Lupus & antiphospholipid syndrome

Comparative efficacy of tacrolimus-based induction therapy with and without mycophenolate mofetil in lupus nephritis: A target trial emulation study

LupusPublished Multicentre cohort study designed as a target trial emulation

Main finding · Total renal responseResult — go to the resultIPTW-adjusted OR 2.84 CI 1.31–6.35

Authors' conclusion

In patients with proliferative LN, TAC + MMF + GC therapy was associated with a significantly higher 12-month renal response than TAC + GC.

Study context

Population
Patients with biopsy-proven proliferative lupus nephritis (LN) who received tacrolimus (TAC)-based induction therapy
Participants
115 patients
Exposure
TAC + mycophenolate mofetil (MMF) + GC vs TAC + GC for induction of remission in proliferative LN
  • TAC + MMF + GCn = 67
  • TAC + GCn = 48reference
Outcome
Total renal response (complete or partial renal response)
Follow-up
12 months
Methodological detailsinverse probability of treatment weighting (IPTW), binary logistic regression
  • Inverse probability of treatment weighting (IPTW)
  • Binary logistic regression

Main finding

Total renal response

IPTW-adjusted OR

2.84

CI 1.31–6.35

Events by group

TAC + MMF + GCvs TAC + GC
IPTW-adjusted OR 2.84 (CI 1.31–6.35)

As reported in the abstract

Observational data: associations, not effects.

Safety

Events

OutcomeTAC + GCTAC + MMF + GC
Adverse drug reactions711

Original publication

Comparative efficacy of tacrolimus-based induction therapy with and without mycophenolate mofetil in lupus nephritis: A target trial emulation study. Lupus. Published 3 December 2025. doi:10.1177/09612033251406324

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