Abstract: SA-PO898
Mycophenolate Mofetil in Immunoglobulin A Nephropathy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Session Information
- Glomerular Diseases: Therapeutics
November 04, 2023 | Location: Exhibit Hall, Pennsylvania Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Glomerular Diseases
- 1402 Glomerular Diseases: Clinical, Outcomes, and Trials
Authors
- Braga, Marcelo Antonio, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
- Felix, Nicole, Universidade Federal de Campina Grande, Campina Grande, Paraíba, Brazil
- Nogueira, Alleh, Escola Bahiana de Medicina e Saude Publica, Salvador, BA, Brazil
- Limachi Choque, Jhonny Wilson, Universidad Mayor de San Simon, Cochabamba, Cochabamba, Bolivia, Plurinational State of
- Oliveira, Sofia de Assis, Centro Universitario Tocantinense Presidente Antonio Carlos, Araguaina, TO, Brazil
- Santos Pinto, Luis Claudio, Centro Universitário Metropolitano da Amazônia, Belém, Pará, Brazil
Background
Immunoglobulin A nephropathy (IgAN) is a prevalent primary glomerular disease worldwide. The efficacy of mycophenolate mofetil (MMF) for treating IgAN has yielded inconsistent findings in randomized controlled trials (RCTs).
Methods
In accordance with PRISMA guidelines, we systematically searched PubMed, Embase, Cochrane, and Web of Science in May 2023 for RCTs with long-term follow-up comparing MMF versus placebo or standard of care for IgAN with persistent proteinuria. Statistical analyses were performed using R software version 4.2.2.
Results
We included four RCTs comprising 276 patients with IgAN, of whom 51.81% were randomized to MMF. Average follow-up ranged from 24 to 72 months. MMF did not significantly reduce the incidences of end-stage renal disease (ESRD; RR 0.71; 95% CI 0.22-2.34; p=0.58; I2=53%; Fig. 1A) or doubling of serum creatinine (RR 0.53; 95% CI 0.18-1.56; p=0.25; I2=63%; Fig. 1B) as compared with placebo or standard of care in patients with IgAN.
Conclusion
In this meta-analysis of RCTs, there was no significant difference between MMF and placebo or standard of care in terms of ESRD and doubling of serum creatinine in patients with IgAN.
There was no significant difference between groups in terms of ESRD and doubling of serum creatinine.