Table 3.
Study | Study design | Population | Rituximab protocol | Selected outcomes | Results |
---|---|---|---|---|---|
Fernandez-Fresnedo et al26 | Retrospective case series | Eight patients with FSGS resistant to steroids and other treatments, all patients had nephrotic range proteinuria at baseline with a mean of 14±4.4 g/24 h | Variable: five patients received 4 weekly doses at 375 mg/m2 | 24-hour proteinuria | Two patients had significant decrease in proteinuria to 3.2 and 3.9 g/day |
One patient received 4 weekly doses at 375 mg/m2 initially and again at month 12 | Serum creatinine | One patient had transient decrease in proteinuria | |||
One patient received 4 weekly doses at 375 mg/m2 initially and 2 weekly infusions at month 6 | Five patients failed to respond to rituximab therapy with no significant decrease in proteinuria | ||||
One patient received 8 weekly doses at 375 mg/m2 | Serum creatinine increased from 1.4±0.5 to 2.2±1.8 mg/dL | ||||
Adverse events | No adverse events during follow-up | ||||
Ochi et al27 | Case series | Two patients with steroid-resistant FSGS, and two patients with steroid- dependent FSGS | Single dose at 375 mg/m2 | Complete remission (not defined in the manuscript) | CR achieved in the two patients with steroid-dependent FSGS |
The two patients with steroid-resistant FSGS did not respond to therapy | |||||
Ruggenenti et al28 | Prospective, open-label, longitudinal, within-patient controlled study | 30 patients (ten children, 20 adults) with steroid-dependent or frequently relapsing nephrotic syndrome (included eight patients with FSGS, five adults, three children) | Single dose at 375 mg/m2 (28 patients) | Number of relapse of nephrotic syndrome in the year after rituximab therapy vs the year before rituximab therapy | Fivefold decrease in number of relapse in all patients and in patients with FSGS |
Or two doses of rituximab (two patients) | Side effects | No treatment-related adverse events |
Abbreviations: CR, complete remission; FSGS, focal and segmental glomerulosclerosis.