Evidence map›Paper›PMID 38707815›Full record

ArticleKidney international reports2024

Early Rituximab as an Add-On Therapy in Children With the Initial Episode of Nephrotic Syndrome.

Jialu Liu, Fang Deng, Xiaowen Wang, Cuihua Liu, Shuzhen Sun, Ruifeng Zhang, Aihua Zhang, Xiaoyun Jiang, Weili Yan, Yalan Dou and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in Kidney international reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07765914 (Efficacy and Safety of Single-dose Zuberitamab in the Initial Episode of Paediatric Steroid-sensitive Nephrotic Syndrome), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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.

NCT07765914 phase3not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Efficacy and Safety of Single-dose Zuberitamab in the Initial Episode of Paediatric Steroid-sensitive Nephrotic Syndrome: A Multicenter Randomized Controlled Trial

TypeinterventionalSponsorChildren's Hospital of Fudan UniversityRan2026 to 2028Enrolled120ConditionsNephrotic SyndromeArmsZuberitamab, standard corticosteroid treatment
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Review
  7. Article
  8. [Clinical study on low-dose rituximab maintenance therapy in children with primary nephrotic syndrome].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Article
  9. Review
  10. Preventing Relapses in Childhood Nephrotic Syndrome.Kidney international reports · 2024
    Article
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

15 authors.

Jialu LiuDepartment of Nephrology, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, China.
Fang DengDepartment of Nephrology, Children's Hospital of Anhui Medical University, Anhui, China.
Xiaowen WangDepartment of Nephrology and Rheumatology, Wuhan Children's Hospital, Wuhan, China.
Cuihua LiuDepartment of Nephrology and Rheumatology, Children's Hospital affiliated to Zhengzhou University, Zhengzhou, China.
Shuzhen SunDepartment of Nephrology and Rheumatology, Shandong Provincial Hospital, Shandong, China.
Ruifeng ZhangDepartment of Nephrology and Rheumatology, Xuzhou Children's Hospital, Xuzhou, China.
Aihua ZhangDepartment of Nephrology, Children's Hospital of Nanjing Medical University Nanjing, China.
Xiaoyun JiangDepartment of Pediatric, The First Affiliated Hospital of Zhongshan University, Guangzhou, China.
Weili YanDepartment of Clinical Epidemiology, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, China.
Yalan DouDepartment of Clinical Epidemiology, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, China.
Yi ZhangDepartment of Clinical Epidemiology, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, China.
Li XieClinical Research Institute, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Biyun QianClinical Research Institute, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Qian ShenDepartment of Nephrology, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, China.
Hong XuDepartment of Nephrology, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The approximately 70% 12-month relapse in children experiencing the initial episode of steroid-sensitive nephrotic syndrome (SSNS) is a significant concern, with over 50% developing frequent relapses or steroid-dependent nephrotic syndrome (FRNS/SDNS). There is a lack of strategies to reduce relapse after the onset. Whether early administration of rituximab, which effectively reduces relapses in FRNS/SDNS, may be a solution has not been evaluated. Methods: A prospective, multicenter, open-label, single-arm trial was conducted in China, with a 12-month follow-up. Children aged 1 to 18 years with the first episode of nephrotic syndrome (NS) were screened for eligibility. Proteinuria was evaluated daily using dipsticks. A dose of 375 mg/m Results: Out of the initially 66 children screened, 44 were enrolled and received rituximab, with all but 1 participant completing the 12-month follow-up. The median age at diagnosis was 4.3 years (interquartile range [IQR]: 3.4-5.9), and 33 (77%) of the participants were male. In the rituximab group, the 12-month relapse-free survival was significantly higher compared to historical controls (32 of 43 [74.4%] vs. 10 of 33 [30.3%]; Conclusion: Our findings support that early administration of rituximab may be associated with a higher 12-month relapse-free survival and a reduced incidence of FRNS/SDNS in children experiencing the initial episode of SSNS.

Indexed as

childrenclinical trialnephrotic syndromepediatric nephrologyproteinuriarituximab

Identifiers

PMID38707815
PMCPMC11069012

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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.