ArticleBMC nephrology2025
Long-term efficacy of Rituximab in steroid dependent and frequent relapsing adult nephrotic syndrome.
Article in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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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.
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.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Current status and research hotspots of pediatric nephrotic syndrome: a bibliometric analysis (2011-2025).Frontiers in pediatrics · 2026Pooled it
- Clinical evaluation of rituximab combined with ACE inhibitors and statins in refractory nephrotic syndrome: associations with proteinuria, lipid profiles, and podocyte-related biomarkers.Frontiers in pharmacology · 2026Article
- When Minimal Becomes Massive: A Case Report of Childhood-Onset Minimal Change Disease Marching to End Stage Renal Disease Despite Modern Immunotherapy.Clinical medicine insights. Case reports · 2026Article
- Article
- Efficacy of Rituximab as Adjunctive Therapy to Immunosuppressive Agents in Adult Primary Focal Segmental Glomerulosclerosis.Kidney international reports · 2025Article
- Daratumumab combined with anti-CD20 therapy in pediatric and adult refractory idiopathic nephrotic syndrome: single-center experience.Frontiers in immunology · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCorticosteroids are highly efficient for treatment of minimal change disease (MCD), however a substantial number of patients become steroid dependent (SD) or frequent relapsing (FR). Response rate is lower in primary Focal Segmental Glomerulosclerosis (FSGS). Since prolonged exposure to corticosteroids should be avoided, an effective alternative is required. Rituximab is a promising agent. We aimed to evaluate the efficacy of Rituximab in adults with SD/FR nephrotic syndrome (NS).
methodsA retrospective cohort study, evaluating patients with SD/FR NS treated with Rituximab in a tertiary hospital. Rituximab was given at induction, with additional doses subjected to the treating nephrologist decision. Primary outcome was number of relapses and time to first relapse. Safety was assessed.
resultsTwenty-one adults were included. Among them, 14 (66.7%) were diagnosed with MCD, 5 (23.8%) with FSGS, in 2 cases kidney biopsies were not performed. Median age was 54.6 years. Median follow up was 39.6 months. Number of relapses decreased significantly after Rituximab compared to before treatment (median relapses 0 compared to 3, respectively, W = 3.70, p <.001). Time to first relapse was significantly shorter before Rituximab compared to after (median 11 vs. 536 days, respectively, W = 3.05, p =.002). Hazzard Ratio for relapse was higher in patients who received one Rituximab course compared to those who received an additional maintenance (HR = 4.31, 95% CI: 1.13-16.39, p =.032). Treatment was well-tolerated, serious adverse events included cholecystitis and severe COVID-19.
conclusionsRituximab emerges as an efficient safe steroid sparing in patients with SD/FR NS, with longer remission achieved when an additional maintenance dose is given after the first course.
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