Evidence map›Paper›PMID 31904761›Full record

ReviewJornal brasileiro de nefrologia2020

Rituximab use in adult glomerulopathies and its rationale.

Joana Eugénio Santos, David Fiel, Ricardo Santos, Rita Vicente, Rute Aguiar, Iolanda Santos, Manuel Amoedo, Carlos Pires

Open access · diamondAbstract readReview
In one paragraph

Review in Jornal brasileiro de nefrologia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Age of Onset and Disease Course in Biopsy-Proven Minimal Change Disease: An Analysis From the Cure Glomerulonephropathy Network.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2023
    Observational
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
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 1 institution in 1 country.

Joana Eugénio SantosDepartamento de Nefrologia, Hospital Espírito Santo de Évora, Évora, Portugal.
David FielDepartamento de Nefrologia, Hospital Espírito Santo de Évora, Évora, Portugal.
Ricardo SantosDepartamento de Nefrologia, Hospital Espírito Santo de Évora, Évora, Portugal.
Rita VicenteDepartamento de Nefrologia, Hospital Espírito Santo de Évora, Évora, Portugal.
Rute AguiarDepartamento de Nefrologia, Hospital Espírito Santo de Évora, Évora, Portugal.
Iolanda SantosDepartamento de Nefrologia, Hospital Espírito Santo de Évora, Évora, Portugal.
Manuel AmoedoDepartamento de Nefrologia, Hospital Espírito Santo de Évora, Évora, Portugal.
Carlos PiresDepartamento de Nefrologia, Hospital Espírito Santo de Évora, Évora, Portugal.
Hospital do Espírito Santo · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glomerulopathies are one of the leading causes of end-stage renal disease. In the last years, clinical research has made significant contributions to the understanding of such conditions. Recently, rituximab (RTX) has appeared as a reasonably safe treatment. The Kidney Disease: Improving Global Outcomes guidelines (KDIGO) recommended RTX only as initial treatment in antineutrophil cytoplasm antibody associated vasculitis (AAV) and in non-responders patients with lupus nephritis (LN), but these guidelines have not been updated since 2012. Nowadays, RTX seems to be at least as effective as other immunosuppressive regimens in idiopathic membranous nephropathy (IMN). In minimal-change disease, (MCD) this drug might allow a long-lasting remission period in steroid-dependent or frequently relapsing patients. Preliminary results support the use of RTX in patients with pure membranous LN and immunoglobulin-mediated membranoproliferative glomerulonephritis (MPGN), but not in patients with class III/IV LN or complement-mediated MPGN. No conclusion can be drawn in idiopathic focal segmental glomerulosclerosis (FSGS) and anti-glomerular basement membrane antibody glomerulonephritis (anti-GBM GN) because studies are small, heterogeneous, and scarce. Lastly, immunosuppression including RTX is not particularly useful in IgA nephropathy. This review presents the general background, outcomes, and safety for RTX treatment in different glomerulopathies. In this regard, we describe randomized controlled trials (RCTs) performed in adults, whenever possible. A literature search was performed using clinicaltrials.gov and PubMed.

Indexed as

AdultAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisGlomerulonephritisHumansImmunosuppressive AgentsNephrosis, LipoidRandomized Controlled Trials as TopicRituximabTreatment OutcomeImmunosuppressive AgentsRituximab

Identifiers

PMID31904761
PMCPMC7213927
OpenAlexW2996166582

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.