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The Effectiveness and Safety of Mycophenolate Mofetil in Lupus Nephritis

Elyan, Mazen

Abstract Details

2008, Master of Sciences, Case Western Reserve University, Clinical Research.
Objective: To evaluate the effectiveness and safety of Mycophenolate Mofetil (MMF) in lupus nephritis (LN). Methods: A retrospective study of 25 LN patients consecutively treated with MMF. The primary outcome was complete renal remission (CR): urine protein/creatinine ≤0.5 g/g, inactive urine sediment and stable serum creatinine within <15% above baseline. Results: 57% achieved CR (Median time 8.5 months). CR was correlated with MMF dose and LN duration. Of 13 patients who had LN for <12 months and took ≥2 grams/day of MMF, 11 achieved CR, versus 1 of 8 patients who did not meet both criteria (p=0.002). 87% of patients maintained remission (Median follow-up: 20 months) while taking MMF. Most adverse events were transient and did not require therapy changes. Conclusions: MMF is effective and safe for induction and/or maintenance of remission of LN. Early treatment with ≥2 grams/day is essential for optimal outcome. CR may take >6 months.
Barbara Cromer, MD (Committee Chair)
Stanley Ballou, MD (Committee Member)
Steven Lewis, MS, MBA (Committee Member)

Recommended Citations

Citations

  • Elyan, M. (2008). The Effectiveness and Safety of Mycophenolate Mofetil in Lupus Nephritis [Master's thesis, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1207614029

    APA Style (7th edition)

  • Elyan, Mazen. The Effectiveness and Safety of Mycophenolate Mofetil in Lupus Nephritis. 2008. Case Western Reserve University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1207614029.

    MLA Style (8th edition)

  • Elyan, Mazen. "The Effectiveness and Safety of Mycophenolate Mofetil in Lupus Nephritis." Master's thesis, Case Western Reserve University, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=case1207614029

    Chicago Manual of Style (17th edition)