Rituximab for nephrotic syndrome in children.

Abstract:

:Idiopathic nephrotic syndrome is the most common chronic glomerular disease in children. At least 20 % of children with this syndrome show frequent relapses and/or steroid dependence during or after immunosuppressive therapies, a condition defined as complicated frequently relapsing/steroid-dependent nephrotic syndrome (FRNS/SDNS). Approximately 1-3 % of children with idiopathic nephrotic syndrome are resistant to steroids and all immunosuppressive agents, a condition defined as refractory steroid-resistant nephrotic syndrome (SRNS); these SRNS children have a high risk of end-stage renal failure. Rituximab, a chimeric anti-CD20 monoclonal antibody, has been shown to be effective for patients with complicated FRNS/SDNS and refractory SRNS. This review describes the recent results of rituximab treatment applied to pediatric nephrotic syndrome, as well as those of our recent study, a multicenter, double-blind, randomized, placebo-controlled trial of rituximab for childhood-onset complicated FRNS/SDNS (RCRNS01). The overall efficacy and safety of rituximab for this disease are discussed.

journal_name

Clin Exp Nephrol

authors

Iijima K,Sako M,Nozu K

doi

10.1007/s10157-016-1313-5

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

193-202

issue

2

eissn

1342-1751

issn

1437-7799

pii

10.1007/s10157-016-1313-5

journal_volume

21

pub_type

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