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Table 2 Efficacy and severe adverse events in included studies

From: Cyclophosphamide induced early remission and was superior to rituximab in idiopathic membranous nephropathy patients with high anti-PLA2R antibody levels

Author

Year

Treatment

Sample size (N)

CR + PR, N (%)

CR, N (%)

NR, N (%)

Relapse N (%)

SAE Patients, N (%)

Immunological

response, N (%)

Funding

(N)

RTX dose

Medrano [18]

2014

RTX + TAC

53

49 (92.5)

28 (57)

4 (7.5)

0 (0)

NA

77% at 12 months

None

RTX 1 g on days 1 and 15 or 4 weekly doses of 375 mg/m2

  

CYC + CS

26

19 (73)

6 (32)

7 (27)

0 (0)

NA

58% at 12 months

  

van den Brand [15]

2017

RTX

100

64 (64)

26 (26)

NA

NA

9 (9)

NA

3a

RTX 4 weekly doses of 375 mg/ m2

  

CYC + CS

103

89 (86.4)

34 (33)

NA

NA

30 (29.1)

NA

  

Fenoglio [17]

2020

RTX low

14

13 (92.8)

12 (85.7)

1 (8)

1 (8)

1 (8)

93% at 3–6 months

None

1 dose of RTX 375 mg/m2

  

RTX standard

14

13 (92.8)

13 (92.8)

1 (8)

0 (0)

2 (15)

93% at 3–6 months

 

RTX 4 weekly doses of 375 mg/ m2

  

CYC + CS

14

12 (85.7)

12 (85.7)

2 (17)

1 (8)

3 (25)

NA

  

Fernandez-Juarez

2020

RTX + TAC

43

25 (58)

11 (26)

NA

3 (12)

6 (14)

45%, 70%, 79%, 83% at 3, 6, 12, and 18 months

10 b

RTX 1 g

[13]

 

CYC + CS

43

36 (84)

26 (60)

NA

1 (2)

8 (19)

77%, 92%, 88%, 88% at 3, 6, 12, and 18 months

  

Scolari [14]

2021

RTX

37

17/20 (85)

6/20 (30)

NA

3 (13)

7 (19)

63%, 62%, and 91% at 6, 12, and 18 months

None

RTX 1 g on days 1 and 15

  

CYC + CS

37

16/22 (73)

7/22 (32)

NA

6 (22)

5 (14)

50%, 56%, and 73% at 6, 12, and 18 months

  

Ramachandran [16]

2021

RTX

13

5 (38.5)

NA

NA

NA

5 (38.5)

NA

2c

RTX 4 weekly doses of 375 mg/ m2

  

CYC + CS

49

24 (49)

NA

NA

NA

24 (49)

NA

  

Hussain [19]

2022

RTX

25

10 (24)

4 (17)

NA

NA

NA

NA

None

NA

  

CYC

25

19 (57)

5 (20)

NA

NA

NA

NA

 

NA

Zhou [20]

2022

RTX

16

10 (62.5)

NA

NA

NA

NA

NA

None

RTX 1 g

  

CYC + CS

20

16 (80)

NA

NA

NA

NA

NA

  
  1. RTX, rituximab; CYC, cyclophosphamide; CS, cyclical steroid; CR, complete remission; PR, partial remission; NR, no response; SAE, severe adverse events; NA, not available. Immunologic response was defined by a level of antiPLA2Rab < 20 RU/ml. a European Union Seventh Framework Programme FP7/2007–2013 grant 305,608: European Consortium for High-Throughput Research in Rare Kidney Diseases. Dutch Kidney Foundation grants DKF14OKG07 and KJPB11.021. b Instituto de Salud Carlos III/Fondo Europeo de Desarrollo Regional (ISCIII/FEDER) grants PI13/02495 and ICI14/00350, Red de Investigación Renal (RedInRen) (RD12/0021/0029), ERA-EDTA, Fundación Renal Iñigo Álvarez de Toledo (FRIAT), Fundación para laInvestigación Biomédica Hospital 12 de Octubre (iþ12), Centre National de la Recherche Scientifique, Fondation Maladies Rares (LAM-RD_20170304), National Research Agency (ANR, grants MNaims ANR-17-CE17-0012-01), “Investments for the Future” Laboratory of Excellence SIGNALIFE, a network for innovation on signal transduction pathways in life sciences (ANR-11-LABX-0028-01), Initiative of Excellence (IDEX; UCAJedi ANR-15-IDEX-01), Fondation pour la Recherche Médicale (FRM, ING20140129210, DEQ20180339193, and FDT201805005509. C Indian Council of Medical Research (No. 5/4/7 − 5/14/NCD-II) and PGIMER-intramural fund