Page last updated: 2024-10-23

azathioprine and ANCA-Associated Vasculitides

azathioprine has been researched along with ANCA-Associated Vasculitides in 91 studies

Azathioprine: An immunosuppressive agent used in combination with cyclophosphamide and hydroxychloroquine in the treatment of rheumatoid arthritis. According to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985), this substance has been listed as a known carcinogen. (Merck Index, 11th ed)
azathioprine : A thiopurine that is 6-mercaptopurine in which the mercapto hydrogen is replaced by a 1-methyl-4-nitroimidazol-5-yl group. It is a prodrug for mercaptopurine and is used as an immunosuppressant, prescribed for the treatment of inflammatory conditions and after organ transplantation and also for treatment of Crohn's didease and MS.

Research Excerpts

ExcerptRelevanceReference
"Cytoplasmic anti-neutrophil cytoplasmic antibody (C-ANCA) positivity at remission has been associated with an increased relapse rate in patients with proteinase 3 anti-neutrophil cytoplasmic antibody-associated vasculitis (PR3-AAV) after a switch to azathioprine maintenance therapy."9.22Extended versus standard azathioprine maintenance therapy in newly diagnosed proteinase-3 anti-neutrophil cytoplasmic antibody-associated vasculitis patients who remain cytoplasmic anti-neutrophil cytoplasmic antibody-positive after induction of remission ( Broekroelofs, J; de Joode, AA; DeSevaux, RG; Kallenberg, CG; Sanders, JS; Stegeman, CA; Tervaert, JW; van Paassen, P; Voskuyl, AE, 2016)
"Azathioprine (AZA) drug hypersensitivity reaction (DHR) is an uncommon yet potentially lethal condition that often goes unrecognised in patients with anti-Neutrophil Cytoplasmic Antibody (ANCA) associated vasculitis (AAV)."8.31Human leukocyte antigen association with azathioprine-induced drug hypersensitivity reactions in patients with anti-neutrophil cytoplasmic antibody associated vasculitis. ( Au Peh, C; Carroll, RP; Fleet, AP; Hissaria, P; Salehi, T, 2023)
" Adverse events occurred in 49 (92."6.90Efficacy and Safety of Belimumab and Azathioprine for Maintenance of Remission in Antineutrophil Cytoplasmic Antibody-Associated Vasculitis: A Randomized Controlled Study. ( Blockmans, D; Green, Y; Hall, L; Henderson, RB; Jayne, D; Ji, B; Luqmani, R; Merkel, PA; Moiseev, S; Roth, D, 2019)
"Azathioprine treatment was associated with significantly low NK cells."5.62Blood CD3-(CD56 or 16)+ natural killer cell distributions are heterogeneous in healthy adults and suppressed by azathioprine in patients with ANCA-associated vasculitides. ( Bergner, R; Jandova, I; Merkt, W; Salzer, U; Thiel, J; Venhoff, AC; Venhoff, N, 2021)
"However, the cumulative ESRD-free survival rate was lower in patients who received TAC after AZA than in those who received AZA alone (P = ."5.62Efficacy of tacrolimus as maintenance therapy after cyclophosphamide for treating antineutrophil cytoplasmic antibody-associated vasculitis. ( Ahn, SS; Lee, LE; Lee, SW; Park, YB; Pyo, JY; Song, JJ, 2021)
"Cytoplasmic anti-neutrophil cytoplasmic antibody (C-ANCA) positivity at remission has been associated with an increased relapse rate in patients with proteinase 3 anti-neutrophil cytoplasmic antibody-associated vasculitis (PR3-AAV) after a switch to azathioprine maintenance therapy."5.22Extended versus standard azathioprine maintenance therapy in newly diagnosed proteinase-3 anti-neutrophil cytoplasmic antibody-associated vasculitis patients who remain cytoplasmic anti-neutrophil cytoplasmic antibody-positive after induction of remission ( Broekroelofs, J; de Joode, AA; DeSevaux, RG; Kallenberg, CG; Sanders, JS; Stegeman, CA; Tervaert, JW; van Paassen, P; Voskuyl, AE, 2016)
"More patients with ANCA-associated vasculitides had sustained remission at month 28 with rituximab than with azathioprine."5.19Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis. ( Aumaître, O; Blanchard-Delaunay, C; Bonnotte, B; Carron, PL; Cohen, P; Daugas, E; Decaux, O; Ducret, M; Gobert, P; Godmer, P; Guillevin, L; Hamidou, M; Hatron, PY; Karras, A; Khouatra, C; Limal, N; Mahr, A; Maurier, F; Mouthon, L; Ninet, J; Pagnoux, C; Papo, T; Puéchal, X; Quémeneur, T; Ravaud, P, 2014)
"Azathioprine (AZA) drug hypersensitivity reaction (DHR) is an uncommon yet potentially lethal condition that often goes unrecognised in patients with anti-Neutrophil Cytoplasmic Antibody (ANCA) associated vasculitis (AAV)."4.31Human leukocyte antigen association with azathioprine-induced drug hypersensitivity reactions in patients with anti-neutrophil cytoplasmic antibody associated vasculitis. ( Au Peh, C; Carroll, RP; Fleet, AP; Hissaria, P; Salehi, T, 2023)
" In addition, the long-term results of the ALMS study have demonstrated that mycophenolate mofetil is superior to azathioprine in maintaining the remission in patients with severe lupus nephritis."3.78[Allergo-immunology. Clinical immunology]. ( Chizzolini, C, 2012)
"Relapses are associated with increased exposure to immunosuppressive medications, the accrual of damage and increased morbidity and mortality."3.30Rituximab versus azathioprine for maintenance of remission for patients with ANCA-associated vasculitis and relapsing disease: an international randomised controlled trial. ( Al-Jayyousi, R; Andrews, J; Bond, S; Bruchfeld, A; Camilleri, B; Carette, S; Cheung, CK; Derebail, V; Doulton, T; Ferraro, A; Forbess, L; Fujimoto, S; Furuta, S; Gewurz-Singer, O; Harper, L; Ito-Ihara, T; Jayne, D; Jones, RB; Khalidi, N; Klocke, R; Koening, C; Komagata, Y; Langford, C; Lanyon, P; Luqmani, R; McAlear, C; Merkel, PA; Moreland, LW; Mynard, K; Nachman, P; Nodale, M; Pagnoux, C; Peh, CA; Pusey, C; Ranganathan, D; Rhee, RL; Smith, RM; Specks, U; Spiera, R; Sreih, AG; Tesar, V; Walters, G; Wroe, C, 2023)
" Adverse events occurred in 49 (92."2.90Efficacy and Safety of Belimumab and Azathioprine for Maintenance of Remission in Antineutrophil Cytoplasmic Antibody-Associated Vasculitis: A Randomized Controlled Study. ( Blockmans, D; Green, Y; Hall, L; Henderson, RB; Jayne, D; Ji, B; Luqmani, R; Merkel, PA; Moiseev, S; Roth, D, 2019)
"Azathioprine has been the therapy of choice for the maintenance of remission in patients with antineutrophil cytoplasm antibody (ANCA)-associated systemic vasculitis, but recent studies show that rituximab could be more effective."2.82Cost-Effectiveness of Rituximab (Fixed Schedule vs Tailored Dose) Compared With Azathioprine Maintenance Therapy in Adults With Generalized Antineutrophil Cytoplasm Antibody-Associated Vasculitis in Colombia. ( Contreras, K; García-Padilla, P; González, CA; Orozco, V; Puche, E; Rodríguez, MP; Rosselli, D, 2022)
