Evidence map›Paper›PMID 42027551›Full record

ArticleKidney international reports2026

Efficacy of Obinutuzumab for Frequently Relapsing or Steroid-Dependent Nephrotic Syndrome.

Yifan Li, Hongtu Hu, Yuxin Ai, Qingyu Huo, Shuiqin Gong, Mengying Yao, Wang Xin, Yuqi Zhu, Shuangjiang Li, Heng Yao and 2 more

Abstract read
In one paragraph

Article in Kidney international reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Yifan LiDepartment of Nephrology, Chongqing Key Laboratory of Prevention and Treatment of Kidney Disease, Chongqing Clinical Research Center of Kidney and Urology Diseases, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Hongtu HuDepartment of Nephrology, Chongqing Key Laboratory of Prevention and Treatment of Kidney Disease, Chongqing Clinical Research Center of Kidney and Urology Diseases, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Yuxin AiDepartment of Nephrology, Chongqing Key Laboratory of Prevention and Treatment of Kidney Disease, Chongqing Clinical Research Center of Kidney and Urology Diseases, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Qingyu HuoDepartment of Nephrology, Chongqing Key Laboratory of Prevention and Treatment of Kidney Disease, Chongqing Clinical Research Center of Kidney and Urology Diseases, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Shuiqin GongDepartment of Nephrology, Chongqing Key Laboratory of Prevention and Treatment of Kidney Disease, Chongqing Clinical Research Center of Kidney and Urology Diseases, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Mengying YaoDepartment of Nephrology, Chongqing Key Laboratory of Prevention and Treatment of Kidney Disease, Chongqing Clinical Research Center of Kidney and Urology Diseases, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Wang XinDepartment of Nephrology, Chongqing Key Laboratory of Prevention and Treatment of Kidney Disease, Chongqing Clinical Research Center of Kidney and Urology Diseases, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Yuqi ZhuDepartment of Nephrology, Chongqing Key Laboratory of Prevention and Treatment of Kidney Disease, Chongqing Clinical Research Center of Kidney and Urology Diseases, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Shuangjiang LiDepartment of Nephrology, Chongqing Key Laboratory of Prevention and Treatment of Kidney Disease, Chongqing Clinical Research Center of Kidney and Urology Diseases, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Heng YaoDepartment of Nephrology, Chongqing Key Laboratory of Prevention and Treatment of Kidney Disease, Chongqing Clinical Research Center of Kidney and Urology Diseases, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Jinbo ChengDepartment of Nephrology, Chongqing Key Laboratory of Prevention and Treatment of Kidney Disease, Chongqing Clinical Research Center of Kidney and Urology Diseases, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Yinghui HuangDepartment of Nephrology, Chongqing Key Laboratory of Prevention and Treatment of Kidney Disease, Chongqing Clinical Research Center of Kidney and Urology Diseases, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The first-generation anti-CD20 monoclonal antibody, rituximab, has effectively reduced relapse rates in patients with frequently relapsing or steroid-dependent nephrotic syndrome (FRNS or SDNS). However, its effects are often transient, and some patients are nonresponsive. Obinutuzumab, a next-generation humanized type II anti-CD20 monoclonal antibody, demonstrates stronger and more sustained B-cell depletion than rituximab. However, clinical evidence regarding its efficacy in FRNS or SDNS remains limited. Methods: This retrospective single-center cohort study included 161 patients with FRNS or SDNS who received ≥ 1 dose of obinutuzumab and had > 3 months of follow-up at our institution. We evaluated the efficacy and safety of obinutuzumab in FRNS or SDNS by analyzing the remission, relapse, and adverse events in all enrolled patients. Results: During the follow-up period, 91.9% of patients (148/161) achieved remission following obinutuzumab infusion with a median time of 2.3 months (interquartile range [IQR]: 0.8-5.8). The median relapse-free survival (RFS) was 26.9 months (95% confidence intervals [CI]: 23.2-30.6). Significant improvements were observed in nephrotic syndrome parameters: the urine protein-to-creatinine ratio (UPCR) markedly decreased (median decreased from 5.7000 g/g to 0.1024 g/g, Conclusion: Obinutuzumab may offer a new treatment option for patients with FRNS or SDNS, providing rapid disease control, high remission rates, and durable benefits with a tolerable safety profile.

Indexed as

anti-CD20 monoclonal antibodyfrequently relapsing nephrotic syndromeobinutuzumabsteroid-dependent nephrotic syndrome

Identifiers

PMID42027551
PMCPMC13099339

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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.