Lupus & antiphospholipid syndrome

The efficacy of induction treatment in Thai patients with lupus nephritis: Observational cohort analysis

LupusPublished Observational cohort study

Authors' conclusion

The induction treatment with either IVCYC or MMF had similar efficacy in Thai LN patients.

Study context

Population
Thai adults with active proliferative lupus nephritis (LN) confirmed by renal biopsy, January 2013–June 2021
Participants
93 adults
Exposure
IVCYC vs mycophenolate mofetil (MMF) induction treatment
  • IVCYCn = 40
  • MMFn = 53
Outcome
CR
Follow-up
24 weeks

Main finding

As reported in the abstract

Unadjusted complete remission (CR) risk difference (groups' order not stated)
−0.08 (95% CI −0.26, −0.09, p-value = 0.351)
Adjusted CR risk difference (groups' order not stated)
−0.19 (95% CI −0.42, 0.04, p-value = 0.098)

Observational data: associations, not effects.

Secondary outcomes

Overall remission (OR)

Unadjusted OR risk difference (groups' order not stated)
−0.06 (95% CI −0.26, 0.14, p-value = 0.553)
Adjusted OR risk difference (groups' order not stated)
−0.24 (95% CI −0.50, 0.02, p-value = 0.067)

Urine protein creatinine ratio (UPCR) change over time

Unadjusted UPCR mean (groups' order not stated)
−0.29 (95% CI −0.77, 0.17, p-value = 0.210)
Adjusted UPCR mean (groups' order not stated)
−0.27 (95% CI −0.88, 0.32, p-value = 0.366)

Original publication

The efficacy of induction treatment in Thai patients with lupus nephritis: Observational cohort analysis. Lupus. Published 5 January 2023. doi:10.1177/09612033221149874

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