Table 1.
Summary of Published Cases of Biopsy-Confirmed AA-Amyloid Kidney Disease in Patients With Rheumatoid Arthritis Treated With Tocilizumab and Reported Outcomes
| Reference | Age (y) | Sex | Presentation | Treatment Dose (mg/kg/mo) | Treatment Duration (mo) | Concurrent Treatment | Response |
|---|---|---|---|---|---|---|---|
| Vinicki et al (2013)45 | 48 | F | 5.0 g/24 h proteinuria | 8 | 24 | None | 0.5 g proteinuria/24 h |
| Matsui et al (2014)46 | 60 | F | Progressive kidney dysfunction | 8 | 36 | None | Persistent deposition on biopsy, progression to kidney failure |
| Yamada et al (2014)47 | 71 | F | Nephrotic syndrome, 4.3 g/24 h proteinuria | 8 | 10 | Losartan | Resolved proteinuria at 3 mo |
| Courties et al (2015)44 | 52 | F | 9.0 g/24 h proteinuria | 8 | 8 | Glucocorticoids | Progression to kidney failure within 20 mo |
| 70 | F | 8.4 g/24 h proteinuria | 8 | 3 | Glucocorticoids | Stable eGFR, 0.5 g/24 h proteinuria | |
| 47 | M | 10.0 g/24 h proteinuria | 8 | 6 | Colchicine | Progression to kidney failure within 6 mo | |
| 80 | F | 4.0 g/24 h proteinuria | 8 | 34 | Glucocorticoids | Improved eGFR, progression to 6.0 g/24 h proteinuria | |
| 80 | F | 2.1 g/24 h proteinuria | 8 | 32 | Glucocorticoids | Stable eGFR, 0.09 g/24 h proteinuria | |
| 73 | M | 8.0 g/24 h proteinuria | 8 | 6 | Glucocorticoids | Stable eGFR, 4.7 g/24 h proteinuria | |
| Iijima et al (2015)48 | 51 | F | Nephrotic syndrome, 5.2 g/24 h proteinuria and RPGN | 8 | 18 | None | Improved eGFR, 1.2 g/24 h proteinuria |
| Yamagata et al (2017)49 | 67 | F | Urinary protein excretion of 7.5 g per gram urinary creatinine | Not reported | 10 | None | 0.5 g/24 h proteinuria |
| Fukuda et al (2020)50 | 59 | F | Nephrotic syndrome, 6.5 g/24 h proteinuria | 8 | 24 | None | 1.1g/24 h proteinuria |
| 71 | M | 0.06 g/24 h proteinuria | 8 | 60 | None | Glomerular amyloid deposits unchanged on repeat biopsy (at 2 y) |
Abbreviations: AA, serum amyloid A protein; eGFR, estimated glomerular filtration rate; F, female; M, male; RPGN, rapidly progressive glomerulonephritis.