"There were no differences between treatment groups in relapses at 6, 12, or 18 months."2.80Rituximab versus cyclophosphamide for ANCA-associated vasculitis with renal involvement. ( Brunetta, P; Ding, L; Fervenza, FC; Fessler, BJ; Geetha, D; Hoffman, GS; Ikle, D; Jepson, B; Kallenberg, CG; Langford, CA; Merkel, PA; Seo, P; Specks, U; Spiera, R; St Clair, EW; Stone, JH; Tchao, NK, 2015)
"Nonsevere relapses are more common than severe relapses in antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV), but their clinical course and treatment outcomes remain largely unexamined."2.80Outcomes of nonsevere relapses in antineutrophil cytoplasmic antibody-associated vasculitis treated with glucocorticoids. ( Brunetta, P; Ding, L; Fervenza, FC; Hoffman, GS; Iklé, D; Kallenberg, CG; Langford, CA; Lim, N; Merkel, PA; Miloslavsky, EM; Monach, PA; Seo, P; Specks, U; Spiera, R; St Clair, EW; Stone, JH; Tchao, NK; Villareal, M, 2015)
"Treatment with azathioprine within 3 months of remission induction with cyclophosphamide is a common treatment strategy for patients with ANCA-associated vasculitis."2.79Long-term follow-up of cyclophosphamide compared with azathioprine for initial maintenance therapy in ANCA-associated vasculitis. ( Bajema, I; Berden, A; Faurschou, M; Flossmann, O; Hoglund, P; Jayne, DR; Pusey, CD; Smith, R; Szpirt, W; Walsh, M; Westman, K, 2014)
"Prednisone was tapered to discontinuation after 5."2.79Rituximab for the treatment of relapses in antineutrophil cytoplasmic antibody-associated vasculitis. ( Allen, NB; Brunetta, P; Ding, L; Fervenza, FC; Geetha, D; Hoffman, GS; Iklé, D; Jepson, B; Kallenberg, CG; Keogh, K; Kissin, EY; Langford, CA; Merkel, PA; Miloslavsky, EM; Monach, PA; Peikert, T; Seo, P; Specks, U; Spiera, R; St Clair, EW; Stegeman, C; Stone, JH; Tchao, NK; Villarreal, M; Viviano, L; Ytterberg, SR, 2014)
"The overall malignancy risk in patients with AAV has decreased, most likely as a result of recent changes in therapeutic regimen, that is, a decrease in the exposure to cyclophosphamide."2.58Antineutrophil cytoplasmic antibody-associated vasculitis and malignancy. ( Bajema, IM; van Daalen, EE; Wester Trejo, MAC, 2018)
"Vasculitis is more often a disease of women beyond their reproductive years, leaving the challenges of pregnancy management difficult to study."2.55Vasculitis and Pregnancy. ( Clowse, ME; Machen, L, 2017)
"The prognosis of gastrointestinal hemorrhage, once an ominous complication has improved with medical and surgical intervention."2.52Hemorrhagic complications associated with PR3-ANCA crescentic glomerulonephritis. ( Cao, Y; Li, W; Tian, Z; Wang, G; Yang, Y, 2015)
"Leflunomide was superior to azathioprine (HR 0."2.50Non-biologic remission maintenance therapy in adult patients with ANCA-associated vasculitis: a systematic review and network meta-analysis. ( Feldman, BM; Gross, WL; Guillevin, L; Hazlewood, GS; Metzler, C; Pagnoux, C; Tomlinson, GA, 2014)
"This cancer excess was largely driven by an increased incidence of NMSC."2.47Incidence of malignancy in patients treated for antineutrophil cytoplasm antibody-associated vasculitis: follow-up data from European Vasculitis Study Group clinical trials. ( Flossmann, O; Harper, L; Heijl, C; Höglund, P; Mahr, A; Scott, DG; Stücker, I; Watts, RA; Westman, K, 2011)
"In addition, Behcet's syndrome appears to be more common than previously assumed and is likely more common than a combination of ANCA-associated vasculitis (AAV) syndromes."2.45Necrotizing vasculitis--a 2009 update. ( Sharaf, PH; Yazici, Y, 2009)
"Prolonged rituximab dosing intervals may be effective to achieve B-cell depletion and reduce risk of infection in advanced age or patients with impaired kidney function."1.91Identification of Covariates Modulating B-Cell Repopulation Kinetics in Subjects Receiving Rituximab Treatment. ( Arnold, F; Bemtgen, X; Hug, MJ; Kappes, J; Schramm, MA; Staudacher, DL; Venhoff, N; Welte, T; Westermann, L, 2023)
"LON was not observed in minimal change disease or focal segmental glomerulosclerosis."1.62Incidence, Clinical Features, and Outcomes of Late-Onset Neutropenia From Rituximab for Autoimmune Disease. ( Cortazar, FB; Huizenga, NR; Laliberte, K; Niles, JL; Rhee, EP; Rosenthal, JM; Wallace, ZS; Zonozi, R, 2021)
"Azathioprine treatment was associated with significantly low NK cells."1.62Blood CD3-(CD56 or 16)+ natural killer cell distributions are heterogeneous in healthy adults and suppressed by azathioprine in patients with ANCA-associated vasculitides. ( Bergner, R; Jandova, I; Merkt, W; Salzer, U; Thiel, J; Venhoff, AC; Venhoff, N, 2021)
"However, the cumulative ESRD-free survival rate was lower in patients who received TAC after AZA than in those who received AZA alone (P = ."1.62Efficacy of tacrolimus as maintenance therapy after cyclophosphamide for treating antineutrophil cytoplasmic antibody-associated vasculitis. ( Ahn, SS; Lee, LE; Lee, SW; Park, YB; Pyo, JY; Song, JJ, 2021)
" The most frequent adverse events were typical for usually administered immunosuppressive treatment."1.56Treatment and its side effects in ANCA-associated vasculitides - Study based on POLVAS registry data. ( Biedroń, G; Brzosko, I; Brzosko, M; Czuszyńska, Z; Dębska-Ślizień, A; Głuszko, P; Hawrot-Kawecka, A; Jakuszko, K; Jeleniewicz, R; Klinger, M; Kucharz, EJ; Kur-Zalewska, J; Madej, M; Majdan, M; Masiak, A; Musiał, J; Rowaiye, OO; Storoniak, H; Szczeklik, W; Sznajd, J; Tłustochowicz, W; Wawrzycka-Adamczyk, K; Wisłowska, M; Wójcik, K; Włudarczyk, A; Zdrojewski, Z, 2020)
"Azathioprine is a widely used immunosuppressive drug."1.48Thiopurine methyltransferase genotype and activity cannot predict outcomes of azathioprine maintenance therapy for antineutrophil cytoplasmic antibody associated vasculitis: A retrospective cohort study. ( Hessels, AC; Rutgers, A; Sanders, JSF; Stegeman, CA, 2018)
" The primary outcome measure was achievement of disease remission (Pediatric Vasculitis Activity Score [PVAS] of 0) at 12 months with a corticosteroid dosage of <0."1.46Early Outcomes in Children With Antineutrophil Cytoplasmic Antibody-Associated Vasculitis. ( Benseler, SM; Cabral, DA; Charuvanij, S; Dancey, P; Eberhard, BA; Elder, ME; Foell, D; Hersh, AO; Huber, AM; Klein-Gitelman, M; Kostik, MM; Lawson, EF; Lee, T; Li, SC; Lubieniecka, JM; Luqmani, RA; Moorthy, LN; Morishita, KA; Nielsen, SM; Ristic, G; Shenoi, S; Toth, MB; Twilt, M; Yeung, RSM, 2017)
"Fabry's disease is a rare X-linked, hereditary lysosomal storage disease caused by a deficiency of the enzyme α-galactosidase A."1.40A rare association between Fabry's disease and granulomatosis with polyangiitis: a potential pathogenic link. ( Hanaoka, H; Hashiguchi, A; Ishii, T; Konishi, K; Kuwana, M, 2014)
"Among 33 cases, 25 were diagnosed as Wegener granulomatosis (WG), seven as microscopic polyangitis (MPA) and one as Churg-Strauss syndrome (SCS)."1.38Clinical features and outcomes of ANCA-associated renal vasculitis. ( Brunet, P; Burtey, S; Dussol, B; Seck, SM, 2012)

