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. 2016 Jun 11;1(2):73–84. doi: 10.1016/j.ekir.2016.05.002

Table 6.

Summary of remission and relapse rates using various immunosuppressive regimens compared to protocol induction/maintenance regimen for treatment of membranous nephropathy

Treatment regimens 6 mo remissions
12 mo remissions
24 mo remissions
Relapse rates during trial period (%)
% CR % PR % CR % PR % CR % PR
Cyclosporine (6–24 mo) + steroids13, 15 0–7 50–68 7–10 39–40 7–40 32–40 13–48
Tacrolimus (18 mo)14, 45 12–23 37–44 26–34 44–48 32 44 44–47
Rituximab20, 21, 22, 23, 41, 46, 47 0 29–63 0–18 43–63 20–27 45–60 6–29
Alkylating agent alternating with steroids for 6 mo48, 49, 50, 51 10–15 45–50 15–28 35–65 30–40 30–50 10–31
Oral cytoxan for 12 mo + steroids for 6 mo52 NA NA NA NA 17 77 28
MMF ± steroids53, 54, 55 5 21 5 31 NA NA 29–57
Adrenocorticotropic hormone (synthetic) for 12 mo56 19 44 38 50 NA NA 21
Protocol regimen Cyclosporine + rituximab 23 62 54 31 54 31 15

Percentage of complete remissions (CR) and partial remissions (PR) achieved in patients with membranous nephropathy at various time points using other immunosuppression regimens versus the protocol induction/maintenance regimen.

MMF, mycophenolate mofetil; NA, data not available at these time points.