Evidence map›Paper›PMID 34874051›Full record

ReviewJornal brasileiro de nefrologia

Rituximab in glomerular diseases: a case series and narrative review.

Inês Duarte, João Oliveira, Cristina Outerelo, Iolanda Godinho, Marta Pereira, Paulo Fernandes, Sofia Jorge, Joana Gameiro

Open access · diamondAbstract readReview
In one paragraph

Review in Jornal brasileiro de nefrologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Use of rituximab in glomerulopathies.Jornal brasileiro de nefrologia
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Inês DuarteCentro Hospitalar Universitário Lisboa Norte, Serviço de Nefrologia e Transplantação Renal, Lisboa, Portugal.ORCID http://orcid.org/0000-0003-0101-9961
João OliveiraCentro Hospitalar Universitário Lisboa Norte, Serviço de Nefrologia e Transplantação Renal, Lisboa, Portugal.ORCID http://orcid.org/0000-0001-5097-9630
Cristina OutereloCentro Hospitalar Universitário Lisboa Norte, Serviço de Nefrologia e Transplantação Renal, Lisboa, Portugal.
Iolanda GodinhoCentro Hospitalar Universitário Lisboa Norte, Serviço de Nefrologia e Transplantação Renal, Lisboa, Portugal.
Marta PereiraCentro Hospitalar Universitário Lisboa Norte, Serviço de Nefrologia e Transplantação Renal, Lisboa, Portugal.
Paulo FernandesCentro Hospitalar Universitário Lisboa Norte, Serviço de Nefrologia e Transplantação Renal, Lisboa, Portugal.
Sofia JorgeCentro Hospitalar Universitário Lisboa Norte, Serviço de Nefrologia e Transplantação Renal, Lisboa, Portugal.
Joana GameiroCentro Hospitalar Universitário Lisboa Norte, Serviço de Nefrologia e Transplantação Renal, Lisboa, Portugal.ORCID http://orcid.org/0000-0001-6143-461X
Centro Hospitalar Lisboa Norte · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe use of Rituximab (RTX) in glomerular diseases (GD) has increased in the past years, although it is still only used in a small fraction of patients.

methodsA single center retrospective study of adult patients with membranous nephropathy (MN), focal segmental glomerulosclerosis (FSGS), lupus nephritis (LN), and vasculitis treated with RTX as first or second-line therapy was conducted at our center from 2010 to 2020.

resultsWe identified 19 patients; 36.8% had MN and 25.0% each had FSGS, LN, and vasculitis. RTX was first-line therapy in 26.3% of patients and in 73.7% it was second-line therapy. Mean follow-up time was 7.7 ± 7.2 years. In MN, 2 patients (28.6%) had complete remission (CR), 2 patients (28.6%) had partial remission (PR), and 3 patients (42.9%) had no response (NR). In FSGS, 2 patients (50.0%) presented CR, 1 patient (25.0%) had no response, and 1 patient had renal deterioration. Two patients (50.0%) had a LN class IV with a CR after RTX, 1 patient with LN class IIIC/V had no response, and 1 patient with LN class II had renal deterioration. In vasculitis, 3 patients (75.0%) presented CR and 1 patient had PR. Infusion reactions were present in 2 patients (10.5%) and one patient had multiple infectious complications.

conclusionsThe efficacy of RTX in treating different types of immune-mediated GD has been demonstrated with different response rates, but an overall safe profile. In our case series, the results are also encouraging. Longitudinal studies are needed to better understand the effect of RTX in GD.

Indexed as

Glomerulonephritis, MembranousGlomerulosclerosis, Focal SegmentalLupus NephritisVasculitisAdultHumansRetrospective StudiesRituximabTreatment OutcomeRituximab

Identifiers

PMID34874051
PMCPMC9269185
OpenAlexW4200046316

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.