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Comment
. 2011 Oct;26(10):1759-62.
doi: 10.1007/s00467-011-1894-x. Epub 2011 May 1.

Should we consider MMF therapy after rituximab for nephrotic syndrome?

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Comment

Should we consider MMF therapy after rituximab for nephrotic syndrome?

Guido Filler et al. Pediatr Nephrol. 2011 Oct.

Abstract

The management of steroid-dependent nephrotic syndrome, especially in patients who have failed to respond to cytotoxic drugs, such as cyclophosphamide, remains challenging. Rituximab represents a new (off-label) therapeutic option. In a significant portion of patients, it has a short serum half-life following the recovery of CD20-positive cells. The addition of mycophenolate mofetil (MMF) as a maintenance therapy is also an attractive option, but one which requires testing in a prospective randomized clinical trial with therapeutic drug monitoring and mechanistic ancillary studies.

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References

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