Evidence map›Paper›PMID 33912740›Full record

ReviewKidney international reports2021

Rituximab in Membranous Nephropathy.

Philipp Gauckler, Jae Il Shin, Federico Alberici, Vincent Audard, Annette Bruchfeld, Martin Busch, Chee Kay Cheung, Matija Crnogorac, Elisa Delbarba, Kathrin Eller and 30 more

Open access · goldAbstract readReview
In one paragraph

Review in Kidney international reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 2 pooled it
9.7field-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.

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

55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 78 citations in OpenAlex.

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  15. Importance of B cells (Review).International journal of molecular medicine · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

40 authors at 20 institutions in 15 countries.

Philipp GaucklerDepartment of Internal Medicine IV (Nephrology and Hypertension), Medical University Innsbruck, Innsbruck, Austria.
Jae Il ShinDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
Federico AlbericiNephrology Unit, ASST Spedali Civili di Brescia, Brescia, Italy.
Vincent AudardDepartment of Nephrology and Transplantation, Rare French Disease Centre "Idiopathic Nephrotic syndrome", Henri-Mondor/Albert-Chenevier Hospital Assistance Publique-Hôpitaux de Paris, Inserm U955, Team 21, Paris-East University, Créteil, France.
Annette BruchfeldDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Martin BuschDepartment of Internal Medicine III, University Hospital Jena, Friedrich-Schiller-University, Jena, Germany.
Chee Kay CheungDepartment of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom.
Matija CrnogoracDepartment of Nephrology and Dialysis, Dubrava University Hospital, Zagreb, Croatia.
Elisa DelbarbaNephrology Unit, ASST Spedali Civili di Brescia, Brescia, Italy.
Kathrin EllerClinical Division of Nephrology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Stanislas FaguerDépartement de Néphrologie et Transplantation d'Organes, Centre de Référence des Maladies Rénales Rares, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
Kresimir GalesicDepartment of Nephrology and Dialysis, Dubrava University Hospital, Zagreb, Croatia.
Siân GriffinDepartment of Nephrology and Transplantation, University Hospital of Wales, Cardiff, UK.
Martijn W F van den HoogenDepartment of Internal Medicine, Erasmus MC University Medical Centre Rotterdam, Rotterdam, Netherlands.
Zdenka HruškováDepartment of Nephrology, 1st Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Anushya JeyabalanDivision of Nephrology, Columbia University Medical Center, New York, New York, USA.
Alexandre KarrasService de Néphrologie, Hôpital Européen-Georges Pompidou, Assistance Publique des Hôpitaux de Paris, Paris, France.
Catherine KingDepartment of Renal Medicine, Queen Elizabeth Hospital, University Hospitals Birmingham, Edgbaston, Birmingham, UK.
Harbir Singh KohliNephrology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Gert MayerDepartment of Internal Medicine IV (Nephrology and Hypertension), Medical University Innsbruck, Innsbruck, Austria.
Rutger MaasDepartment of Nephrology, Radboud University Medical Center, Nijmegen, Netherlands.
Masahiro MutoDepartment of Nephrology, Juntendo University Faculty of Medicine, Tokyo, Japan.
Sergey MoiseevTareev Clinic of Internal Diseases, Sechenov First Moscow State Medical University, Moscow, Russia.
Balazs OdlerClinical Division of Nephrology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Ruth J PepperUniversity College London Department of Renal Medicine, Royal Free Hospital, London, UK.
Luis F QuintanaDepartment of Nephrology and Renal Transplantation, Hospital Clínic, Centro de Referencia en Enfermedad Glomerular Compleja del Sistema Nacional de Salud (CSUR), Department of Medicine, University of Barcelona, IDIBAPS, Barcelona, Spain.
Jai RadhakrishnanDivision of Nephrology, Columbia University Medical Center, New York, New York, USA.
Raja RamachandranNephrology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Alan D SalamaUniversity College London Department of Renal Medicine, Royal Free Hospital, London, UK.
Ulf SchönermarckDivision of Nephrology, Department of Medicine IV, University Hospital, LMU Munich, Munich, Germany.
Mårten SegelmarkDepartment of Clinical Sciences Lund, University, Skane University Hospital, Nephrology Lund, Lund, Sweden.
Lee SmithThe Cambridge Centre for Sport and Exercise Science, Anglia Ruskin University, Cambridge, UK.
Vladimír TesařDepartment of Nephrology, 1st Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Jack WetzelsDepartment of Nephrology, Radboud University Medical Center, Nijmegen, Netherlands.
Lisa WillcocksDepartment of Renal Medicine, Vasculitis and Lupus Clinic, Addenbrooke's Hospital, Cambridge University Hospitals, Cambridge, UK.
Martin WindpesslDepartment of Internal Medicine IV, Section of Nephrology, Klinikum Wels-Grieskirchen, Wels, Austria.
Ladan ZandDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota, USA.
Reza ZonoziDivision of Nephrology, Vasculitis and Glomerulonephritis Center, Massachusetts General Hospital, Boston, Massachusetts, USA.
Andreas KronbichlerDepartment of Internal Medicine IV (Nephrology and Hypertension), Medical University Innsbruck, Innsbruck, Austria.
RITERM study group
Innsbruck Medical University · ATRadboud University Nijmegen · NLMedical University of Graz · ATCharles University · CZColumbia University Irving Medical Center · USInserm · FRHôpital Européen Georges-Pompidou · FRJohannes Kepler University of Linz · ATLinköping University · SEMayo Clinic · USThe Royal Free Hospital · GBUniversity Hospital Dubrava · HRUniversity of Leicester · GBErasmus MC · NLLMU Klinikum · DELund University · SEPost Graduate Institute of Medical Education and Research · INQueen Elizabeth Hospital Birmingham · GBSechenov University · RUYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Membranous nephropathy (MN) is the most common cause of primary nephrotic syndrome among adults. The identification of phospholipase A2 receptor (PLA2R) as target antigen in most patients changed the management of MN dramatically, and provided a rationale for B-cell depleting agents such as rituximab. The efficacy of rituximab in inducing remission has been investigated in several studies, including 3 randomized controlled trials, in which complete and partial remission of proteinuria was achieved in approximately two-thirds of treated patients. Due to its favorable safety profile, rituximab is now considered a first-line treatment option for MN, especially in patients at moderate and high risk of deterioration in kidney function. However, questions remain about how to best use rituximab, including the optimal dosing regimen, a potential need for maintenance therapy, and assessment of long-term safety and efficacy outcomes. In this review, we provide an overview of the current literature and discuss both strengths and limitations of "the new standard."

Indexed as

B cellsmembranous nephropathynephrotic syndromerituximab

Identifiers

PMID33912740
PMCPMC8071613
OpenAlexW3118525048

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.