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A European multicentre and open-label controlled randomized trial to evaluate the efficacy of Sequential treatment with TAcrolimus-Rituximab versus steroids plus cyclophosphamide in patients with primary MEmbranous Nephropathy: the STARMEN study
Publicated to:Clinical Kidney Journal. 8 (5): 503-10-510 - 2015-10-01 8(5), DOI: 10.1093/ckj/sfv075
Authors: Rojas-Rivera J, Fernández-Juárez G, Ortiz A, Hofstra J, Gesualdo L, Tesar V, Wetzels J, Segarra A, Egido J, Praga M
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Abstract
Patients with primary membranous nephropathy (MN) and persistent nephrotic syndrome have a high risk of progression to end-stage renal disease. The Ponticelli protocol (steroids with alkylating agents) is the most effective immunosuppressive therapy for this condition, but it has severe adverse effects. Tacrolimus and rituximab have demonstrated efficacy for remission of nephrotic syndrome in MN with a safer profile. However, the published evidence is largely based on small or short-term observational studies, historical cohorts, comparisons with conservative therapy or clinical trials without appropriate control groups, and there is no head-to-head comparison with the Ponticelli protocol.The STARMEN randomized clinical trial will compare the efficacy of sequential tacrolimus-rituximab therapy with a modified Ponticelli protocol (steroids plus cyclophosphamide). The trial will also evaluate the role of antibodies against the M-type phospholipase A2 receptor (anti-PLA2R) and other antibodies as markers of response to treatment and long-term prognosis.The trial has already started with 23 patients having been enrolled as of 1 April 2015, an estimated 21.7% of the estimated sample.
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Quality index
Bibliometric impact. Analysis of the contribution and dissemination channel
The work has been published in the journal Clinical Kidney Journal, Q3 Agency Scopus (SJR), its regional focus and specialization in Nephrology, give it significant recognition in a specific niche of scientific knowledge at an international level.
From a relative perspective, and based on the normalized impact indicator calculated from World Citations from Scopus Elsevier, it yields a value for the Field-Weighted Citation Impact from the Scopus agency: 3.77, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 14, 2024)
This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:
- Field Citation Ratio (FCR) from Dimensions: 10.48 (source consulted: Dimensions Oct 2025)
Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-10-09, the following number of citations:
- WoS: 35
- Scopus: 46
- Europe PMC: 19
- Google Scholar: 55
Impact and social visibility
Leadership analysis of institutional authors
This work has been carried out with international collaboration, specifically with researchers from: Czech Republic; Italy; Netherlands.
There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Rojas-Rivera, J) .