Research

Studies (91)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (1.10)29.6817
2010's69 (75.82)24.3611
2020's21 (23.08)2.80

Authors

AuthorsStudies
Lee, YH1
Song, GG1
Contreras, K1
Orozco, V1
Puche, E1
González, CA1
García-Padilla, P1
Rodríguez, MP1
Rosselli, D1
Balani, S1
Kizilbash, SJ1
Kouri, AM1
Roccatello, D1
Sciascia, S1
Murgia, S1
Quattrocchio, G1
Ferro, M1
De Simone, E1
Naretto, C1
Barreca, A1
Sammartino, A1
Rossi, D1
Fenoglio, R1
El Hasbani, G1
Uthman, I1
Watanabe, R1
Oshima, M1
Nishioka, N1
Sada, KE2
Nagasaka, K2
Akiyama, M1
Ando, T1
Higuchi, T1
Inoue, Y1
Kida, T2
Mutoh, T1
Nakabayashi, A1
Onishi, A1
Sakai, R1
Waki, D1
Yamada, Y1
Yajima, N1
Tamura, N1
Kaname, S1
Harigai, M2
Salehi, T1
Fleet, AP1
Hissaria, P1
Carroll, RP1
Au Peh, C1
Wallace, ZS4
Stone, JH11
Fu, X2
Merkel, PA14
Miloslavsky, EM6
Zhang, Y2
Choi, HK2
Hyle, EP1
Odler, B1
Riedl, R1
Gauckler, P1
Shin, JI1
Leierer, J1
St Clair, W1
Fervenza, F2
Geetha, D4
Monach, P2
Jayne, D8
Smith, RM3
Rosenkranz, A1
Specks, U12
Kronbichler, A2
Jones, RB4
Bond, S1
Nodale, M1
Al-Jayyousi, R1
Andrews, J1
Bruchfeld, A2
Camilleri, B1
Carette, S1
Cheung, CK1
Derebail, V1
Doulton, T1
Ferraro, A1
Forbess, L1
Fujimoto, S1
Furuta, S2
Gewurz-Singer, O1
Harper, L3
Ito-Ihara, T1
Khalidi, N2
Klocke, R1
Koening, C1
Komagata, Y1
Langford, C1
Lanyon, P2
Luqmani, R3
McAlear, C1
Moreland, LW1
Mynard, K2
Nachman, P1
Pagnoux, C6
Peh, CA3
Pusey, C2
Ranganathan, D1
Rhee, RL1
Spiera, R8
Sreih, AG1
Tesar, V3
Walters, G2
Wroe, C1
Welte, T1
Westermann, L1
Kappes, J1
Schramm, MA1
Bemtgen, X1
Staudacher, DL1
Hug, MJ1
Venhoff, N3
Arnold, F1
Biedroń, G1
Włudarczyk, A1
Wawrzycka-Adamczyk, K1
Wójcik, K1
Sznajd, J1
Zdrojewski, Z1
Masiak, A1
Czuszyńska, Z1
Majdan, M1
Jeleniewicz, R1
Klinger, M1
Jakuszko, K1
Rowaiye, OO1
Brzosko, M1
Brzosko, I1
Dębska-Ślizień, A1
Storoniak, H1
Tłustochowicz, W1
Kur-Zalewska, J1
Wisłowska, M1
Madej, M1
Hawrot-Kawecka, A1
Głuszko, P1
Kucharz, EJ1
Musiał, J1
Szczeklik, W1
Salvador, F1
Garner, S1
Nasser, M1
Cottin, V1
Takagi, M1
Kobayashi, T1
Takai, N1
Shoda, H1
Maruyama, K1
Tada, R1
Makino, S1
Ikeda, T1
Zonozi, R1
Laliberte, K1
Huizenga, NR1
Rosenthal, JM1
Rhee, EP1
Cortazar, FB1
Niles, JL1
Jayne, DRW1
Schall, TJ1
Bekker, P1
Merkt, W1
Salzer, U2
Thiel, J2
Jandova, I1
Bergner, R1
Venhoff, AC1
Pyo, JY1
Lee, LE1
Ahn, SS1
Song, JJ1
Park, YB1
Lee, SW1
Gillion, V1
Jadoul, M1
Aydin, S1
Godefroid, N1
Morishita, KA1
Moorthy, LN1
Lubieniecka, JM1
Twilt, M1
Yeung, RSM2
Toth, MB1
Shenoi, S1
Ristic, G1
Nielsen, SM1
Luqmani, RA1
Li, SC1
Lee, T1
Lawson, EF1
Kostik, MM1
Klein-Gitelman, M1
Huber, AM1
Hersh, AO1
Foell, D1
Elder, ME1
Eberhard, BA1
Dancey, P1
Charuvanij, S1
Benseler, SM1
Cabral, DA1
Machen, L1
Clowse, ME1
Karras, A3
Haubitz, M1
Groot, K1
Puechal, X4
Tervaert, JWC1
Segelmark, M2
Guillevin, L5
Morishita, M1
Watanabe, H1
Yan, M1
Zeggar, S1
Hiramatsu, S1
Ohashi, K1
Miyawaki, Y1
Katsuyama, E1
Katsuyama, T1
Takano Narazaki, M1
Toyota Tatebe, N1
Sunahori Watanabe, K1
Kawabata, T1
Wada, J1
Wester Trejo, MAC1
Bajema, IM1
van Daalen, EE1
de Joode, AAE1
Sanders, JSF3
Guillevin, LP1
Hiemstra, TF2
Flossmann, O3
Rasmussen, N1
Westman, K4
Jayne, DR4
Stegeman, CA5
McAdoo, SP1
Medjeral-Thomas, N1
Gopaluni, S2
Tanna, A2
