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  3. Emerging Treatments for IgA Nephropathy: Promising Advances
  • Nephrologyy

Emerging Treatments for IgA Nephropathy: Promising Advances

By Ipshita Ghoshal| Last Updated at: 27th Mar '24| 16 Min Read

IgA nephropathy is a very common kidney disease among all age groups. Global data shows IgA nephropathy is more common among Asian and Caucasian people. In the US, IgA nephropathy is more likely to happen in males as compared to females. IgA nephropathy is one of the major causes of glomerulonephritis in the world.

Within ten years of the onset of IgA nephropathy, 15% of the patients develop end-stage renal disease, and 25%–30% of people develop ESRD within 20 years of the onset of IgA nephropathy.


 

IgA nephropathy is a rare disease due to IgA accumulation in the kidneys. The deposits of IgA cause blood and proteins to leak into the urine. 


 

Early medications might help; hence, the FDA has approved a new IgA nephropathy treatment that reduces protein leakage into the urine.

 

More About New IgA Nephropathy Treatment

Tarpeyo, the new IgA nephropathy treatment, is being developed to target the root cause of the disease. Tarpeyo, also known as Budesonide, reduces proteinuria in adults with IgA Nephropathy and is in danger of rapid progression. Tarpeyo became the first-ever drug approved by the FDA to treat IgA nephropathy. 

Tarpeyo has gained accelerated approval as it effectively reduces the protein in the urine. There is no evidence that Tarpeyo slows the decline in kidney function in IgA nephropathy patients. Extended clinical trials will be held to find an answer to this question.


 

Findings from the new treatment Tarpeyo

Tarpeyo and a placebo were administered at random by the researchers. After nine months of observation, it was found that people who administered,


 

Are there any side effects associated with Tarpeyo?

Just like any other treatment, Breyna too has side effects! 

No matter how minimal, one should know them!

 

So, please pay attention!


Tarpeyo showed a few side effects during the clinical study. The side effects associated with this new IgA nephropathy treatment are listed below:

  • Increased blood pressure
  • Swollen legs and hands
  • Skin rashes and acne
  • Weight gain
  • Breathing difficulty
  • Indigestion
  • Fatigue
  • Swelling in face

Who are not eligible for Tarpeyo?
 

This new IgA nephropathy treatment has some serious consequences if taken without proper knowledge.

Read the below-mentioned points carefully to know who should not take Tarpeyo.

  • People who have severe sensitivity reactions like anaphylaxis should avoid Trapeyo.
  • The adverse effects may be more likely in patients with moderate to severe liver impairment. Hence such people are advised not to take Tarpeyo.
  • Tarpeyo is an immunosuppressant nephropathy treatment. Patients having untreated fungal, bacterial, viral, or parasitic infections should avoid Tarpeyo.
  • People having glaucoma, cataract, or diabetes, or people with a family history of the former issues should consult a medical practitioner before taking Tarpeyo.
  • Pregnant women or women wanting to conceive soon should not take Tarpeyo as it may harm the baby.

References:

https://www.healio.com/news/nephrology

https://www.pharmacypracticenews.com/

https://www.prnewswire.com/news-releases/

https://www.kidney.org/

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Question and Answers

I have started having sharp pain in right back side so I go to the doctor and I did sonography and my sonography showed 7mm kidney stone at right kidney in upper calayx and irregular urinary bladder wall? cystitis pvr 5cc noted then doctor give me medicine I took tablets 15 days and now after two months Vomiting once and fever at night and back pain on right side and little burning urine and weakness and I go to the bams doctor and he give me calcury tab 2tab two time a day for 10 days but this time no fever or vomate only sometime right back pain and sometime burning urine. Do I go back to the Calcuri tab at the same dose?

Male | 21

Your symptoms of back pain, urine burning, and general weakness are likely due to the kidney stone. I suggest you to keep on taking Calcury tablets as the BAMS doctor prescribed you. Stay well-hydrated and eat a balanced diet. If these symptoms last or worsen, it's vital to get medical help. 

