Evidence map›Paper›PMID 42152814›Full record

ArticleDrug design, development and therapy2026

Is Rituximab Suitable for Patients with Idiopathic Membranous Nephropathy Who are Seronegative for Anti-PLA2R Antibody?

Yang Yang, Xiaojie Xie, Fan Yuan, Fang Zeng, Yu Wang, Ran Zhang, Wenjun Yan, Kaiping Luo, Daijin Ren, Gaosi Xu

Abstract readMulticenter Study
In one paragraph

Article in Drug design, development and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

2 citing papers in PubMed.

  1. Article
  2. 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.

Yang Yang *Department of Nephrology, the Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, People's Republic of China.
Xiaojie Xie *Department of Nephrology, Yingtan 184 Hospital, Yingtan, People's Republic of China.
Fan YuanDepartment of Nephrology, the Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, People's Republic of China.
Fang ZengDepartment of Nephrology, the Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, People's Republic of China.
Yu WangDepartment of Nephrology, the Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, People's Republic of China.
Ran ZhangDepartment of Nephrology, the Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, People's Republic of China.
Wenjun YanDepartment of Nephrology, the First Affiliated Hospital of Gannan Medical University, Ganzhou, People's Republic of China.
Kaiping LuoDepartment of Nephrology, the Affiliated Ganzhou Hospital, Jiangxi Medical College, Nanchang University, Ganzhou, People's Republic of China.
Daijin RenDepartment of Health Management Center, Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, People's Republic of China.
Gaosi XuDepartment of Nephrology, the Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rituximab (RTX) induces apoptosis in B cells expressing CD20, the efficacy in idiopathic membranous nephropathy (IMN) with seronegative anti-M-type phospholipase A2 receptor (PLA2R) antibody remains unclear. Methods: This multicenter retrospective study enrolled 111 adult patients with biopsy-proven, medium-to-high-risk IMN, whose serum anti-PLA2R antibodies test results were negative (SAb-). All patients received RTX and non-RTX (tacrolimus or cyclophosphamide) therapy. Subsequently, based on glomerular PLA2R antigen results, they divided into glomerular PLA2R positive (GAg+) and glomerular PLA2R negative (GAg-) groups. Compared the remission rate at 15 months between different treatment groups. Results: Of the 111 seronegative patients, 36 were assigned to the RTX group and 75 to the non-RTX group. Among the 76 GAg+ patients, 21 were in the RTX group and 45 in the non-RTX group. Kaplan-Meier analysis demonstrated that the complete remission rate was significantly higher in the non-RTX group than in the RTX groups at 15 months, both in total and SAb-/GAg+ cohort ( Conclusion: For seronegative anti-PLA2R antibodies patients, non-RTX immunosuppressive therapy might offer greater benefit for proteinuria remission compared to RTX in short-term, even if their glomeruli are positive for PLA2R antigen.

Indexed as

AutoantibodiesGlomerulonephritis, MembranousReceptors, Phospholipase A2RituximabAdultAgedFemaleHumansImmunosuppressive AgentsMaleMiddle AgedRemission InductionRetrospective StudiesAutoantibodiesImmunosuppressive AgentsPLA2R1 protein, humanReceptors, Phospholipase A2Rituximabanti-PLA2R antibodyidiopathic membranous nephropathyproteinuriaremission

Identifiers

PMID42152814
PMCPMC13180377

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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.