Mansfield, N1
Galliford, J1
Griffith, M1
Levy, J1
Cairns, TD1
Salama, AD1
Pusey, CD2
Hessels, AC2
Rutgers, A2
Terrier, B1
Perrodeau, É1
Khouatra, C2
Aumaître, O2
Cohen, P2
Decaux, O2
Desmurs-Clavel, H1
Maurier, F2
Gobert, P2
Quémeneur, T2
Blanchard-Delaunay, C2
Bonnotte, B2
Carron, PL2
Daugas, E2
Ducret, M2
Godmer, P2
Hamidou, M2
Lidove, O1
Limal, N2
Mouthon, L3
Ravaud, P2
Amano, K1
Bando, M1
Dobashi, H1
Kawakami, T1
Kishibe, K1
Murakawa, Y1
Usui, J1
Wada, T1
Tanaka, E1
Nango, E1
Nakayama, T1
Tsutsumino, M1
Yamagata, K1
Homma, S1
Arimua, Y1
van de Ven, AAJM1
Kroesen, BJ1
Lambeck, AJA1
Ballarin, J1
Blockmans, DE1
Brogan, P1
Cid, MC1
Dahlsveen, K1
de Zoysa, J1
Espigol-Frigolé, G1
Vaglio, A1
Walsh, M3
Walsh, D1
Blockmans, D1
Moiseev, S1
Ji, B1
Green, Y1
Hall, L1
Roth, D1
Henderson, RB1
Hellmich, B1
Liao, K1
Kallenberg, CGM2
Langford, CA8
Seo, P8
St Clair, EW8
Choi, H1
Lee, JJY1
Alsaleem, A1
Chiang, GPK1
Limenis, E1
Sontichai, W1
Akikusa, J1
Laxer, RM1
Berti, A1
Warner, R1
Johnson, K1
Cornec, D1
Schroeder, DR1
Kabat, BF1
Spiera, RF1
Fervenza, FC5
Monach, PA6
Hoffman, GS7
Hässler, F1
Effelsberg, NM1
Hentze, C1
Sic, H1
Bartsch, M1
Miehle, N1
Peter, HH1
Warnatz, K1
Schlesier, M1
Voll, RE1
Kallenberg, CG7
Fessler, BJ2
Ding, L5
Viviano, L2
Tchao, NK6
Phippard, DJ2
Asare, AL2
Lim, N3
Ikle, D7
Jepson, B3
Brunetta, P5
Allen, NB2
Keogh, K2
Kissin, EY2
Peikert, T2
Stegeman, C2
Ytterberg, SR2
Mueller, M1
Sejismundo, LP1
Mieras, K1
Zarin, DA1
Kerschbaum, J1
Rudnicki, M1
Karassa, FB1
Hazlewood, GS1
Metzler, C1
Tomlinson, GA1
Gross, WL1
Feldman, BM1
Haris, Á1
Polner, K1
Arányi, J1
Braunitzer, H1
Kaszás, I1
Mucsi, I1
Arenzana, CB1
Faurschou, M1
Berden, A1
Bajema, I1
Hoglund, P2
Smith, R1
Szpirt, W1
Villarreal, M2
Hanaoka, H1
Hashiguchi, A1
Konishi, K1
Ishii, T1
Kuwana, M1
Unizony, S2
Carey, VJ1
Ninet, J1
Hatron, PY1
Papo, T1
Mahr, A2
Hebert, LA1
Alvarado, A1
Rovin, B1
Chouchana, L1
Beaune, P1
Loriot, MA1
Vandergheynst, F1
Cao, Y1
Tian, Z1
Li, W1
Yang, Y1
Wang, G1
Tervaert, JW2
Hauser, T1
Morgan, MD1
Savage, CO2
van Paassen, P2
Chen, SF1
Wang, H1
Huang, YM1
Li, ZY1
Wang, SX1
Yu, F1
Zhao, MH1
Chen, M1
Villareal, M1
Hori, I1
Nakaseko, H1
Kamei, M1
Nomura, T1
Iwata, N1
Ito, Y1
Saitoh, S1
Szabó, MZ1
Pálfi, P1
Bazsó, A1
Poór, G1
Kiss, E1
Lu, N1
Kallenberg, CM1
Vazquez, V1
Fayad, A1
González, G1
Smuclir Quevedo, A1
Robaina Sindín, J1
Tuin, J1
Sanders, JS2
van Beek, AP1
Hoek, A1
de Joode, AA1
DeSevaux, RG1
Broekroelofs, J1
Voskuyl, AE1
Lewin, M1
McAlear, CA1
Vanoni, F1
Bettinelli, A1
Keller, F1
Bianchetti, MG1
Simonetti, GD1
Sharaf, PH1
Yazici, Y1
Erwig, LP1
Watts, RA3
Kim, MY1
Bae, SY1
Lee, M1
Chung, H1
Lee, J1
Ahn, JK1
Cha, HS1
Koh, EM1
Azuma, N1
Kanda, C1
Nishioka, A1
Tanaka, J1
Mishiro, Y1
Takehara, J1
Sawada, H1
Kitano, M1
Okabe, M1
Morimoto, M1
Sekiguchi, M1
Kuroiwa, T1
Hashimoto, N1
Matsui, K1
Iwasaki, T1
Sano, H1
Pettersson, T1
Karjalainen, A1
Ntatsaki, E1
Mooney, J1
Arnaud, L1
Zahr, N1
Amoura, Z1
Heijl, C1
Stücker, I1
Scott, DG1
Wang, T1
Weigt, SS1
Belperio, JA1
Lynch, JP1
Dábague Guzmán, J1
Pedroza Granados, J1
Zúñiga Varga, J1
Khan, NA1
Singh, M1
Chizzolini, C1
Seck, SM1
Dussol, B1
Brunet, P1
Burtey, S1
Murakami, M1
Shimane, K1
Takahashi, H1
Tomiyama, J1
Nagashima, M1