Answered on 22nd Aug '24

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Hello (apologies for long post) Caucasian, Male, 60, 6'0", 260 lbs. Meds: Lisinopril 40 mg, Metoprolol 50 mg x2 a day, Amlodipine 10 mg, Furosemide 20 mg, Glimepiride 1 mg, Janumet 50-1000 x 2, Atorvastatin 10 mg...NO drink/smoke or rec. drugs. Issue: After a lot of work, have lost 40+ lbs in last 5-6 years...blood pressure 130/85, A1c 7.0 ...here is the issue. In March of 2023, after years of my GFR staying constant in mid/upper 40's, (not great, but consistent), it was lower at 41. Dr wanted to check it again in 1 month. I very strictly controlled my diet/sugar/protein/soda/increase water intake, etc...take meds religiously...GFR dropped to 35. Dr sent me to a nephrologist, but before the scheduled appointment (which was 6 weeks later), he took me off of Triamterene...said it can be hard on kidneys. When the nephrologist sent me for labs, GFR went UP to 50. Another test 2 weeks later and GFR went up to 55. Nephrologist says that removing Triamterene from regimen played NO part in GFR rising...put me on Spironolactone due to edema returning . 6 months later at next check-up, all numbers and BP continue to be good, but GFR back down to 40. Is it possible that the diuretics have been hard on my kidneys and causing the lower GFR. I understand with years of HBP/diabetes, the GFR is not ideal, but I'd like to keep it in the 50's if possible. Family doctor took me off the Spironolactone and put me on Lasix in March of 2024...bloodwork coming up in a couple of weeks. Family doctor seems to think the diuretics have contributed to lower GFR...Nephrologist says they have nothing to do with my fluctuating GFR numbers... seeking input from anyone here with knowledge/experience...appreciate any insights re: affect of diuretics on GFR...alternatives to traditional diuretics, etc. I've read loop diuretics like Lasix best for kidney issues.

Male | 60

Answered on 22nd Aug '24

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I am 72 years.recenly kidney function test blood report I found my creatinine level is 1.61 and egfr is 43.i do not have any kidney problem as such.In 2019 I undergone angioplasty in Jupiter hospital.and that time my creatinine level was 1.6 and you had given me the medicine Reno save and the level came down

Male | 72

Your creatinine level is a bit above normal and your eGFR is a bit below normal. These are not a big deal and can occur due to age or some health problems in the past like angioplasty. It may not be visible in the beginning. Thus, living a healthy lifestyle such as eating well, drinking enough water, and making regular doctor visits can greatly assist your kidneys. 

Answered on 12th Aug '24

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Şu anda 20 yaşındayım yeni biyopsi oldum sonucuma bakarmısınızIKLAMA: 7yaşında nefrotik sendrom tanısı alan ve tedavi gören olgu, albumin düşüklüğü sebebi ile biyopsi alınma kliniği bildirilen olguya ait HE detayda, 20 adet glomerül izlenmiş olup, 2 glomerülde global skleroz izlenmiştir. Diğer glomerüller irili ufaklı çaplarda olup, Bowman aralıkları açık olarak gözlendi. Glomerüler bazal membranlarda hafif kalınlaşma bazı glomerüllerde mevcuttu. Ancak tüm glomerüllerde mezengial hücre artışı-matriks artışı gibi bulgular izlenmedi. Glomerüler alanda izlenen bulgular spesifik olarak izlenmezken,interstisyel damarlardan (orta çaplı damarlarda) bir tanesinde duvar kalınlaşması, lümen daralması gibi vasküler basınç değişiklikleri lehine yorumlanabilecek bulgular izlenmiştir. Detayda ilave olarak interstisyel fibrozis (%20-25) iken; interstisyel alanda köpüksü histiositler ve lenfoplazmositlerin de eşlik ettiği ksantogranülomatöz pyelonefrit morfolojisi izlendi.Tubuler alanda patoloji izlenmedi. Sayfa 1\ 2

Dişi | 20

Answered on 12th Aug '24

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