MMF Linked to Fewer Flares, Less Nephritis in Early Lupus

Systemic Lupus Erythematosus News

MMF Linked to Fewer Flares, Less Nephritis in Early Lupus
SLE - Systemic Lupus ErythematosusSystemic Lupus ErythaematosusSLE
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Two specialists are impressed by the preliminary findings of a randomized trial in newly diagnosed patients, but another is critical.

Early use of mycophenolate mofetil , a drug used to dampen the immune system in organ transplant recipients, may reduce the risk for severe flares in patients with newly diagnosed systemic lupus erythematosus , according to results from a randomized, open-label, observer-blinded clinical trial.

The rates of mild to moderate flares were similar between the control and intervention groups . This finding is surprising, said Judith A. James, MD, PhD, of the University of Oklahoma Health Sciences Center in Oklahoma City."It may be that mild flares have a different mechanism or are caused by noninflammatory endotypes that don't respond to MMF."

A total of 12 patients in the MMF group discontinued the intervention for various reasons, and six were lost to follow-up. In the control group, 20 discontinued the intervention and two were lost to follow-up. However, all 130 patients in the trial were included in the primary and secondary outcome analyses.

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