyJournal of the American Society of Nephrology : JASN2017

Safety of Rituximab Compared with Steroids and Cyclophosphamide for Idiopathic Membranous Nephropathy.

Jan A J G van den Brand, Piero Ruggenenti, Antonietta Chianca, Julia M Hofstra, Annalisa Perna, Barbara Ruggiero, Jack F M Wetzels, Giuseppe Remuzzi

2 registry-linked trialsOpen access · bronzeAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Journal of the American Society of Nephrology : JASN, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 112 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 11 pooled it
8.8field-weighted citation impact, top 1% 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.

NCT04743739 phase3terminatednot on this mapstarted 2021, after this paper: background citation

A Multicenter Randomized Controlled Trial of Rituximab Combined With Cyclosporine Versus Rituximab Alone in the Treatment of Idiopathic Membranous Nephropathy

TypeinterventionalSponsorPeking Union Medical College HospitalRan2021 to 2024Enrolled12ConditionsIdiopathic Membranous NephropathyArmsRituximab, cyclosporine
NCT04745728 phase3recruitingnot on this mapstarted 2021, after this paper: background citation

Different Immunosuppressive Treatment in Idiopathic Membranous Nephropathy: a Prospective Cohort

TypeinterventionalSponsorPeking Union Medical College HospitalRan2021 to 2029Enrolled200ConditionsIdiopathic Membranous NephropathyArmsPrednisone, Cyclophosphamide, Rituximab
3 · Its place in the literature

Who cites it

112 citing papers in PubMed, 11 syntheses or guidelines pooled it, 186 citations in OpenAlex.

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  18. [Primary glomerulonephritides].Innere Medizin (Heidelberg, Germany) · 2026
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52 more citing papers are in PubMed but not listed here.

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 2 countries.

Jan A J G van den BrandDepartment of Nephrology, Radboud University Medical Center, Nijmegen, The Netherlands; jan.vandenbrand@radboudumc.nl giuseppe.remuzzi@marionegri.it.
Piero RuggenentiUnit of Nephrology, Azienda Socio Sanitaria Territoriale Ospedale Papa Giovanni XXIII, Bergamo, Italy; and.
Antonietta ChiancaIRCCS - Instituto di Ricerche Farmacologiche "Mario Negri", Department of Renal Medicine, Clinical Research Center for Rare Diseases "Ado e Cele Daccò", Ranica, Bergamo, Italy.
Julia M HofstraDepartment of Nephrology, Radboud University Medical Center, Nijmegen, The Netherlands.
Annalisa PernaIRCCS - Instituto di Ricerche Farmacologiche "Mario Negri", Department of Renal Medicine, Clinical Research Center for Rare Diseases "Ado e Cele Daccò", Ranica, Bergamo, Italy.
Barbara RuggieroIRCCS - Instituto di Ricerche Farmacologiche "Mario Negri", Department of Renal Medicine, Clinical Research Center for Rare Diseases "Ado e Cele Daccò", Ranica, Bergamo, Italy.
Jack F M WetzelsDepartment of Nephrology, Radboud University Medical Center, Nijmegen, The Netherlands.
Giuseppe RemuzziUnit of Nephrology, Azienda Socio Sanitaria Territoriale Ospedale Papa Giovanni XXIII, Bergamo, Italy; and jan.vandenbrand@radboudumc.nl giuseppe.remuzzi@marionegri.it.
Istituti di Ricovero e Cura a Carattere Scientifico · ITMario Negri Institute for Pharmacological Research · ITRadboud University Medical Center · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Guidelines recommend steroid plus cyclical cyclophosphamide (St-Cp) therapy for patients with idiopathic membranous nephropathy at high risk of progression to ESRD. Rituximab (Rtx) may be a safer alternative. In this retrospective, observational cohort study, we compared time to any adverse event (primary outcome); serious or nonserious events; partial and complete remission of the nephrotic syndrome; and a composite of doubling of serum creatinine, ESRD, or death between 100 Rtx-treated patients and 103 patients who received daily St-Cp We monitored patients with standardized protocols and adjusted for baseline characteristics by Cox regression. Over a median follow-up of 40 months, the Rtx group had significantly fewer adverse events than the St-Cp group (63 versus 173;

Indexed as

AdultAgedAnti-Inflammatory AgentsCreatinineCyclophosphamideDrug Therapy, CombinationFemaleGlomerulonephritis, MembranousHumansImmunologic FactorsImmunosuppressive AgentsMaleMethylprednisoloneMiddle AgedNephrotic SyndromeRetrospective StudiesAnti-Inflammatory AgentsCreatinineCyclophosphamideImmunologic FactorsImmunosuppressive AgentsMethylprednisoloneRituximabadverse eventsclinical epidemiologycyclophosphamidedrug safetymembranous nephropathyrituximab

Identifiers

PMID28487395
PMCPMC5576929
OpenAlexW2613205117

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.