Evidence map›Paper›PMID 39156138›Full record

ArticleKidney international reports2024

Obinutuzumab as Initial or Second-Line Therapy in Patients With Primary Membranous Nephropathy.

Xiaole Su, Binxin Wu, Xuan Tie, Xiaojiao Guo, Rongrong Feng, Xi Qiao, Lihua Wang

Registry-linked trialAbstract read
In one paragraph

Article in Kidney international reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07765914 (Efficacy and Safety of Single-dose Zuberitamab in the Initial Episode of Paediatric Steroid-sensitive Nephrotic Syndrome), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–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.

NCT07765914 phase3not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Efficacy and Safety of Single-dose Zuberitamab in the Initial Episode of Paediatric Steroid-sensitive Nephrotic Syndrome: A Multicenter Randomized Controlled Trial

TypeinterventionalSponsorChildren's Hospital of Fudan UniversityRan2026 to 2028Enrolled120ConditionsNephrotic SyndromeArmsZuberitamab, standard corticosteroid treatment
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

7 authors.

Xiaole SuDepartment of Nephrology, Second Hospital of Shanxi Medical University, Taiyuan, China.
Binxin WuDepartment of Nephrology, Second Hospital of Shanxi Medical University, Taiyuan, China.
Xuan TieDepartment of Nephrology, Second Hospital of Shanxi Medical University, Taiyuan, China.
Xiaojiao GuoDepartment of Nephrology, Second Hospital of Shanxi Medical University, Taiyuan, China.
Rongrong FengDepartment of Nephrology, Second Hospital of Shanxi Medical University, Taiyuan, China.
Xi QiaoDepartment of Nephrology, Second Hospital of Shanxi Medical University, Taiyuan, China.
Lihua WangDepartment of Nephrology, Second Hospital of Shanxi Medical University, Taiyuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: B-cell lymphocytes have been demonstrated to play a key role in the pathogenesis underlying membranous nephropathy (MN). The aim of this study was to evaluate the therapeutic efficacy and safety of Obinutuzumab, a glycoengineered type II anti-CD20 monoclonal antibody in individuals with MN. Methods: We retrospectively analyzed data from 59 consecutive patients with primary MN who provided consent to receive Obinutuzumab and were followed for at least 6 months. The primary outcomes were complete (proteinuria <0.3 g/d) or partial (proteinuria <3.5 g/d with ≥ 50% reduction) remission of proteinuria. Results: Twenty patients received Obinutuzumab as initial therapy, and 39 patients were previously treated with at least 1 immunosuppressant (second-line therapy). Fifty patients (84.7%) achieved complete remission (CR) or partial remission (PR) of proteinuria during the median follow-up of 9.4 months. The likelihood of remission was significantly higher when Obinutuzumab was used as initial therapy than as second-line therapy after adjusting for the baseline estimated glomerular filtration rate (eGFR), 24-hour urinary protein levels, and anti-phospholipase A Conclusion: Obinutuzumab may represent a promising and well-tolerated therapeutic option for individuals with primary MN. The potential of Obinutuzumab was highlighted as an initial therapy for primary MN.

Indexed as

anti-CD20 monoclonal antibodyanti-phospholipase A2 receptor antibodychronic kidney diseasemembranous nephropathyObinutuzumabproteinuria

Identifiers

PMID39156138
PMCPMC11328588

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.