Table 1.
Simplified treatment strategies in LN and ANCA-associated GN (esp. active, severe GPA/MPA) (62, 63).
| LN | ANCA-associated GN | |
|---|---|---|
| Induction therapy | Hydroxychloroquine (basic therapy) + Glucocorticoids + Mycophenolate mofetil + Cyclophosphamide |
Glucocorticoids + Rituximab or Cyclophosphamide (Plasma exchange) |
| Maintenance therapy | Hydroxychloroquine (basic therapy) + Mycophenolate mofetil or Azathioprine |
Rituximab or Azathioprine |
| Add-On | Renin-angiotensin-aldosterone system blockers Belimumab (SGLT2 inhibitors) |
Renin-angiotensin-aldosterone system blockers Mycophenolate mofetil Avacopan (SGLT2 inhibitors) |
Generally, the therapy regimen depends on disease severity and the risk of progression. Moreover, the therapy regimen changes according to the type of ANCA-associated GN.