Evidence map›Paper›PMID 40630289›Full record

ArticleKidney international reports2025

Risk Factors for Disease Progression for Adults and Children With Membranous Nephropathy in the Cure Glomerulonephropathy Network (CureGN).

Louis-Philippe Laurin, Margaret Helmuth, Salem Almaani, Isabelle Ayoub, Dhruti P Chen, Leonela A Villegas, Cynthia C Nast, Bruce M Robinson, Vimal K Derebail, Meryl Waldman and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Kidney international reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07785739 (Assessment of a Clinical Prediction Model for Disease Progression in Patients With Primary Membranous Nephropathy), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT07785739 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Assessment of a Clinical Prediction Model for Disease Progression in Patients With Primary Membranous Nephropathy: A Prospective Observational Study

Typeobservational_patient_registrySponsorAssiut UniversityRan2026 to 2027Enrolled128ConditionsMembranous Nephropathy, Nephrotic Syndrome, Kidney Diseases
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  2. KDOQI US Commentary on the KDIGO 2025 Clinical Practice Guideline for the Management of Nephrotic Syndrome in Children.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2026
    Review
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

12 authors.

Louis-Philippe LaurinDivision of Nephrology, Maisonneuve-Rosemont Hospital, Montreal, Quebec, Canada.
Margaret HelmuthUniversity of Michigan, Ann Arbor, Michigan, USA.
Salem AlmaaniThe Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Isabelle AyoubThe Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Dhruti P ChenUNC Kidney Center, Division of Nephrology and Hypertension, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Leonela A VillegasConnecticut Children's Medical Center, Hartford, Connecticut, USA.
Cynthia C NastCedars-Sinai Medical Center, Los Angeles, California, USA.
Bruce M RobinsonUniversity of Michigan, Ann Arbor, Michigan, USA.
Vimal K DerebailUNC Kidney Center, Division of Nephrology and Hypertension, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Meryl WaldmanKidney Diseases Branch, National Institute of Diabetes and Digestive and Kidney Diseases, NIH, Bethesda, Maryland, USA.
Andrew S BombackDivision of Nephrology, Department of Medicine, Columbia University, New York, New York, USA.
CureGN Consortium

Funding

CureGNU24DK100845 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CRYSTAL A. GADEGBEKU, Laura H Mariani · 2019 to 2026
$12.1M
CureGN-Penn PCCU01DK100846 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI LAWRENCE B. HOLZMAN · 2019 to 2026
$8.3M
NIDDK NIH HHS U01 DK100846NIDDK NIH HHS U24 DK100845
6 · The paper itself

Abstract

Introduction: Primary membranous nephropathy (pMN) is a frequent cause of nephrotic syndrome in adult patients without diabetes. Recognizing the major shift in the classification of pMN based on target antigen and the management of patients with pMN with more widespread use of rituximab (RTX), we sought to better characterize the clinical course and risk factors in adults and children with pMN. Methods: We used the Cure Glomerulonephropathy (CureGN) prospective cohort of patients with pMN diagnosed using biopsy between 2010 and 2023. We report time to kidney outcomes using adjusted Cox proportional hazards models. Results: In total, 591 patients (537 adults and 54 children) were evaluated with 9% reaching kidney failure. Anti-B cell therapy was used in 44% of patients. Age < 18 years, self-reported Black/African American race, proteinuria > 3 g/g, and lower estimated glomerular filtration rate (eGFR) at enrollment were associated with worse kidney survival. Black race (adjusted hazard ratio [HR]: 1.8; 95% confidence interval [CI]: 1.1-2.9) and age < 18 years (adjusted HR: 3.7; 95% CI: 2.0-7.1) were associated with an increased risk of kidney failure and/or > 40% eGFR decline after adjusting for exposure to immunosuppression. Latinx ethnicity was associated with a lower likelihood of reaching complete proteinuria remission (adjusted HR: 0.4; 95% CI: 0.2-0.7). Conclusion: This study unveils self-reported Black race, young age (aged < 18 years) and Latinx ethnicity as potential risk factors associated with worse kidney outcomes.

Indexed as

clinical outcomescohort studyimmunosuppressionmembranous nephropathyrisk factors

Identifiers

PMID40630289
PMCPMC12231017

What OpenQuestion holds

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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.