EFFICACY AND SAFETY OF TELITACICEPT IN PRIMARY IMMUNOGLOBULIN A NEPHROPATHY PATIENTS WITH SEVERELY IMPAIRED RENAL FUNCTION

 

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EFFICACY AND SAFETY OF TELITACICEPT IN PRIMARY IMMUNOGLOBULIN A NEPHROPATHY PATIENTS WITH SEVERELY IMPAIRED RENAL FUNCTION

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Yulin
Wang
YUE YANG yangyue23dsb@163.com Zhongshan Hospital, Fudan University Nephrology Shanghai China -
Ziyan Shen shen.ziyan@zs-hospital.sh.cn Zhongshan Hospital, Fudan University Nephrology Shanghai China -
Han Zhang zhang.han@zs-hospital.sh.cn Zhongshan Hospital, Fudan University Nephrology Shanghai China -
Shaomin Gong gong.shaomin@zs-hospital.sh.cn Zhongshan Hospital, Fudan University Nephrology Shanghai China -
Shuangxin Yuan 18301050282@fudan.edu.cn Zhongshan Hospital, Fudan University Nephrology Shanghai China -
Xiaoqiang Ding ding.xiaoqiang@zs-hospital.sh.cn Zhongshan Hospital, Fudan University Nephrology Shanghai China -
Xiaoyan Zhang zhang.xiaoyan@zs-hospital.sh.cn Zhongshan Hospital, Fudan University Nephrology Shanghai China -
Yulin Wang evianwang@foxmail.com Zhongshan Hospital, Fudan University Department of Nephrology Shanghai China *
 
 
 
 
 
 
 

To investigate the efficacy and safety of Telitacicept in patients with primary immunoglobulin A nephropathy (IgAN) and an estimated glomerular filtration rate (eGFR) of less than 35 ml/min/1.73m².

Twelve primary IgAN patients with eGFR <35 ml/min/1.73m² treated with Telitacicept were enrolled. Data including age, gender, 24-hour urinary total protein (UTP), and serum creatinine levels before and after treatment were collected, with a maximum follow-up duration of 24 weeks. UTP and eGFR were compared before and after treatment, and adverse events during follow-up were recorded.

Figure 1. Changes in Proteinuria Levels Before and After Telitacicept Treatment in the 12 Patients with Primary IgA Nephropathy and Severely Impaired Renal Function

All 12 patients had biopsy-proven IgAN, secondary causes were excluded, and all completed ≥12 weeks of Telitacicept treatment. The median age was 36 years, including 7 males (58%). All 12 patients (100%) were classified as Lee's grade V. The Oxford-MESTC scores indicated a high prevalence of mesangial hypercellularity and segmental glomerulosclerosis. Six patients (50%) concurrently received corticosteroid therapy. The initial dose of Telitacicept was 160 mg/week in 8 patients (67%) and 240 mg/week in 4 patients (33%). Baseline characteristics were: mean UTP 2.97 ± 1.65 g/d (mild proteinuria in 1 patient [8%], moderate in 7 [59%], severe in 4 [33%]); mean serum creatinine 257.25 ± 64.16 μmol/L; mean eGFR 25.09 ± 5.79 ml/min/1.73m². Following Telitacicept treatment, UTP showed a significant decrease at weeks 4, 8, 12, 16, 20, and 24, with values of 2.60 ± 1.64, 2.30 ± 1.55, 1.98 ± 1.35, 1.70 ± 1.05, 2.10 ± 1.49, and 1.89 ± 1.79 g/d, respectively. eGFR remained generally stable at these time points: 26.51 ± 5.59, 26.52 ± 6.32, 27.77 ± 6.37, 27.16 ± 8.49, 27.22 ± 7.29, and 26.63 ± 7.05 ml/min/1.73m². The percentage reduction in proteinuria at weeks 4, 8, 12, 16, 20, and 24 was 12%, 23%, 33%, 43%, 29%, and 36%, respectively. Telitacicept was well-tolerated by all patients. Apart from local injection reactions, two adverse events were recorded (one urinary tract infection and one pulmonary infection), both occurring in the group receiving concomitant corticosteroid therapy.

In IgAN patients with severely impaired renal function, Telitacicept demonstrated good tolerability and showed potential in reducing proteinuria and maintaining stable renal function.

 

Kewords