Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\30021637
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 BMC+Nephrol
2018 ; 19
(1
): 182
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Retrospective analysis of tacrolimus combined with Tripterygium wilfordii
polyglycoside for treating idiopathic membranous nephropathy
#MMPMID30021637
Shang SL
; Cai GY
; Duan SW
; Li P
; Li QG
; Chen XM
BMC Nephrol
2018[Jul]; 19
(1
): 182
PMID30021637
show ga
BACKGROUND: Idiopathic membranous nephropathy (IMN) is one of the most common
adult nephrotic syndromes. Some patients with this disorder require
immunosuppressive therapy. This retrospective case series was performed to assess
the effects of tacrolimus (TAC) combined with Tripterygium wilfordii
polyglycoside (TWG) in treating IMN. METHODS: From January 2015 to August 2016,
kidney-biopsy-proven IMN patients treated with TAC in the Chinese PLA General
Hospital were screened. Data were retrieved from the patients' medical records.
The first efficacy evaluation index was remission rate (complete remission and
partial remission), and the secondary efficacy evaluation indices included
relapse rate, proteinuria, serum albumin and estimated glomerular filtration rate
(eGFR). Adverse events were also assessed. RESULTS: The included patients'
treatments were tacrolimus monotherapy (TAC group, n?=?33), tacrolimus combined
with methylprednisolone (MP) (TAC?+?MP group, n?=?24) and tacrolimus combined
with Tripterygium wilfordii polyglycoside (TAC?+?TWG group, n?=?21). The
remission rates of the TAC, TAC?+?MP, and TAC?+?TWG groups in the 10th month were
54.5, 62.5, and 85.7%, respectively (TAC?+?TWG group vs TAC group, P?=?0.037,
TAC?+?TWG group vs TAC?+?MP group, P?=?0.125). Moreover, the complete remission
rates of the TAC, TAC?+?MP, and TAC?+?TWG groups in the 10th month were 21.2,
20.8, and 57.1%, respectively (TAC?+?TWG group vs TAC group, P?=?0.007, TAC?+?TWG
group vs TAC?+?MP group, P?=?0.012). Compared with the TAC group, the TAC?+?TWG
group had a higher remission rate during these ten months (log-rank, P?=?0.005).
Compared with the TAC and TAC?+?MP groups, the TAC?+?TWG group had a higher
complete remission rate (log-rank, P?=?0.019 and log-rank, P?=?0.005,
respectively). CONCLUSION: This retrospective study showed that TAC combined with
TWG may be effective for treating IMN. Further randomized controlled trials
(RCTs) are needed to assess the efficacy and safety of TAC combined with TWG.