Case Report: Successful telitacicept treatment for IgA nephropathy with stage 4 chronic kidney disease and acute renal failure - Takeaways - MDSpire

Case Report: Successful telitacicept treatment for IgA nephropathy with stage 4 chronic kidney disease and acute renal failure

  • By

  • Fang Zeng

  • Fei Tan

  • Dehui Liu

  • Fang Wang

  • July 14, 2026

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  • 1

    IgA nephropathy (IgAN) is a prevalent form of primary glomerulonephritis that can lead to renal failure requiring dialysis.

  • 2

    Telitacicept, an APRIL and BAFF inhibitor, has shown potential as a treatment for IgAN patients with eGFR over 30 mL/min/1.73 m².

  • 3

    A 47-year-old male with stage 4 CKD and acute renal failure was treated with telitacicept, resulting in decreased proteinuria and improved eGFR.

  • 4

    After 18 months of treatment, the patient's serum albumin levels increased, and hematuria gradually declined without adverse events.

  • 5

    This case highlights the need for further research on telitacicept's efficacy in patients with advanced chronic kidney disease.

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