Evidence map›Paper›PMID 35354600›Full record

ArticleJournal of the American Society of Nephrology : JASN2022

Long-Term Efficacy and Safety of Repeated Rituximab to Maintain Remission in Idiopathic Childhood Nephrotic Syndrome: An International Study.

Eugene Yu-Hin Chan, Ellen L M Yu, Andrea Angeletti, Zainab Arslan, Biswanath Basu, Olivia Boyer, Chang-Yien Chan, Manuela Colucci, Guillaume Dorval, Claire Dossier and 21 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05734794 (Study of Rituximab Monotherapy VS Steroid Therapy on Children With New-onset Nephrotic Syndrome), which is not on this map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
11.2field-weighted citation impact, top 1% 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.

NCT05734794 phase3unknown statusnot on this mapstarted 2023, after this paper: background citation

Study of Rituximab Monotherapy VS Steroid Therapy on Children With New-onset Nephrotic Syndrome: A Randomized Controlled Trial

TypeinterventionalSponsorThe Children's Hospital of Zhejiang University School of MedicineRan2023 to 2026Enrolled80ConditionsNephrotic Syndrome in Children, RituximabArmsRituximab, Steroid
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

  1. Pooled it
  2. Steroid-sparing drugs in children and young adults with nephrotic syndrome: a target trial emulation.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
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  18. B-cell-targeting therapies in podocytopathies.Pediatric nephrology (Berlin, Germany) · 2026
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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

31 authors at 18 institutions in 11 countries.

Eugene Yu-Hin ChanPaediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong SAR.ORCID 0000-0002-1463-6005
Ellen L M YuClinical Research Center, Princess Margaret Hospital, Hong Kong SAR.ORCID 0000-0001-5768-2100
Andrea AngelettiNephrology, Dialysis and Transplantation, IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID 0000-0002-6121-5326
Zainab ArslanDepartment of Paediatric Nephrology, Great Ormond Street Hospital for Children, National Health Service Trust, London, United Kingdom.
Biswanath BasuDivision of Pediatric Nephrology, Nilratan Sircar Medical College and Hospital, Kolkata, India.
Olivia BoyerPediatric Nephrology, Reference Center for Nephrotic Syndrome in Children and Adults, Necker-Enfants Malades Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Institut Imagine, Institut National de la Santé et de la Recherche Médicale (INSERM) U1163, Université Paris Cité, Paris, France.
Chang-Yien ChanDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.ORCID 0000-0001-5841-1417
Manuela ColucciRenal Diseases Research Unit, Genetics and Rare Diseases Research Division, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Guillaume DorvalPediatric Nephrology, Reference Center for Nephrotic Syndrome in Children and Adults, Necker-Enfants Malades Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Institut Imagine, Institut National de la Santé et de la Recherche Médicale (INSERM) U1163, Université Paris Cité, Paris, France.ORCID 0000-0003-3883-1398
Claire DossierPediatric Nephrology Department, Robert Debré Hospital, APHP, Paris, France.
Stefania DrovandiNephrology, Dialysis and Transplantation, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Gian Marco GhiggeriNephrology, Dialysis and Transplantation, IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID 0000-0003-3659-9062
Debbie S GipsonDivision of Nephrology, Department of Pediatrics, University of Michigan, CS Mott Children's Hospital, Ann Arbor, Michigan.ORCID 0000-0003-4473-9045
Riku HamadaDepartment of Nephrology and Rheumatology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.ORCID 0000-0002-7151-459
Julien HoganDepartment of Pediatric Nephrology, Robert-Debré Hospital, Reference Center for Nephrotic Syndrome in Children and Adults, Centre de Référence Syndrome Néphrotique de l'Enfant et de l'Adulte (CMR SNI), AP-HP, Université Paris Cité, Paris, France.
Kenji IshikuraDepartment of Pediatrics, Kitasato University School of Medicine, Tokyo, Japan.
Koichi KameiDivision of Nephrology and Rheumatology, National Center for Child Health and Development, Tokyo, Japan.
Markus J KemperDepartment of Pediatrics, Asklepios Medical School, Hamburg, Germany.
Alison Lap-Tak MaPaediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong SAR.
Rulan S ParekhDivision of Pediatric Nephrology, Hospital for Sick Children, Toronto, Ontario, Canada.
Seetha RadhakrishnanDivision of Pediatric Nephrology, Hospital for Sick Children, Toronto, Ontario, Canada.
Priya SainiDivision of Pediatric Nephrology, Hospital for Sick Children, Toronto, Ontario, Canada.
Qian ShenChildren's Hospital of Fudan University, National Children's Medical Center, Shanghai, China.
Rajiv SinhaPediatric Nephrology Unit, Institute of Child Health, Kolkata, India.
Chantida SubunDepartment of Paediatric Nephrology, Great Ormond Street Hospital for Children, National Health Service Trust, London, United Kingdom.
Sharon TeoKhoo Teck Puat - National University Children's Medical Institute, National University Health System, Singapore.
Marina VivarelliDivision of Nephrology, Department of Pediatric Subspecialties, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Hazel WebbDepartment of Paediatric Nephrology, Great Ormond Street Hospital for Children, National Health Service Trust, London, United Kingdom.
Hong XuChildren's Hospital of Fudan University, National Children's Medical Center, Shanghai, China.
Hui Kim YapDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Kjell TullusDepartment of Paediatric Nephrology, Great Ormond Street Hospital for Children, National Health Service Trust, London, United Kingdom.
National Health Service · GBHospital for Sick Children · CAIstituto Giannina Gaslini · ITBambino Gesù Children's Hospital · ITChildren's Hospital of Fudan University · CNInserm · FRNational University of Singapore · SGAssistance Publique – Hôpitaux de Paris · FRDuchess of Kent Children's Hospital · CNInstitute of Child Health · INKitasato University Hospital · JPMSH Medical School Hamburg – University of Applied Sciences and Medical University · DENational Center For Child Health and Development · JPNational University Health System · SGNil Ratan Sircar Medical College and Hospital · INTokyo Metropolitan Children's Medical Center · JPUniversité Paris Cité · FRUniversity of Michigan · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-term outcomes after multiple courses of rituximab among children with frequently relapsing, steroid-dependent nephrotic syndrome (FRSDNS) are unknown.

methodsA retrospective cohort study at 16 pediatric nephrology centers from ten countries in Asia, Europe, and North America included children with FRSDNS who received two or more courses of rituximab. Primary outcomes were relapse-free survival and adverse events.

resultsA total of 346 children (age, 9.8 years; IQR, 6.6-13.5 years; 73% boys) received 1149 courses of rituximab. A total of 145, 83, 50, 28, 22, and 18 children received two, three, four, five, six, and seven or more courses, respectively. Median (IQR) follow-up was 5.9 (4.3-7.7) years. Relapse-free survival differed by treatment courses (clustered log-rank test

conclusionsChildren receiving repeated courses of rituximab for FRSDNS experience an improving clinical response. Side effects appear acceptable, but significant complications can occur. These findings support repeated rituximab use in FRSDNS.

Indexed as

AgammaglobulinemiaNephrosis, LipoidNephrotic SyndromeNeutropeniaChildFemaleHumansImmunosuppressive AgentsMaleRecurrenceRetrospective StudiesRituximabSteroidsTreatment OutcomeImmunosuppressive AgentsRituximabSteroidsbiologicschildrenhypogammaglobulinemianephrotic syndromeneutropeniarituximab

Identifiers

PMID35354600
PMCPMC9161790
OpenAlexW4220869411

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.