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Rituximab in adult minimal change disease and focal segmental glomerulosclerosis - What is known and what is still unknown?

Gauckler, Philipp (author)
Medical University of Innsbruck,Med Univ Innsbruck, Austria
Shin, Jae Il (author)
Yonsei University,Severance Hospital,Yonsei Univ, South Korea; Severance Childrens Hosp, South Korea; Yonsei Univ, South Korea
Alberici, Federico (author)
Spedali Civili Di Brescia,University of Brescia,ASST Spedali Civili Brescia, Italy; Univ Brescia, Italy
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Audard, Vincent (author)
University of Paris-Est,Paris East Univ, France
Bruchfeld, Annette (author)
Karolinska Institutet,Linköpings universitet,Linköping University,Karolinska University Hospital,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Karolinska Univ Hosp, Sweden
Busch, Martin (author)
Universitätsklinikum Jena,Friedrich Schiller Univ, Germany
Cheung, Chee Kay (author)
University Hospitals of Leicester NHS Trust,University of Leicester,Univ Leicester, England; Univ Hosp Leicester NHS Trust, England
Crnogorac, Matija (author)
Dubrava University Hospital,Dubrava Univ Hosp, Croatia
Delbarba, Elisa (author)
University of Brescia,Univ Brescia, Italy
Eller, Kathrin (author)
Medical University of Graz,Med Univ Graz, Austria
Faguer, Stanislas (author)
Institute of Cardiovascular and Metabolic Diseases (I2MC),Toulouse University Hospital,Ctr Hosp Univ Toulouse, France; Inst Natl Sante & Rech Med, France
Galesic, Kresimir (author)
Dubrava University Hospital,Dubrava Univ Hosp, Croatia
Griffin, Siân (author)
University Hospital of Wales,Univ Hosp Wales, Wales
Hrušková, Zdenka (author)
General University Hospital in Prague,Charles University in Prague,Charles Univ Prague, Czech Republic; Gen Univ Hosp, Czech Republic
Jeyabalan, Anushya (author)
Columbia University,Columbia Univ, NY USA
Karras, Alexandre (author)
Assistance Publique des Hôpitaux de Paris,Hop Europeen Georges Pompidou, France
King, Catherine (author)
University of Birmingham,Univ Birmingham, England
Kohli, Harbir Singh (author)
Postgraduate Institute of Medical Education and Research,Post Grad Inst Med Educ & Res, India
Maas, Rutger (author)
Radboud University Medical Center,Radboud Univ Nijmegen, Netherlands
Mayer, Gert (author)
Medical University of Innsbruck,Med Univ Innsbruck, Austria
Moiseev, Sergey (author)
I.M. Sechenov First Moscow State Medical University,Sechenov First Moscow State Med Univ, Russia
Muto, Masahiro (author)
Juntendo University,Juntendo Univ, Japan
Odler, Balazs (author)
Medical University of Graz,Med Univ Graz, Austria
Pepper, Ruth J. (author)
University College London,UCL, England
Quintana, Luis F. (author)
University of Barcelona,Univ Barcelona, Spain
Radhakrishnan, Jai (author)
Columbia University,Columbia Univ, NY USA
Ramachandran, Raja (author)
Postgraduate Institute of Medical Education and Research,Post Grad Inst Med Educ & Res, India
Salama, Alan D. (author)
University College London,UCL, England
Segelmark, Mårten (author)
Lund University,Lunds universitet,Njurmedicin,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Nephrology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital,Skane Univ Hosp, Sweden
Tesař, Vladimír (author)
Charles University in Prague,General University Hospital in Prague,Charles Univ Prague, Czech Republic; Gen Univ Hosp, Czech Republic
Wetzels, Jack (author)
Radboud University Medical Center,Radboud Univ Nijmegen, Netherlands
Willcocks, Lisa (author)
Addenbrooke's Hospital,Cambridge Univ Hosp, England
Windpessl, Martin (author)
Johannes-Kepler-University of Linz,Klinikum Wels Grieskirchen, Austria; Johannes Kepler Univ Linz, Austria
Zand, Ladan (author)
Mayo Clinic Minnesota,Mayo Clin, MN USA
Zonozi, Reza (author)
Massachusetts General Hospital,Massachusetts Gen Hosp, MA 02114 USA
Kronbichler, Andreas (author)
Medical University of Innsbruck,Med Univ Innsbruck, Austria
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 (creator_code:org_t)
 
Elsevier BV, 2020
2020
English.
In: Autoimmunity Reviews. - : Elsevier BV. - 1568-9972 .- 1873-0183. ; 19:11
Related links:
http://dx.doi.org/10... (free)
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https://doi.org/10.1...
https://liu.diva-por... (primary) (Raw object)
https://lup.lub.lu.s...
https://doi.org/10.1...
https://urn.kb.se/re...
http://kipublication...
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  • Research review (peer-reviewed)
Abstract Subject headings
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  • Primary forms of minimal change disease and focal segmental glomerulosclerosis are rare podocytopathies and clinically characterized by nephrotic syndrome. Glucocorticoids are the cornerstone of the initial immunosuppressive treatment in these two entities. Especially among adults with minimal change disease or focal segmental glomerulosclerosis, relapses, steroid dependence or resistance are common and necessitate re-initiation of steroids and other immunosuppressants. Effective steroid-sparing therapies and introduction of less toxic immunosuppressive agents are urgently needed to reduce undesirable side effects, in particular for patients whose disease course is complex. Rituximab, a B cell depleting monoclonal antibody, is increasingly used off-label in these circumstances, despite a low level of evidence for adult patients. Hence, critical questions concerning drug-safety, long-term efficacy and the optimal regimen for rituximab-treatment remain unanswered. Evidence in the form of large, multicenter studies and randomized controlled trials are urgently needed to overcome these limitations.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Reumatologi och inflammation (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Rheumatology and Autoimmunity (hsv//eng)

Keyword

Focal segmental glomerulosclerosis
Infections
Long-term remission
Minimal change disease
Nephrotic syndrome
Rituximab
Nephrotic syndrome; Rituximab; Minimal change disease; Focal segmental glomerulosclerosis; Long-term remission; Infections

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