Published time Research type Research object Follow-up time Treatment Outcome
2005 [17] Prospective  cohort study 32 North American IgAN patients with an eGFR<60 ml/min 2 years 1 year of MMF, titrated up to a dose of 1000 mg bid, or placebo. All patients received RASIs medication 29.4% in the MMF group and 13.3% in the control group reached a 50% increase in SCr (P=0.4). 17.6% in the MMF group and 13.3% in the control group had a 50% reduction in 24 h  proteinuria
2010 [21] Prospective  cohort study 207 IgAN patients with creatinine ≤ 2.0 mg/dl and proteinuria ≥ 1.0 g/d median follow-up of 4.9 years A 3-day pulse of MP in months 1, 3, and 5 in addition to both oral prednisone 0.5 mg/kg every other day and azathioprine 1.5 mg/kg per day for 6 months (n=101). steroids alone on the same schedule (n=106) Low-dose azathioprine to corticosteroids for 6 months does not provide additional benefit to patients with IgAN and may increase the risk for adverse events
2010 [16] Prospective  cohort study 40 Chinese patients with IgA nephritis 6 years All patients were maintained on  ARB medication and half were randomized to receive MMF for 6 m 1.5% in the MMF group and 5% in the control group reached the composite end point*. Urinary protein excretion and the albumin-to-creatinine ratio were lower with MMF treatment during the first 24 m
2011 [19] Prospective  cohort study 22 IgAN patients with  eGFR ≥ 30 ml/min, urine protein ≥ 1 g/d, BP < 130/80 mmHg Not known Methylprednisolone alone or MP combination with azathioprine for 12 months. All the patients were treated with RASIs and PFA for at least 6 m Two groups seem to be effective in reducing the severity of proteinuria and stabilizing renal function.
2011 [22] Prospective  cohort study 23 IgAN patients with a GFR within 30–60 ml/min and/or proteinuria >1 g/d 1 year Low-dose sirolimus plus enalapril and atorvastatin (SRL group, n=14) or enalapril plus atorvastatin (CONTROL group, n=9) Primary end point** improved significantly in the SRL group at 12 months. Proteinuria decreased similarly in both study groups
2012 [23] Prospective  cohort study 14 refractory IgAN patients Not known Tacrolimus (0.05-0.1 mg/kg/d) and prednisone (0.5 mg/kg/d) for at least 6 m 9 patients showed complete or partial remission and 7 patients achieved remission within 1 m
* Serum creatinine doubling or end-stage renal disease.
** Variation of hematuria, proteinuria and blood pressure.
Table 3: The studies of IgAN treatment with immunosuppressive agents.