Clinical Trials (14)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Randomized, Double-Blind, Active-Controlled, Phase 3 Study to Evaluate the Safety and Efficacy of CCX168 (Avacopan) in Patients With ANCA-Associated Vasculitis Treated Concomitantly With Rituximab or Cyclophosphamide/Azathioprine[NCT02994927]Phase 3331 participants (Actual)Interventional2017-03-15Completed
MAINtenance of Remission Using RITuximab in Systemic ANCA-associated Vasculitis[NCT00748644]Phase 3117 participants (Actual)Interventional2008-10-31Completed
A Randomised Clinical Trial of Mycophenolate Mofetil Versus Cyclophosphamide for Remission Induction in ANCA Associated Vasculitis.[NCT00414128]Phase 2/Phase 3140 participants (Actual)Interventional2007-03-31Completed
A Phase 3, Multi-Center, Multinational, Randomized, Double-Blind, Study to Evaluate the Efficacy and Safety of Belimumab (HGS1006) in Combination With Azathioprine for the Maintenance of Remission in Wegener's Granulomatosis and Microscopic Polyangiitis[NCT01663623]Phase 3106 participants (Actual)Interventional2013-03-20Completed
Salvage Therapy for Patients With Inadequate Response to Standard of Care Therapy in Granulomatosis With Polyangiitis[NCT04871191]Phase 242 participants (Anticipated)Interventional2023-03-31Not yet recruiting
Rituximab for the Otolaryngologic Manifestations of Granulomatosis With Polyangiitis[NCT02626845]Phase 43 participants (Actual)Interventional2015-12-31Terminated (stopped due to Slow recruitment)
Rituximab Therapy for the Induction of Remission and Tolerance in ANCA-Associated Vasculitis (ITN021AI)[NCT00104299]Phase 2/Phase 3197 participants (Actual)Interventional2005-01-31Completed
Maintenance of ANCA Vasculitis Remission by Intermittent Rituximab Dosing Based on B-cell Reconstitution vs a Serologic ANCA Flare[NCT02749292]Phase 4115 participants (Actual)Interventional2016-06-30Terminated (stopped due to Due to the coronavirus disease 2019 (COVID-19) pandemic and the deleterious impact of rituximab on vaccination efficacy, the trial was concluded before reaching the target enrollment of 200.)
Efficacy and Safety of Rituximab in the Treatment of Good Prognosis Microscopic Polyangiitis[NCT03920722]Phase 38 participants (Actual)Interventional2020-10-24Active, not recruiting
Biosimilars of Rituximab in ANCA-associated Vasculitis Compared to the Originator (BRAVO): a CanVasc Multicentre Study[NCT05716334]240 participants (Anticipated)Observational2021-06-15Recruiting
Tailoring Maintenance Therapy to CD5+ Regulatory B Cell Recovery in ANCA Vasculitis[NCT03906227]40 participants (Anticipated)Interventional2019-06-28Recruiting
Extended Follow Up of the Mainritsan 2 Study. Comparison Between a Long Term and a Conventional Maintenance Treatment With Rituximab: a Placebo- Controlled Randomized Trial[NCT02433522]Phase 397 participants (Actual)Interventional2015-03-31Completed
Prevention of Relapses in PR3-ANCA-associated Vasculitis, a Tailored Approach[NCT00128895]Phase 4131 participants (Actual)Interventional2003-06-30Terminated
An International, Open Label, Randomised Controlled Trial Comparing Rituximab With Azathioprine as Maintenance Therapy in Relapsing ANCA-associated Vasculitis[NCT01697267]Phase 3188 participants (Actual)Interventional2013-04-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Subjects Experiencing a Relapse After Previously Achieving BVAS=0 During the Study

"BVAS=Birmingham Vasculitis Activity Score;~A relapse was defined as occurrence of at least one major item in the BVAS, or three or more minor items in the BVAS, or one or two minor items in the BVAS recorded at two consecutive visits, after:~having achieved remission at Week 26 (BVAS=0 and no glucocorticoids for ANCA-associated vasculitis within 4 weeks) or~having achieved BVAS=0 at any time during the treatment period~The BVAS form is divided into 9 organ-based systems, with each section including symptoms/signs that are typical of that particular organ involvement in systemic vasculitis. The clinician only scores features believed to be due to active vasculitis. Completion of the form provides a numerical score, which ranges from 0 (best health) to 63 (worst health)." (NCT02994927)
Timeframe: From day 1 throughout the study period (day 421/week 60)

InterventionParticipants (Count of Participants)
Prednisone Group33
Avacopan Group16

Number of Subjects With Clinically Significant ECG Changes From Baseline

"Clinical significance was assessed by the individual reading of the ECGs~ECG=Electrocardiogram" (NCT02994927)
Timeframe: From day 1 throughout the study period (day 421/week 60)

InterventionParticipants (Count of Participants)
Prednisone Group8
Avacopan Group12

Percentage of Participants With BVAS of 0 at Week 4, Regardless of Whether the Subjects Received Glucocorticoids During This Period of Time and Based on Assessment by the Blinded AC

"AC=Adjudication Committee; BVAS=Birmingham Vasculitis Activity Score;~The BVAS form is divided into 9 organ-based systems, with each section including symptoms/signs that are typical of that particular organ involvement in systemic vasculitis. The clinician only scores features believed to be due to active vasculitis. Completion of the form provides a numerical score, which ranges from 0 (best health) to 63 (worst health)." (NCT02994927)
Timeframe: Week 4

Interventionpercentage of participants (Number)
Prednisone Group68.9
Avacopan Group62.7

Percentage of Subjects Achieving Disease Remission at Week 26

"Disease remission at Week 26 was defined as:~Achieving a BVAS of 0 as determined by the Adjudication Committee;~No administration of glucocorticoids given for ANCA-associated vasculitis within 4 weeks prior to Week 26;~No BVAS >0 during the 4 weeks prior to Week 26 (if collected for an unscheduled assessment)." (NCT02994927)
Timeframe: Week 26

Interventionpercentage of participants (Number)
Prednisone Group70.1
Avacopan Group72.3

