Evidence map›Paper›PMID 41123654›Full record

ArticlePediatric nephrology (Berlin, Germany)2026

Remission rates and long-term outcomes of relapsed pediatric nephrotic syndrome: cyclophosphamide vs. cyclosporin A.

Praewa Sophark, Chompoonut Limratchapong, Pornsak Dissaneewate, Prayong Vachvanichsanong

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Praewa SopharkDepartment of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
Chompoonut LimratchapongDepartment of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
Pornsak DissaneewateDepartment of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
Prayong VachvanichsanongDepartment of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand. vprayong@gmail.com.ORCID http://orcid.org/0000-0003-3735-1771

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunosuppressive drugs are required for childhood frequent-relapse nephrotic syndrome (FRNS), steroid-dependent NS (SDNS), or steroid-resistant NS (SRNS). However, the benefits of immunosuppressants need to be balanced with their known side effects. This study aimed to compare remission rates of FRNS, SDNS, and SRNS in children treated with cyclophosphamide versus cyclosporin A (Cy A).

methodsWe retrospectively reviewed the medical records of children diagnosed with NS at Prince of Songkla University Hospital, Thailand. Remission rates and complications in patients with FRNS/SDNS and SRNS were compared among those treated with oral cyclophosphamide, Cy A, or cyclophosphamide followed by Cy A.

resultsAmong 148 children (102 boys, 68.9%), the median age was 4.6 years (IQR 2.5-8.4). FRNS, SDNS, and SRNS were diagnosed in 37 (25.0%), 50 (33.8%), and 61 (41.2%) children, respectively. Among 87 FRNS/SDNS patients, 67 were treated with cyclophosphamide, 2 with Cy A, and 18 with cyclophosphamide followed by Cy A. There were no statistically significant differences in remission rates or complications among the treatment groups. Among 61 SRNS patients, 27 were treated with cyclophosphamide, 11 with Cy A, and 23 with cyclophosphamide followed by Cy A. The remission rates were 29.6%, 72.7%, and 43.5%, respectively. Acute kidney injury (AKI) was reported in 14.8%, 18.2%, and 52.2% of patients, respectively.

conclusionsIn FRNS/SDNS patients, remission rates were comparable between cyclophosphamide and Cy A treatments. In SRNS patients, Cy A treatment resulted in a higher remission rate than cyclophosphamide but was associated with a greater incidence of AKI.

Indexed as

CyclophosphamideCyclosporineImmunosuppressive AgentsNephrotic SyndromeChildChild, PreschoolFemaleHumansMaleRecurrenceRemission InductionRetrospective StudiesThailandTreatment OutcomeCyclophosphamideCyclosporineImmunosuppressive AgentsCalcineurin inhibitorsChildCyclophosphamideNephrotic syndrome

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.