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October 9, 2025Clinical Journal of the American Society of Nephrology

Treatment Response Rates and Kidney Outcomes among Adults with Primary Focal Segmental Glomerulosclerosis

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Authors

JSJohn J. SimMMMercedes A. MunisBLBenjamin Lewing

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Overview

Retrospective cohort analysis reveals treatment response and ESKD risk factors in adults with focal segmental glomerulosclerosis, highlighting the need for new therapies.

Key Points

  • Around 55% of patients with focal segmental glomerulosclerosis achieved remission with immunosuppressive therapy, but relapse rates were notably high.
  • Non-responders had a significantly increased risk of progressing to end-stage kidney disease compared to responders, with a sHR of 2.22.
  • The study evaluated treatment response and outcomes in a diverse group of patients over a median follow-up of four years, emphasizing the need for novel therapies.
  • Baseline eGFR of less than 30 mL/min/1.73m² was found to strongly predict the risk of end-stage kidney disease among patients.

Cite This Study

Sim et al. (2025) studied this question.

synapsesocial.com/papers/68e70da790569dd607ee5d80https://doi.org/10.2215/cjn.0000000898
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