Percentage of Subjects Achieving Sustained Disease Remission at Week 52

"Sustained remission at Week 52 was defined as:~Disease remission at Week 26 as defined above;~Disease remission at Week 52 defined as a BVAS of 0 at Week 52 as determined by the Adjudication Committee and no administration of glucocorticoids for treatment of ANCA-associated vasculitis within 4 weeks prior to Week 52;~No disease relapse between Week 26 and Week 52 as determined by the Adjudication Committee." (NCT02994927)
Timeframe: Week 52

Interventionpercentage of participants (Number)
Prednisone Group54.9
Avacopan Group65.7

Percentage of Subjects and Time to Experiencing a Relapse After Previously Achieving BVAS=0 at Any Time During the Treatment Period

"The median time to relapse was not estimable because of small number of relapsed subjects.~A relapse was defined as occurrence of at least one major item in the BVAS, or three or more minor items in the BVAS, or one or two minor items in the BVAS recorded at two consecutive visits, after:~having achieved remission at Week 26 (BVAS=0 and no glucocorticoids for ANCA-associated vasculitis within 4 weeks) or~having achieved BVAS=0 at any time during the treatment period~The Birmingham Vasculitis Activity Score (BVAS) form is divided into 9 organ-based systems, with each section including symptoms/signs that are typical of that particular organ involvement in systemic vasculitis. The clinician only scores features believed to be due to active vasculitis. Completion of the form provides a numerical score, which ranges from 0 (best health) to 63 (worst health)." (NCT02994927)
Timeframe: Week 52

Interventionpercentage of participants (Number)
Prednisone Group21.0
Avacopan Group10.1

Percentage of Subjects and Time to Experiencing a Relapse After Previously Achieving Remission at Week 26 in the Study

"The median time to relapse was not estimable because of small number of relapsed subjects.~A relapse was defined as occurrence of at least one major item in the BVAS, or three or more minor items in the BVAS, or one or two minor items in the BVAS recorded at two consecutive visits, after:~having achieved remission at Week 26 (BVAS=0 and no glucocorticoids for ANCA-associated vasculitis within 4 weeks) or~having achieved BVAS=0 at any time during the treatment period~ANCA=anti-neutrophil cytoplasmic autoantibody; BVAS=Birmingham Vasculitis Activity Score; The BVAS form is divided into 9 organ-based systems, with each section including symptoms/signs that are typical of that particular organ involvement in systemic vasculitis. The clinician only scores features believed to be due to active vasculitis. Completion of the form provides a numerical score, which ranges from 0 (best health) to 63 (worst health)." (NCT02994927)
Timeframe: Week 52

Interventionpercentage of participants (Number)
Prednisone Group12.2
Avacopan Group7.5

Certain Safety Endpoints of Interest: Infections, Hepatic System Abnormalities, WBC Count Decreases, and Hypersensitivity

"WBC=White Blood Cell~TEAE=Treatment-Emergent Adverse Event" (NCT02994927)
Timeframe: From day 1 throughout the study period (day 421/week 60)

,
InterventionParticipants (Count of Participants)
Any Treatment-Emergent InfectionAny Serious Treatment-Emergent InfectionAny Severe Treatment-Emergent InfectionAny Treatment-Emergent Infection Leading to Study WithdrawalAny Treatment-Emergent Life-threatening InfectionAny Treatment-Emergent Infection Leading to DeathAny TEAE Associated with Hepatic AbnormalitiesAny TEAE Associated with Low WBC CountsAny TEAE Associated with hypersensitivity
Avacopan Group1132212411223168
Prednisone Group1242510522193970

Change From Baseline and Shifts From Baseline in All Safety Laboratory Parameters - Hematology (1/5)

(NCT02994927)
Timeframe: Baseline, Week 26 and 52

,
Intervention10^3 cells/μL (Mean)
Leukocytes (Week 26)Leukocytes (Week 52)Neutrophils (Week 26)Neutrophils (Week 52)Lymphocytes (Week 26)Lymphocytes (Week 52)
Avacopan Group-5.94-5.62-5.24-4.95-0.84-0.82
Prednisone Group-5.69-5.54-5.10-4.89-0.62-0.67

Change From Baseline and Shifts From Baseline in All Safety Laboratory Parameters - Hematology (2/5)

(NCT02994927)
Timeframe: Baseline, Week 26 and 52

,
Intervention10^9 cells/L (Mean)
Eosinophils (Week 26)Eosinophils (Week 52)Basophils (Week 26)Basophils (Week 52)Monocytes (Week 26)Monocytes (Week 52)Platelets (Week 26)Platelets (Week 52)
Avacopan Group0.070.07-0.00-0.01-0.04-0.01-77.1-73.8
Prednisone Group0.070.05-0.01-0.010.010.01-73.9-75.5

Change From Baseline and Shifts From Baseline in All Safety Laboratory Parameters - Hematology (3/5)

(NCT02994927)
Timeframe: Baseline, Week 26 and 52

,
Intervention10^12 cells/L (Mean)
Erythrocytes (Week 26)Erythrocytes (Week 52)
Avacopan Group0.2520.279
Prednisone Group0.2260.244

Change From Baseline and Shifts From Baseline in All Safety Laboratory Parameters - Hematology (4/5)

(NCT02994927)
Timeframe: Baseline, Week 26 and 52

,
Interventiong/dL (Mean)
Hemoglobin (Week 26)Hemoglobin (Week 52)
Avacopan Group1.101.27
Prednisone Group1.071.20

Change From Baseline and Shifts From Baseline in All Safety Laboratory Parameters - Hematology (5/5)

(NCT02994927)
Timeframe: Baseline, Week 26 and 52

,
Interventionpercentage of red blood cells (Mean)
Hematocrit (Week 26)Hematocrit (Week 52)
Avacopan Group2.73.2
Prednisone Group2.63.0

Change From Baseline and Shifts From Baseline in All Safety Laboratory Parameters - Serum Chemistry (1/2)

(NCT02994927)
Timeframe: Baseline, Week 26 and 52

,
InterventionU/L (Mean)
Lactate Dehydrogenase (Week 26)Lactate Dehydrogenase (Week 52)Alkaline Phosphatase (Week 26)Alkaline Phosphatase (Week 52)Creatine Kinase (Week 26)Creatine Kinase (Week 52)Alanine Aminotransferase (Week 26)Alanine Aminotransferase (Week 52)Aspartate Aminotransferase (Week 26)Aspartate Aminotransferase (Week 52)
Avacopan Group-6.1-10.7-3.9-4.076.876.3-6.1-7.22.52.0
Prednisone Group2.3-8.6-0.60.847.657.6-6.8-8.21.90.5

Change From Baseline and Shifts From Baseline in All Safety Laboratory Parameters - Serum Chemistry (2/2)

