Low dose glucocorticoids, mycophenolate mofetil and hydroxychloroquine in IgA nephropathy, an update of current clinical trials

Author:

Chen Pei1234ORCID,Lv Jicheng1234

Affiliation:

1. Renal Division, Department of Medicine Peking University First Hospital Beijing China

2. Institute of Nephrology Peking University Beijing China

3. Key Laboratory of Renal Disease Ministry of Health of China Beijing China

4. Key Laboratory of Chronic Kidney Disease Prevention and Treatment (Peking University) Ministry of Education Beijing China

Abstract

AbstractThis mini‐review explores glucocorticoids, mycophenolate mofetil (MMF), and hydroxychloroquine (HCQ) in IgA nephropathy (IgAN). It discusses conflicting findings from pivotal trials like TESTING and STOP‐IgAN regarding glucocorticoid efficacy, emphasizing reduced‐dose protocols as potentially safer options. MMF's effectiveness varies among populations, demonstrating promise in Chinese cohorts but yielding inconclusive results elsewhere. HCQ shows potential in reducing proteinuria, with ongoing trials investigating its long‐term benefits.

Publisher

Wiley

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