Table 5

Multivariate analysis of baseline and early improvement parameters as predictors of renal outcome

Analysis covariateComparisonOR (95% CI)p Value
Population: complete population (n=370)
 TF
  Anti-dsDNA at baselinePositive (≥30) vs negative (<30)12.7 (1.6 to 101)0.0167
  UP/C reduction by week 8No 25% reduction vs 25% reduction2.6 (1.5 to 4.4)0.0006
  Anti-dsDNA reduction by week 8No reduction vs reduction2.9 (1.5 to 5.4)0.0012
  C3 normalisation by week 8No normalisation vs normalisation1.7 (0.9 to 3.1)0.0766
 Complete renal remission
  EthnicityNon-Hispanic vs Hispanic2.0 (1.2 to 3.3)0.0061
  C4 normalisation by week 8No normalisation vs normalisation0.6 (0.4 to 1.1)0.0794
Population: maintenance population (n=227)
 TF
  Induction treatmentIVC vs MMF0.5 (0.2 to 1.0)0.0500
  Antimalarial treatmentNo treatment vs treatment2.4 (1.1 to 5.1)0.0209
  UP/C reduction by week 8No 25% reduction vs 25% reduction2.1 (1.0 to 4.2)0.0471
  Anti-dsDNA reduction by week 8No reduction vs reduction3.5 (1.4 to 9.2)0.0097
  Anti-dsDNA at end of inductionPositive (≥30) vs negative (<30)8.3 (1.0 to 66.0)0.0464
 Complete renal remission
  Age group*>20 and ≤30 vs ≤200.7 (0.3 to 1.8)0.4801
>30 and ≤40 vs ≤201.8 (0.7 to 4.5)0.2303
>40 vs ≤202.7 (0.9 to 8.3)0.0804
  eGFR at baseline≥90 vs <902.0 (1.0 to 3.8)0.0407
  UP/C at end induction>1 vs ≤10.3 (0.2 to 0.6)0.0008
  • TF: ORs >1 imply more failure in first factor level of comparison.

  • Complete renal remission: ORs >1 imply more remission in first factor level of comparison.

  • C3 (mg/dL) normalisation: change from <90 at baseline to ≥90 at week 8.

  • C4 (mg/dL) normalisation: change from <16 at baseline to ≥16 at week 8.

  • Anti-dsDNA (IU/mL) reduction: >200 at baseline to ≤60 at week 8.

  • >30 and ≤200 at baseline to ≤30 at week 8.

  • *Overall p value for age: p=0.0279.

  • Anti-dsDNA, anti-double-stranded DNA; eGFR, estimated glomerular filtration rate; IVC, intravenous cyclophosphamide; MMF, mycophenolate mofetil; TF, treatment failure; UP/C, urine protein:creatinine ratio.