Pediatric rheumatology

Renal Response Outcomes of the EuroLupus and National Institutes of Health Cyclophosphamide Dosing Regimens in Childhood‐Onset Proliferative Lupus Nephritis

Arthritis RheumatolPublished Retrospective cohort study

Main finding · Complete renal responseResult — go to the resultOdds ratio 0.76 95% CI 0.29–1.98

Authors' conclusion

Our study failed to demonstrate a benefit of the NIH regimen over the EuroLupus CYC regimen in childhood-onset proliferative LN.

Study context

Population
Patients with childhood-onset proliferative lupus nephritis (LN) treated with CYC at 11 pediatric centers in North America
Participants
145 patients
Exposure
EuroLupus vs National Institutes of Health (NIH) CYC regimen
  • EuroLupusn = 58
  • NIHn = 87reference
Outcome
Complete renal response (contrast between CYC regimens at 12 months)
Follow-up
12 months
Methodological detailsmulticentre (11 pediatric centers, North America), generalized estimating equations with a logit link, multivariable adjustment
  • Multicentre (11 pediatric centers, North America)
  • Generalized estimating equations with a logit link
  • Multivariable adjustment

Main finding

Complete renal response

Odds ratio

0.76

95% CI 0.29–1.98

EuroLupusvs NIH
OR 0.76 (95% CI 0.29–1.98)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
At least partial renal response · 12 months1.35 (0.57–3.19)

Original publication

Renal Response Outcomes of the EuroLupus and National Institutes of Health Cyclophosphamide Dosing Regimens in Childhood‐Onset Proliferative Lupus Nephritis. Arthritis Rheumatol. Published 11 January 2024. doi:10.1002/art.42725

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