(NCT02994927)
Timeframe: Baseline, Week 26 and 52

,
Interventionmg/dL (Mean)
Creatinine (Week 26)Creatinine (Week 52)Urea Nitrogen (Week 26)Urea Nitrogen (Week 52)Protein (Week 26)Protein (Week 52)Cholesterol (Week 26)Cholesterol (Week 52)LDL Cholesterol (Week 26)LDL Cholesterol (Week 52)Bilirubin (Week 26)Bilirubin (Week 52)
Avacopan Group-0.195-0.244-11.0-11.92202507.49.312.011.90.0780.057
Prednisone Group-0.105-0.200-9.4-7.85016019.013.822.721.70.0650.053

Change From Baseline in Vital Signs (1/5)

(NCT02994927)
Timeframe: Baseline, Week 26 and 52

,
InterventionmmHg (Mean)
Systolic Blood Pressure (Week 26)Systolic Blood Pressure (Week 52)Diastolic Blood Pressure (Week 26)Diastolic Blood Pressure (Week 52)
Avacopan Group-2.6-1.00.51.4
Prednisone Group-2.5-2.42.71.4

Change From Baseline in Vital Signs (2/5)

(NCT02994927)
Timeframe: Baseline, Week 26 and 52

,
Interventionbeats/min (Mean)
Pulse Rate (Week 26)Pulse Rate (Week 52)
Avacopan Group0.9-0.3
Prednisone Group2.2-1.3

Change From Baseline in Vital Signs (3/5)

(NCT02994927)
Timeframe: Baseline, Week 26 and 52

,
Interventiondegree Celsius (Mean)
Temperature (Week 26)Temperature (Week 52)
Avacopan Group-0.11-0.11
Prednisone Group-0.030.04

Change From Baseline in Vital Signs (4/5)

(NCT02994927)
Timeframe: Baseline, Week 26 and 52

,
Interventionkilogram(s) (Mean)
Weight (Week 26)Weight (Week 52)
Avacopan Group1.932.59
Prednisone Group3.333.27

Change From Baseline in Vital Signs (5/5)

BMI=Body Mass Index (NCT02994927)
Timeframe: Baseline, Week 26 and 52

,
Interventionkilogram(s)/ square meter (Mean)
BMI (Week 26)BMI (Week 52)
Avacopan Group0.670.94
Prednisone Group1.131.12

Change From Baseline Over 52 Weeks in Health-related Quality of Life as Measured by the Domains and Component Scores of the SF-36v2 and EQ-5D-5L VAS and Index

"SF-36v2: Measure of health- related quality of life (Medical Outcomes Survey Short Form-36 version 2)~EQ-5D-5L: EuroQuality of Life-5 Domains-5 Levels~The SF-36v2 component scores and the EQ-5D-5L VAS score range from 0 (worst health) to 100 (best health). The EQ-5D-5L Index Score ranges from 0 (worst health) to 1 (best health)." (NCT02994927)
Timeframe: Baseline, Week 26 and 52

,
InterventionChange from baseline (Least Squares Mean)
SF-36v2: Physical Component Score (Week 26)SF-36v2: Physical Component Score (Week 52)SF-36v2: Physical Functioning (Week 26)SF-36v2: Physical Functioning (Week 52)SF-36v2: Role Physical (Week 26)SF-36v2: Role Physical (Week 52)SF-36v2: Bodily Pain (Week 26)SF-36v2: Bodily Pain (Week 52)SF-36v2: General Health Perception (Week 26)SF-36v2: General Health Perception (Week 52)SF-36v2: Mental Component Score (Week 26)SF-36v2: Mental Component Score (Week 52)SF-36v2: Mental Health (Week 26)SF-36v2: Mental Health (Week 52)SF-36v2: Role Emotional (Week 26)SF-36v2: Role Emotional (Week 52)SF-36v2: Social Functioning (Week 26)SF-36v2: Social Functioning (Week 52)SF-36v2: Vitality (Week 26)SF-36v2: Vitality (Week 52)EQ-5D-5L VAS Score (Week 26)EQ-5D-5L VAS Score (Week 52)EQ-5D-5L Index Score (Week 26)EQ-5D-5L Index Score (Week 52)
Avacopan Group4.4454.9807.319.5516.7817.1214.7516.123.125.844.8496.3948.2910.897.329.3814.5018.0612.0314.369.113.00.02290.0474
Prednisone Group1.3442.6261.884.827.5212.279.8211.87-2.89-0.173.2714.6946.849.661.404.1411.0913.566.4210.485.57.1-0.0010-0.0038

Change in the VDI From Baseline Over 52 Weeks, Including the Week 26 and Week 52 Time Points

VDI=Vasculitis Damage Index; The VDI is comprised of 64 items of damage, grouped into 11 organ-based systems or categorizations. Damage is defined as the presence of non-healing scars and does not give any indication of current disease activity. Damage is also defined as having been present or currently present for at least 3 months. Completion of the form provides a numerical score, which ranges from 0 (best health) to 64 (worst health). (NCT02994927)
Timeframe: Baseline, Week 26 and 52

,
Interventionscore on a scale (Least Squares Mean)
Week 26Week 52
Avacopan Group1.061.17
Prednisone Group0.971.15

Glucocorticoid-induced Toxicity as Measured by Change From Baseline Over the First 26 Weeks in the GTI

"GTI-CWS=Glucocorticoid Toxicity Index Cumulative Worsening Score;~GTI-AIS=Glucocorticoid Toxicity Index Aggregate Improvement Score;~The Glucocorticoid Toxicity Index (GTI) was developed to score glucocorticoid toxicity. The GTI includes: the Cumulative Worsening Score (CWS) that captures cumulative toxicity, both permanent and transient, over the course of time (serves as a cumulative record of toxicity); and the Aggregate Improvement Score that captures both improvement and worsening of toxicity over time (serves as a record of both improving and worsening toxicity). Both scores range from 0 (best health) to 100 (worst health)." (NCT02994927)
Timeframe: Baseline, Week 13 and 26

,
InterventionGlucocorticoid Toxicity Index (Least Squares Mean)
GTI-CWS (Week 13)GTI-CWS (Week 26)GTI-AIS (Week 13)GTI-AIS (Week 26)
Avacopan Group25.739.79.911.2
Prednisone Group36.656.623.223.4

In Subjects With Renal Disease and Albuminuria at Baseline (Based in the BVAS Renal Component), the Percent Change in UACR From Baseline Over 52 Weeks

"BVAS=Birmingham Vasculitis Activity Score~UACR=Urinary albumin:creatinine ratio" (NCT02994927)
Timeframe: Baseline, Week 4, 26 and 52

,
InterventionPercentage change (Least Squares Mean)
Week 4Week 26Week 52
Avacopan Group-40-63-74
Prednisone Group0-70-77

In Subjects With Renal Disease at Baseline (Based in the BVAS Renal Component), the Change in eGFR From Baseline Over 52 Weeks

