Children, Efficacy, Nephrotic Syndrome, Rituximab
Conditions
Brief summary
This was a retrospective study. Children who were diagnosed with refractory nephrotic syndrome and treated with rituximab (RTX) and followed up for ≥1 year in the Department of Pediatrics, the First Affiliated Hospital of Xiamen University from March 2020 to March 2026 were enrolled. Personal information, past medical history, clinical examination data and follow-up data before and after the use of RTX were extracted from the medical record system. (1) The median relapse-free survival, the number of relapses and the adverse reactions of RTX were compared before and after RTX treatment, and the clinical efficacy and safety of RTX were evaluated. (2) By comparing the annual relapse frequency, reduction and withdrawal of steroids and immunosuppressive agents, B cell reconstitution and adverse drug reactions between prophylactic RTX and post-relapse RTX maintenance regimens; (3) Multivariate analysis of risk factors for recurrence of nephropathy after RTX treatment. (4) growth indicators monitoring patient evaluation and RTX medical economic benefit analysis.
Interventions
DRUGRituximab
B lymphocyte reconstitution was performed regularly after the administration of rituximab, and 1-4 doses of rituximab were given according to the exhaustion of B cells in children.
Sponsors
The First Affiliated Hospital of Xiamen University
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Children clinically diagnosed with FRNS/SDNS/SRNS with complete clinical data; * age \< 18 years old; * For the first time using RTX treatment, and used in nephrotic syndrome ease; * The follow-up for 1 year or more.
Exclusion criteria
* Congenital or infantile nephrotic syndrome, secondary nephrotic syndrome (such as lupus nephritis, IgA nephropathy, purpura nephritis, hepatitis B nephritis, etc.); * Active stage of hepatitis, complicated with severe infection, severe deficiency of immune response, malignant diseases; * Estimated glomerular filtration rate (GFR) \<60mL/min/1.73m2.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The median relapse-free survival | 1 year | The median relapse-free survival of nephrotic syndrome before and after RTX treatment was compared. |
| Different sequential group curative effect evaluation | 1 year | After comparing the preventive RTX and recurrence RTX maintain annual recurrent treatment。 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Risk factors for renal disease recurrence after RTX treatment. | 1 year | Multivariate cox analysis was used to analyze the risk factors of relapse after rituximab treatment in children with nephrotic syndrome by including gender, age of onset of nephrotic syndrome, course of disease before rituximab, history of immunosuppressive therapy, age of rituximab treatment, and maintenance immunosuppressive therapy after rituximab. |
Countries
China
Contacts
Primary ContactBai HaiTao, doctor
Outcome results
None listed