Evidence map›Paper›PMID 30564878›Full record

Observational studyPediatric nephrology (Berlin, Germany)2019

Low-dose rituximab is no less effective for nephrotic syndrome measured by 12-month outcome.

Andrew P Maxted, Rebecca A Dalrymple, Denise Chisholm, John McColl, Yincent Tse, Martin T Christian, Ben C Reynolds

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Pediatric nephrology (Berlin, Germany), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 20% of its field
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Guideline
  2. B-cell-targeting therapies in podocytopathies.Pediatric nephrology (Berlin, Germany) · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Single (375 mg/mPediatric nephrology (Berlin, Germany) · 2025
    Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

7 authors at 3 institutions in 1 country.

Andrew P MaxtedNottingham Children's Hospital Renal and Urology Unit, Nottingham, UK.
Rebecca A DalrympleDepartment of Paediatric Nephrology, Royal Hospital for Children, 1345 Govan Road, Glasgow, G51 4TF, UK.
Denise ChisholmGreat North Children's Hospital, Newcastle Upon Tyne, UK.
John McCollSchool of Mathematics and Statistics, University of Glasgow, Glasgow, UK.
Yincent TseGreat North Children's Hospital, Newcastle Upon Tyne, UK.
Martin T ChristianNottingham Children's Hospital Renal and Urology Unit, Nottingham, UK.
Ben C ReynoldsDepartment of Paediatric Nephrology, Royal Hospital for Children, 1345 Govan Road, Glasgow, G51 4TF, UK. ben.reynolds@ggc.scot.nhs.uk.
Great North Children's Hospital · GBRoyal Hospital for Children · GBUniversity of Glasgow · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRituximab is an effective treatment for children with steroid dependent or frequently relapsing nephrotic syndrome. The optimum dosing schedule for rituximab has not been established. We hypothesized that a single low dose of 375 mg/m

methodsWe conducted a multicenter retrospective observational cohort study of children with steroid-sensitive frequently relapsing nephrotic syndrome. Data were extracted from clinical records including the dates of diagnosis, treatment, relapses, the use of concomitant immunosuppression, and lymphocyte subset profiling. Patients treated earlier received variable doses of rituximab, although typically two doses of 750 mg/m

resultsSixty patients received 143 courses of rituximab. Seven different dosing regimen strategies were used, ranging between 375 and 750 mg/m

conclusionsUse of a single low-dose regimen of rituximab in the management of frequently relapsing nephrotic syndrome does not affect the probability of relapse at 12 months or time to B cell reconstitution compared to a conventional higher dose.

Indexed as

AdolescentAntigens, CD19B-LymphocytesChildChild, PreschoolDisease-Free SurvivalDose-Response Relationship, DrugDrug Therapy, CombinationFemaleFollow-Up StudiesGlucocorticoidsHumansImmunosuppressive AgentsKaplan-Meier EstimateLymphocyte DepletionMaleAntigens, CD19CD19 molecule, humanGlucocorticoidsImmunosuppressive AgentsRituximabDosingNephrotic syndromeRituximab

Identifiers

PMID30564878
PMCPMC6424916
OpenAlexW2903726712

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.