Evidence map›Paper›PMID 33796934›Full record

ArticleClinical and experimental nephrology2021

All-case Japanese post-marketing surveillance of the real-world safety and efficacy of rituximab treatment in patients with refractory nephrotic syndrome.

Mana Kobayashi, Yutaro Kageyama, Takashi Ando, Junko Sakamoto, Shohji Kimura

Open access · hybridAbstract read
In one paragraph

Article in Clinical and experimental nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
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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

5 authors at 1 institution in 1 country.

Mana KobayashiPharmacovigilance and Quality Assurance Department, Zenyaku Kogyo Co., Ltd, 6-15, Otsuka 5-Chome, Bunkyo-ku, Tokyo, 112-8650, Japan.
Yutaro KageyamaPharmacovigilance and Quality Assurance Department, Zenyaku Kogyo Co., Ltd, 6-15, Otsuka 5-Chome, Bunkyo-ku, Tokyo, 112-8650, Japan.
Takashi AndoPharmacovigilance and Quality Assurance Department, Zenyaku Kogyo Co., Ltd, 6-15, Otsuka 5-Chome, Bunkyo-ku, Tokyo, 112-8650, Japan. Takashi_Ando@mail.zenyaku.co.jp.ORCID http://orcid.org/0000-0001-7287-635X
Junko SakamotoPharmacovigilance and Quality Assurance Department, Zenyaku Kogyo Co., Ltd, 6-15, Otsuka 5-Chome, Bunkyo-ku, Tokyo, 112-8650, Japan.
Shohji KimuraPharmacovigilance and Quality Assurance Department, Zenyaku Kogyo Co., Ltd, 6-15, Otsuka 5-Chome, Bunkyo-ku, Tokyo, 112-8650, Japan.
Otsuka (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRituximab is conditionally approved in Japan for use in patients with refractory nephrotic syndrome. To meet the conditions of approval, an all-case post-marketing surveillance study was conducted to confirm the real-world safety and efficacy of rituximab in patients of all ages with refractory nephrotic syndrome.

methodsAll patients scheduled to receive rituximab treatment for refractory nephrotic syndrome were eligible to register (registration: August 29, 2014 through April 15, 2016); the planned observation period was 2 years from the initiation of rituximab treatment (intravenous infusion, 375 mg/m

resultsIn total, 997 (447 pediatric) patients were registered; 981 (445) were included in the safety analysis set; 852 (402) completed the 2-year observation period; and 810 (429) were included in the efficacy analysis set. Refractory nephrotic syndrome had developed in childhood for 85.0% of patients, and 54.6% were aged ≥15 years. ADRs were observed in 527 (53.7%) patients, treatment-related infection/infestation in 235 (24.0%) patients, and infusion reactions in 313 (31.9%) patients. The relapse-free period was 580 days (95% confidence interval, 511-664). There was a significant change in height standard deviation score (pediatric patients; mean change, 0.093; standard deviation, 0.637; P = 0.009).

conclusionThe safety and efficacy of rituximab treatment in patients with refractory nephrotic syndrome were confirmed in the real-world setting. CLINICAL

trial registrationUMIN000014997.

Indexed as

AdolescentAdultAgedChildChild, PreschoolFemaleHumansImmunologic FactorsMaleMiddle AgedNephrotic SyndromeProduct Surveillance, PostmarketingRituximabTreatment OutcomeYoung AdultImmunologic FactorsRituximabFrequent relapsingJapanRefractory nephrotic syndromeRituximabSteroid-dependent

Identifiers

PMID33796934
PMCPMC8260412
OpenAlexW3148155330

What OpenQuestion holds

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Registered trials

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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.