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Effect of fluvastatin on proteinuria in patients with immunoglobulin A nephropathy
Author(s) -
Buemi Michele,
Allegra Alessandro,
Corica Francesco,
Aloisi Carmela,
Giacobbe MariaStella,
Pettinato Giuseppina,
Corsonello Andrea,
Senatore Massimino,
Frisiicola
Publication year - 2000
Publication title -
clinical pharmacology and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.941
H-Index - 188
eISSN - 1532-6535
pISSN - 0009-9236
DOI - 10.1067/mcp.2000.105330
Subject(s) - proteinuria , medicine , renal function , albuminuria , fluvastatin , nephropathy , nephrotic syndrome , urology , endocrinology , creatinine , gastroenterology , diabetes mellitus , kidney , simvastatin
3‐Hydroxy‐3‐methylglutaryl coenzyme A (HMG‐CoA) reductase inhibitors are established drugs for the treatment of hypercholesterolemia, but several studies have shown that benefits obtained with these drugs are not causally related only to regression of cholesterol lowering. Moreover, in experimental models of progressive renal disease, statins have reduced the extent of glomerulosclerosis. This study evaluated the antiproteinuric effect of a daily dose of 40 mg fluvastatin for 6 months in moderately proteinuric patients with immunoglobulin A nephropathy, stable renal function, and no indicators of poor long‐term prognosis. The effects of therapy were evaluated on the basis of 24‐hour proteinuria (total proteinuria and albuminuria), albuminemia, creatinine clearance, cholesterol, and triglyceride values. Renal function remained stable in all patients. A significant decrease in proteinuria was observed after 6 months of therapy and persisted for all the observations. An increase in serum albumin was observed after 6 months of therapy. This study suggests that there is an antiproteinuric effect of HMG‐CoA reductase inhibitors in moderately proteinuric patients with immunoglobulin A nephropathy. (Clin Pharmacol Ther 2000;67:427‐31.) Clinical Pharmacology & Therapeutics (2000) 67 , 427–431; doi: 10.1067/mcp.2000.105330