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A combination therapy consisting of rituximab, a monoclonal antibody targeting CD20 on B-lymphocytes, and tacrolimus, a calcineurin inhibitor. This combination has shown superior efficacy compared to rituximab alone in treating refractory idiopathic membranous nephropathy (IMN), with higher complete and partial remission rates without significantly increasing adverse events. The typical regimen involves rituximab 1g administered intravenously once every 2 weeks (two doses total) combined with oral tacrolimus at 0.03 mg/kg/day.
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