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10.1136/bcr-2015-210208

http://scihub22266oqcxt.onion/10.1136/bcr-2015-210208
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C4577716!4577716!26376698
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suck abstract from ncbi


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pmid26376698      BMJ+Case+Rep 2015 ; 2015 (ä): ä
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  • Low-dose ofatumumab for rituximab-resistant nephrotic syndrome #MMPMID26376698
  • Bonanni A; Rossi R; Murtas C; Ghiggeri GM
  • BMJ Case Rep 2015[]; 2015 (ä): ä PMID26376698show ga
  • Drug resistant idiopathic nephrotic syndrome (DRNS) remains a therapeutic dilemma. In this pilot study, the efficacy of the new fully humanised, anti-CD20 monoclonal antibody ofatumumab was tested in 4 children with persistence of proteinuria for at least 12?months in spite of a full drug approach (including rituximab). We used a low-dose 2-infusion ofatumumab model (300+700?mg/1.73?m2 2?weeks apart) using specified premedication. Transient normalisation of proteinuria (persisting for 2?months) was achieved in 1 child while another presented stable remission after 12?months; both had normal renal function. The outcome was not modified in the remaining 2 children presenting an impaired renal function. These results demonstrate that low-dose ofatumumab may induce remittance of proteinuria in children with a long story of DRNS and normal renal function. Further studies are needed to test whether higher doses of ofatumumab can also modify proteinuria in patients with impaired renal function.
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