Evidence map›Paper›PMID 39729126›Full record

ArticlePediatric nephrology (Berlin, Germany)2025

Single (375 mg/m

Rajiv Sinha, Subal Pradhan, Sumantra Raut, Sushmita Banerjee, Subhankar Sarkar, Shakil Akhtar, Deblina Dasgupta, Sanjukta Poddar, Mita Mandal, Vineet Kumar Kamal and 2 more

Abstract readComparative StudyEquivalence TrialMulticenter Study
PubMed Publisher
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

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

  1. Pooled it
  2. Review
  3. Article
  4. 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.

Rajiv SinhaDivision of Pediatric Nephrology, Institute of Child Health, Kolkata, India. rajivsinha_in@yahoo.com.ORCID http://orcid.org/0000-0003-4525-092X
Subal PradhanDivision of Pediatric Nephrology, SVPPGIP, SCB MCH, Cuttack, India.
Sumantra RautDepartment of Nephrology, North Bengal Medical College, Darjeeling, India.
Sushmita BanerjeeDivision of Pediatric Nephrology, Institute of Child Health, Kolkata, India.
Subhankar SarkarDepartment of Pediatric Medicine, All India Institute of Medical Science, Kalyani, India.
Shakil AkhtarDivision of Pediatric Nephrology, Institute of Child Health, Kolkata, India.
Deblina DasguptaDivision of Pediatric Nephrology, Institute of Child Health, Kolkata, India.
Sanjukta PoddarDivision of Pediatric Nephrology, Institute of Child Health, Kolkata, India.
Mita MandalDepartment of Obstetrics & Gynaecology, All India Institute of Medical Science, Kalyani, India.
Vineet Kumar KamalDepartment of Biostatistics, All India Institute of Medical Science, Kalyani, India.
Arpita Ray ChaudhuryDepartment of Nephrology, North Bengal Medical College, Darjeeling, India.
Yincent TseDepartment of Pediatric Nephrology, Great North Children Hospital, Newcastle Upon Tyne, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOptimal dosing of rituximab when given with mycophenolate mofetil (MMF) for frequently relapsing nephrotic syndrome/steroid-dependent nephrotic syndrome (FRNS/SDNS) remains uncertain.

methodsThis was a prospective, non-inferiority, open-label randomized controlled multicentre study. Children (2-18 years old) with difficult FRNS/SDNS were randomized to group A (rituximab 375 mg/m

resultsNinety-six children (median age 8.6 years; IQR 6.4 to 11.3 years, 72% male) were randomized, 48 per arm. CD19 depletion (< 1%) was achieved in both groups. Three from single dose and two from double dose arm were lost to follow-up or withdrew. After 18 months, although non-inferiority could not be demonstrated, there was no difference in primary outcome either by intention-to-treat or per-protocol analysis. The restricted mean time to first relapse was 14.5 months (95% CI 13.1-15.9) in group A and 14.8 months (95% CI 13.5-16.1) in group B (p = 0.69). Relapse rate was similar between group A (19/45; 42%) and group B (16/46; 35%) (p = 0.53, hazard ratio 0.86 (95% CI 0.46-1.6)). Secondary outcomes were also similar between the groups.

conclusionsAmong children with FRNS/SDNS although non-inferiority could not be demonstrated, no statistically significant difference in outcome was found between 375 and 750 mg/m

Indexed as

Immunosuppressive AgentsMycophenolic AcidNephrotic SyndromeRituximabAdolescentAntigens, CD19ChildChild, PreschoolDrug Therapy, CombinationFemaleHumansMaleProspective StudiesRecurrenceRemission InductionTreatment OutcomeAntigens, CD19Immunosuppressive AgentsMycophenolic AcidRituximabChildrenMycophenolate mofetilNephrotic syndromeRelapse rateRituximab

Identifiers

What Socratic holds

Textmetadata
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.