All (N = 32) | Low anti-PLA2R group (n = 17) | High anti-PLA2Rgroup (n = 15) | P value | |
---|---|---|---|---|
Age (years) | 55 ± 15 | 52 ± 13 | 59 ± 16 | 0.178 |
Sex (M/F) | 25/7 | 13/4 | 12/3 | 0.261 |
Baseline | ||||
Urinary protein (g/24 h) | 8.5 ± 3.6 | 8.1 ± 3.4 | 8.9 ± 3.9 | 0.509 |
Serum albumin (g/L) | 24.8 ± 3.4 | 25.8 ± 2.9 | 23.6 ± 3.6 | 0.069 |
eGFR (mL/min/1.73m2) | 88 ± 25 | 91 ± 24 | 85 ± 27 | 0.491 |
anti-PLA2R titer (RU/mL) | 320 ± 511 | 62 ± 39 | 611 ± 637 | 0.005 |
CD19 + B cell (/mm3) | 226 ± 128 | 211 ± 117 | 237 ± 141 | 0.642 |
Immunoglobulin G (g/L) | 6.1 ± 2.5 | 5.4 ± 1.4 | 6.8 ± 3.1 | 0.109 |
6 months | ||||
Urinary protein (g/24 h) | 3.7 ± 3.0 | 3.4 ± 3.2 | 4.1 ± 2.9 | 0.530 |
Serum albumin (g/L) | 32.2 ± 5.2 | 33.5 ± 4.5 | 30.8 ± 5.7 | 0.172 |
eGFR (mL/min/1.73m2) | 85 ± 26 | 95 ± 25 | 74 ± 23 | 0.023 |
anti-PLA2R titer (RU/mL) | 69 ± 264 | 4 ± 6 | 135 ± 367 | 0.203 |
CD19 + B cell (/mm3) | 14 ± 30 | 21 ± 40 | 8 ± 15 | 0.294 |
Immunoglobulin G (g/L) | 7.7 ± 2.4 | 7.3 ± 2.1 | 8.0 ± 2.6 | 0.507 |
rituximab cumulative dose (mg) | 525 ± 139 | 476 ± 130 | 580 ± 108 | 0.021 |
12 months | ||||
Urinary protein (g/24 h) | 1.8 ± 2.1 | 1.0 ± 1.2 | 2.7 ± 2.5 | 0.028 |
Serum albumin (g/L) | 36.7 ± 6.2 | 39.6 ± 3.9 | 33.4 ± 6.8 | 0.007 |
eGFR (mL/min/1.73m2) | 82 ± 25 | 88 ± 24 | 74 ± 25 | 0.115 |
anti-PLA2R titer (RU/ml) | 8 ± 33 | 1 ± 2 | 17 ± 49 | 0.279 |
CD19 + B cell (/mm3) | 33 ± 70 | 48 ± 89 | 14 ± 22 | 0.246 |
Immunoglobulin G (g/L) | 9.9 ± 3.2 | 10.6 ± 3.3 | 9.1 ± 3.0 | 0.298 |
rituximab cumulative dose (mg) | 747 ± 253 | 659 ± 255 | 847 ± 217 | 0.033 |
PR + CR, n (%) | 25 (78) | 16 (94) | 9 (60) | 0.020 |
CR, n (%) | 8 (25) | 6 (35) | 2 (6) | 0.152 |
18 months | ||||
Urinary protein (g/24 h) | 1.8 ± 3.0 | 1.4 ± 3.7 | 2.2 ± 1.8 | 0.445 |
Serum albumin (g/L) | 39.3 ± 5.7 | 41.3 ± 5.4 | 37.0 ± 5.4 | 0.033 |
eGFR (mL/min/1.73m2) | 79 ± 21 | 84 ± 19 | 74 ± 22 | 0.274 |
anti-PLA2R titer (RU/ml) | 2 ± 3 | 1 ± 1 | 3 ± 4 | 0.092 |
rituximab cumulative dose (mg) | 819 ± 351 | 694 ± 270 | 960 ± 387 | 0.030 |
PR + CR, n (%) | 27 (84) | 16 (94) | 11 (73) | 0.106 |
CR, n (%) | 11 (34) | 9 (53) | 2 (13) | 0.000 |
B-cell depletion | ||||
Time for B cell depletion (m) | 1.1 ± 0.4 | 1.1 ± 0.4 | 1.1 ± 0.4 | 0.994 |
rituximab dose for B cell depletion (mg) | 113 ± 34 | 112 ± 33 | 107 ± 26 | 0.898 |
Time to anti-PLA2R titer decrease (m) | ||||
≥ 50% | 1.4 ± 0.8 | 1.1 ± 0.5 | 1.7 ± 1.0 | 0.062 |
≥ 90% | 4.1 ± 3.5 | 3.5 ± 3.4 | 4.8 ± 3.5 | 0.308 |
< 2 (RU/mL) | 7.0 ± 5.0 | 5.8 ± 5.1 | 8.8 ± 4.6 | 0.126 |
rituximab cumulative dose for anti-PLA2R titer decrease (mg) | ||||
≥ 50% | 137 ± 55 | 124 ± 44 | 153 ± 64 | 0.142 |
≥ 90% | 341 ± 251 | 253 ± 128 | 440 ± 318 | 0.033 |
< 2 (RU/mL) | 507 ± 362 | 335 ± 169 | 750 ± 427 | 0.007 |