Efficacy and safety of obinutuzumab in patients with primary membranous nephropathy: a focus on refractory and rituximab-resistant patients - Takeaways - MDSpire

Efficacy and safety of obinutuzumab in patients with primary membranous nephropathy: a focus on refractory and rituximab-resistant patients

  • By

  • Qi Gao

  • Guoxiang Yao

  • Yujiao Sun

  • Xiaoyun Li

  • Zhuo Li

  • Bing Chen

  • June 26, 2026

  • 0 min

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  • 1

    Obinutuzumab is a humanized anti-CD20 monoclonal antibody with enhanced B-cell depletion compared to rituximab, showing promise in treating primary membranous nephropathy.

  • 2

    In a study of 94 PMN patients, 95.74% achieved clinical remission after 24 months of obinutuzumab therapy, with 28.72% attaining complete remission.

  • 3

    The Initial therapy group achieved a 100% clinical remission rate, while the Refractory and Remedial therapy groups had rates of 96.88% and 90%, respectively.

  • 4

    All anti-PLA2R antibody-positive patients showed declining antibody levels post-obinutuzumab treatment, with 68.4% achieving complete immunological remission.

  • 5

    Obinutuzumab demonstrated high clinical remission rates and acceptable safety in PMN patients, including those resistant to rituximab and in refractory cases.

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