Evidence map›Paper›PMID 39466391›Full record

ArticlePediatric nephrology (Berlin, Germany)2025

Obinutuzumab as a viable therapeutic strategy in rituximab-refractory childhood frequently relapsing, steroid-dependent nephrotic syndrome that relapsed during B-cell depletion.

Eugene Yu-Hin Chan, Kyle Ying-Kit Lin, Desmond Yat-Hin Yap, Alison Lap-Tak Ma

Abstract readCase Reports
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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.

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

17 citing papers in PubMed.

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  11. Podocytopathies.Nature reviews. Disease primers · 2025
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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

4 authors.

Eugene Yu-Hin ChanDepartment of Paediatrics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR. eugene.chan@cuhk.edu.hk.ORCID http://orcid.org/0000-0002-1463-6005
Kyle Ying-Kit LinPaediatric Nephrology Centre, Hong Kong Children's Hospital, Kowloon, Hong Kong SAR.
Desmond Yat-Hin YapDivision of Nephrology, Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, Hong Kong SAR.
Alison Lap-Tak MaPaediatric Nephrology Centre, Hong Kong Children's Hospital, Kowloon, Hong Kong SAR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A subgroup of children with frequently-relapsing, steroid-dependent nephrotic syndrome relapse during B-cell depletion after rituximab. A 15-year-old boy with focal segmental glomerulosclerosis became rituximab-refractory after 5 courses of treatments, with a relapse-free period shortened to 1 month. Circulating total and memory B-cells were undetectable at the time of relapse. A single infusion of obinutuzumab sustained relapse-free remission up to the last follow-up at 18 months. There was persistent hypogammaglobulinemia but no infection was observed. Obinutuzumab may be a viable option for attaining long-term remission with reasonable side effect profiles in patients who relapse during B-cell depletion after rituximab.

Indexed as

Antibodies, Monoclonal, HumanizedB-LymphocytesGlomerulosclerosis, Focal SegmentalLymphocyte DepletionNephrotic SyndromeRituximabAdolescentDrug ResistanceHumansMaleRecurrenceRemission InductionTreatment OutcomeAntibodies, Monoclonal, HumanizedobinutuzumabRituximabAnti-CD20Focal segmental glomerulosclerosisNephrotic syndromeObinutuzumabRituximab

Identifiers

PMID39466391
PMCPMC11753364

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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.