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February 28, 2026Cureus1 citationsOpen Access

Obinutuzumab Effectiveness in Resistant Membranous Nephropathy Linked to PLA2R

Obinutuzumab Treatment in Rituximab- and Bortezomib-Resistant Phospholipase A2 Receptor Antibody-Positive Membranous Nephropathy

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Authors

UYUygar YildirimSOSultan OzkurtAYAhmet Ugur Yalcin

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Overview

Case report demonstrates improved outcomes in membranous nephropathy after obinutuzumab treatment, suggesting new therapeutic possibilities.

Key Points

  • To evaluate the effectiveness of obinutuzumab in a case of rituximab- and bortezomib-resistant membranous nephropathy.
  • Reported case of a 54-year-old man with PLA2R antibody-positive primary MN
  • Administered obinutuzumab after failure of multiple immunosuppressive therapies including rituximab and bortezomib
  • Monitored clinical improvement and laboratory parameters post-treatment
  • Rapid and sustained clinical improvement observed after obinutuzumab treatment
  • Substantial reduction in proteinuria and normalization of serum albumin
  • Recovery of renal function noted after treatment

Cite This Study

Yildirim et al. (2026) studied this question.

synapsesocial.com/papers/69a286850a974eb0d3c018e7https://doi.org/10.7759/cureus.104285
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