Evidence map›Paper›PMID 40388905›Full record

ArticleAmerican journal of nephrology2026

Additive Obinutuzumab Achieves High Remission Rates in Rituximab-Refractory Membranous Nephropathy.

Huixian Li, Li Jin, Xinfang Xie, Jiping Sun, Dan Niu, Jie Feng, Guiqing Xu, Xiaotian Zhang, Abdulrahman Majeed S Khalaf, Wanhong Lu

Abstract read
In one paragraph

Article in American journal of nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. 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

10 authors.

Huixian LiDepartment of Nephrology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Li JinDepartment of Nephrology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Xinfang XieDepartment of Nephrology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Jiping SunDepartment of Nephrology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Dan NiuDepartment of Nephrology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Jie FengDepartment of Nephrology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Guiqing XuDepartment of Nephrology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Xiaotian ZhangDepartment of Human Anatomy, Histology and Embryology, Xi'an Jiaotong University Health Science Center, Xi'an, China.
Abdulrahman Majeed S KhalafDepartment of Nephrology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Wanhong LuDepartment of Nephrology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China, luwanhong@xjtu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

<p>Introduction: Rituximab has become the first-line therapy for patients with membranous nephropathy (MN). However, approximately 30-40% of patients with MN do not respond to rituximab. We presented our single-center experience of treating rituximab-refractory MN with obinutuzumab which is a humanized and glycoengineered type II anti-CD20 monoclonal antibody.

methodsSeventeen patients with rituximab-refractory phospholipase A

resultsOf all patients with an average age of 49.7 ± 13.7 years, 11 (64.7%) patients were men. The median disease duration was 12 (12, 42) months. At presentation, the proteinuria and serum albumin levels were 7.51 ± 3.55 g/day and 22.1 ± 3.6 g/L, respectively. The mean estimated glomerular filtration rate level was 103.5 ± 12.9 mL/min/1.73 m2, and the patients had a baseline anti-PLA

conclusionObinutuzumab may represent an attractive alternative therapy in rituximab-refractory patients. Larger prospective studies are needed to validate these findings. </p>.

Indexed as

Antibodies, Monoclonal, HumanizedGlomerulonephritis, MembranousRituximabAdultAgedDrug ResistanceDrug Therapy, CombinationFemaleGlomerular Filtration RateHumansMaleMiddle AgedProteinuriaReceptors, Phospholipase A2Remission InductionRetrospective StudiesAntibodies, Monoclonal, HumanizedobinutuzumabReceptors, Phospholipase A2RituximabAnti-phospholipase A2 receptor antibodyMembranous nephropathyObinutuzumabRituximab-refractory

Identifiers

PMID40388905
PMCPMC12176347

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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.