Table 3.
Meta-analysis of the safety of tacrolimus in induction therapy of patients with lupus nephritis
Therapeutic regimen | Indicators | Number of studies | Q test, P-value | Model selected | OR (95% CI) | P-value |
---|---|---|---|---|---|---|
| ||||||
TAC + GC vs CYC + GC | Gastrointestinal syndrome | 4 | 0.63 | Fixed | 0.30 (0.12, 0.78) | 0.01 |
Leucopenia | 5 | 0.71 | Fixed | 0.25 (0.08, 0.74) | 0.01 | |
Hypertension | 3 | 0.93 | Fixed | 1.57 (0.41, 5.91) | 0.51 | |
Hyperglycemia | 6 | 0.64 | Fixed | 1.66 (0.78, 3.54) | 0.19 | |
Infection | 5 | 0.23 | Fixed | 0.77 (0.42, 1.43) | 0.41 | |
Upper respiratory infection | 2 | 0.45 | Fixed | 0.90 (0.90, 4.18) | 0.89 | |
Pneumonia | 3 | 0.53 | Fixed | 0.42 (0.09, 1.93) | 0.26 | |
Herpes zoster or varicella | 4 | 0.54 | Fixed | 1.21 (0.45, 3.21) | 0.71 | |
Urinary tract infection | 3 | 0.69 | Fixed | 0.72 (0.25, 2.05) | 0.53 | |
Alopecia | 3 | 0.33 | Fixed | 0.59 (0.19, 1.83) | 0.36 | |
Irregular menstruation | 5 | 0.90 | Fixed | 0.16 (0.05, 0.45) | 0.0006 | |
Blood creatinine increase | 5 | 0.75 | Fixed | 1.52 (0.50, 4.60) | 0.46 | |
Liver function disorder | 4 | 0.98 | Fixed | 0.52 (0.23, 1.20) | 0.13 | |
TAC + GC vs MMF + GC | Leucopenia | 2 | 0.51 | Fixed | 0.52 (0.06, 4.12) | 0.53 |
Hyperglycemia | 3 | 0.88 | Fixed | 2.25 (0.69, 7.33) | 0.18 | |
Infection | 2 | 0.05 | Random | 0.95 (0.06, 16.03) | 0.97 | |
Serious infection | 2 | 0.48 | Fixed | 0.43 (0.15, 1.18) | 0.10 | |
Herpes zoster or varicella | 2 | 0.74 | Fixed | 0.13 (0.03, 0.53) | 0.004 | |
Blood creatinine increase | 2 | 0.33 | Fixed | 13.54 (1.75, 104.81) | 0.01 | |
TAC + MMF + GC vs CYC + GC | Gastrointestinal syndrome | 2 | 0.78 | Fixed | 0.16 (0.08, 0.35) | <0.00001 |
Leucopenia | 2 | 0.20 | Fixed | 0.16 (0.04, 0.59) | 0.006 | |
Hypertension | 2 | 0.48 | Fixed | 3.15 (1.06, 9.29) | 0.04 | |
Hyperglycemia | 2 | 0.61 | Fixed | 1.46 (0.43, 4.93) | 0.54 | |
Upper respiratory infection | 2 | 0.18 | Fixed | 0.91 (0.51, 1.65) | 0.76 | |
Pneumonia | 2 | 0.60 | Fixed | 2.06 (0.76, 5.61) | 0.16 | |
Herpes zoster or varicella | 2 | 0.64 | Fixed | 1.92 (0.75, 4.91) | 0.18 | |
Urinary tract infection | 2 | 0.75 | Fixed | 0.66 (0.18, 2.38) | 0.52 | |
Alopecia | 2 | 0.38 | Fixed | 0.52 (0.20, 1.33) | 0.17 | |
Irregular menstruation | 2 | 0.85 | Fixed | 0.25 (0.07, 0.93) | 0.04 |
Abbreviations: TAC, tacrolimus; GC, glucocorticoids; MMF, mycophenolate mofetil; CYC, cyclophosphamide.