A new trial provides further evidence that rituximab treatment can reduce the risk of relapse in children with steroid-dependent idiopathic nephrotic syndrome. Addition of a single infusion of rituximab to steroid therapy was associated with a decrease in proteinuria at 3 months and a significant increase in the relapse-free period.
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References
Radhakrishnan, J. & Cattran D. C. The KDIGO practice guideline on glomerulonephritis: reading between the (guide)lines—application to the individual patient. Kidney Int. 82, 840–856 (2012).
Ravani, P. et al. Rituximab in children with steroid-dependent nephrotic syndrome: a multicentre, open-label, noninferiority, randomized controlled trial. J. Am. Soc. Nephrol. http://dx.doi.org/10.1681/ASN.2014080799 (2015).
Ravani, P. et al. Short-term effects of rituximab in children with steroid- and calcineurin-dependent nephrotic syndrome: a randomized controlled trial. Clin. J. Am. Soc. Nephrol. 6, 1308–1315 (2011).
Iijima, K. et al. Rituximab for childhood-onset, complicated, frequently relapsing nephrotic syndrome or steroid-dependent nephrotic syndrome: a multicenter, double-blind, randomized, placebo-controlled trial. Lancet 384, 1273–1281 (2014).
Fornoni, A. et al. Rituximab targets podocytes in recurrent focal segmental glomerulosclerosis. Sci. Transl. Med. 3, 85ra46 (2011).
Filler, G. et al. Should we consider MMF therapy after rituximab for nephrotic syndrome? Pediatr. Nephrol. 26, 1759–1762 (2011).
Faul, C. et al. The actin cytoskeleton of kidney podocytes is a direct target of the antiproteinuric effect of cyclosporine A. Nat. Med. 9, 931–938 (2008).
Yu, C. C. et al. Abatacept in B7–1-positive proteinuric kidney disease. N. Engl. J. Med. 369, 2416–2423 (2013).
Acknowledgements
R.H.K. is supported by the National Institutes of Health, USA (grant numbers U01DK-03,012 and R24HD050837).
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Lemley, K., Mak, R. Efficacy of rituximab in challenging nephrotic syndrome. Nat Rev Nephrol 11, 257–258 (2015). https://doi.org/10.1038/nrneph.2015.26
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DOI: https://doi.org/10.1038/nrneph.2015.26