Table 6.
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.