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Peer-reviewedCC BYFrontiers in medicine

Treatment and practical considerations of IgA nephropathy.

  1. 1Cleveland Clinic Foundation, Department of Kidney Medicine, Cleveland, OH, United States.

Abstract

IgA nephropathy is a common cause of glomerular disease that may result in kidney failure. Until recently, angiotensin blockade using angiotensin converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARB) were the main treatment options for patients with IgA nephropathy. Newer drugs such as sodium-glucose co-transporter 2 (SGLT2) inhibitors, endothelin angiotensin receptor antagonists (DEARA), endothelin receptor antagonists (ERA), complement inhibitors, targeted release formulation glucocorticoids, and a proliferation-inducing ligand (APRIL) and B cell activation factor (BAFF) inhibitors have shown promise in reducing proteinuria and delaying the progression of IgA nephropathy. In this review, we will explore the latest pharmacological options, their efficacy, and when they should be considered in adult patients with IgA nephropathy.

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BibTeX
@article{sawaf2026treatment,
  title = {{Treatment and practical considerations of IgA nephropathy.}},
  author = {Hanny Sawaf and Junglee Kim and Ali Mehdi and Corey Cavanaugh and Jonathan J Taliercio},
  journal = {Frontiers in medicine},
  year = {2026},
  month = oct,
  doi = {10.3389/fmed.2026.1911077},
  url = {https://europepmc.org/article/MED/42953388},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Treatment and practical considerations of IgA nephropathy.
AU  - Hanny Sawaf
AU  - Junglee Kim
AU  - Ali Mehdi
AU  - Corey Cavanaugh
AU  - Jonathan J Taliercio
PY  - 2026
DA  - 2026/10/14
JO  - Frontiers in medicine
DO  - 10.3389/fmed.2026.1911077
UR  - https://europepmc.org/article/MED/42953388
AB  - IgA nephropathy is a common cause of glomerular disease that may result in kidney failure. Until recently, angiotensin blockade using angiotensin converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARB) were the main treatment options for patients with IgA nephropathy. Newer drugs such as sodium-glucose co-transporter 2 (SGLT2) inhibitors, endothelin angiotensin receptor antagonists (DEARA), endothelin receptor antagonists (ERA), complement inhibitors, targeted release formulation glucocorticoids, and a proliferation-inducing ligand (APRIL) and B cell activation factor (BAFF) inhibitors have shown promise in reducing proteinuria and delaying the progression of IgA nephropathy. In this review, we will explore the latest pharmacological options, their efficacy, and when they should be considered in adult patients with IgA nephropathy.
SN  - 2296-858X
ER  -