ArticleRenal failure2025
Management of rituximab in patients with PLA2R-associated membranous nephropathy of different age: a single-center retrospective cohort study.
Article in Renal failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundRituximab (RTX) has become the first-line therapy for idiopathic membranous nephropathy (IMN). The safety of low-dose and long-course RTX regimen in elderly patients with IMN remains unknown.
methodsSixty-nine IMN patients with anti-M-phospholipase A2 receptor (PLA2R) antibodies-positive were recruited for this study. The patients were categorized into two groups based on their age. The different age groups were further divided into the recommended RTX group and the low-dose and long-course RTX group. Compare the outcomes and adverse events of patients between different groups after 9-month follow-up.
resultsThere was no significant difference in the complete remission rate and composite remission rate in patients with IMN in different age who received different RTX regimens. As expected, the risk of adverse events was higher in the recommended-dose RTX group compared with the low-dose and long-course RTX group in patients with IMN aged ≥60 years (66.7% vs. 19%,
conclusionsThe low-dose and long-course RTX regimen should be recommended for elderly patients with IMN, and the percentage of eosinophilic granulocytes is a better risk predictor of infections after RTX used in elderly patients with IMN.
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