"Change from baseline in kidney function, as measured by eGFR (based on the MDRD equation), was measured in subjects with renal disease based on the BVAS renal component.~eGFR=estimated glomerular filtration rate~BVAS=Birmingham Vasculitis Activity Score~MDRD=Modification of Diet in Renal Disease" (NCT02994927)
Timeframe: Baseline, Week 26 and 52

,
InterventionChange in eGFR (mL/min/1.73 m^2) (Least Squares Mean)
Week 26Week 52
Avacopan Group5.87.3
Prednisone Group2.94.1

In Subjects With Renal Disease at Baseline (Based in the BVAS Renal Component), the Percent Change in Urinary MCP-1:Creatinine Ratio From Baseline Over 52 Weeks

"BVAS=Birmingham Vasculitis Activity Score~MCP-1=monocyte chemoattractant protein-1" (NCT02994927)
Timeframe: Baseline, Week 26 and 52

,
InterventionPercentage change (Least Squares Mean)
Week 26Week 52
Avacopan Group-67-73
Prednisone Group-64-71

Number of Subjects Where a Relationship Between Avacopan/Placebo, Glucocorticoid Use, Cyclophosphamide, Rituximab, and Azathioprine or Mycophenolate Use to an AE Was Determined by the Investigator

AE=Adverse Event (NCT02994927)
Timeframe: From day 1 throughout the study period (day 421/week 60)

,
InterventionParticipants (Count of Participants)
Relationship of avacopan/placebo to an AERelationship of glucocorticoid use to an AERelationship of cyclophosphamide IV use to an AERelationship of oral cyclophosphamide use to an AERelationship of rituximab use to an AERelationship of azathioprine use to an AERelationship of mycophenolate use to an AE
Avacopan Group10010731850286
Prednisone Group10313130461359

Subject Incidence of Treatment-emergent SAEs, AEs, and Withdrawals Due to AEs

"AEs=Adverse events~SAEs=Serious adverse events~TEAE=Treatment-emergent adverse event" (NCT02994927)
Timeframe: From day 1 throughout the study period (day 421/week 60)

,
InterventionNumber (Number)
Number of subjects with at least one TEAENumber of TEAEsNumber of subjects with SAEsNumber of SAEsSubjects with TEAE leading to discontinuation
Avacopan Group16417797011627
Prednisone Group16121397416628

Number of Participants With Major Relapse During the Double-blind Phase of the Study

Data for number of participants with major relapse [defined as experiencing at least 1 major Birmingham Vasculitis Activity Score (BVAS) item] during the double-bind phase of the study was reported. Analysis was performed using a Cox proportional hazard model. (NCT01663623)
Timeframe: Approximately up to 4 years

InterventionParticipants (Number)
Placebo0
Belimumab 10 mg/kg1

Time to First Relapse

Time to relapse is defined as the number of days from Day 0 until the participant experienced a relapse (relapse date - treatment start date +1). Only post-baseline relapses were considered in these analyses. Only relapses occurring up to and including the last visit date in the double-blind treatment period were considered in these analyses. Intent-to-treat population comprised of all randomized participants who received at least one dose of study agent (belimumab or placebo). NA indicates that the data was not available as the Number of events is too low to estimate the value. Median and Inter-quartile range were presented and were based on Kaplan Meier estimates. (NCT01663623)
Timeframe: Approximately up to 4 years

InterventionDays (Median)
PlaceboNA
Belimumab 10 mg/kgNA

Disease Remission

A Birmingham Vasculitis Activity Score for Wegener's Granulomatosis (BVAS/WG) score of 0 with prednisone taper successfully completed at six months. The BVAS/WG is a validated disease activity index. The BVAS/WG is designed to document new or worsening clinically active vasculitis and consists of a set of items divided into nine organ based systems. BVAS/WG scores range from 0 to 63, with higher scores indicating more active disease. (NCT00104299)
Timeframe: 6 months post-randomization

InterventionParticipants (Number)
Rituximab63
Control Group52

Percentage of Participants Who Have a BVAS/WG Score of 0 and Have Successfully Completed the Glucocorticoid Taper by 6 Months Post-randomization

"The 2-sided 95% CI of the percentage of participants who have a Birmingham Vasculitis Activity Score for Wegener's Granulomatosis (BVAS/WG)[1] of 0 and have successfully completed the glucocorticoid taper by 6 months post-randomization and the 2-sided 95% CI of the difference between two arms for assessing the superiority of rituximab to control~[1] The BVAS/WG is a disease activity index designed to document new or worsening clinically active vasculitis consisting of items divided into 9 organ based systems. BVAS/WG scores range from 0 to 63, with higher scores indicating more active disease" (NCT00104299)
Timeframe: 6 months post-randomization

Interventionparticipants (Number)
Rituximab62
Control Group51

Number of Subjects Experiencing Serious Adverse Events

Number of subjects according to originally received treatment that experienced a serious adverse event through 18 months post-randomization or prior to being censored from analyses due to crossover, switching to open-label treatment, or best medical judgment for censor. Events are categorized by coded system organ classes (SOC). Within each SOC, a participant was counted once if the participant reported one or more events coded to that SOC. (NCT00104299)
Timeframe: Randomization to censor at Crossover, Open-label or Best Medical Judgment (up to 18 months post-randomization)

,
Interventionparticipants (Number)
# Participants with at least one SAEBlood and Lymphatic System DisordersCardiac DisordersEye DisordersGastrointestinal DisordersGeneral Disorders and Administration SiteImmune System DisordersInfections and InfestationsInjury, Poisoning, and Procedural ComplicationsInvestigationsMetabolism and Nutrition DisordersMusculoskeletal and Connective Tissue DisordersNeoplasms Benign, Malignant, and UnspecifiedNervous System DisordersPregnancy, Puerperium, and Perinatal ConditionsPsychiatric DisordersRenal and Urinary DisordersRespiratory, Thoracic, and Mediastinal DisordersVascular Disorders
Control Group375211321200232001387
Rituximab424214521222221111481

Rate of Selected Adverse Events Experienced by Participants Receiving Rituximab Versus Those Receiving Conventional Therapy

The adverse event rate for the following events considered related to vasculitis: Death; Grade 2 or higher leukopenia or thrombocytopenia; Grade 3 or higher infections; Hemorrhagic cystitis (grade 2 or lower needs confirmation by cytoscopy); Malignancy; Venous thromboembolic event (deep venous thrombosis or pulmonary embolism); Hospitalization resulting either from the disease or from a complication due to study treatment; Infusion reactions (within 24 hours of infusion) that result in the cessation of further infusions (including cytokine release allergic reaction); Cerebrovascular accident (NCT00104299)
Timeframe: Through common close-out (defined as 18 months after the last participant is enrolled in the trial)

,
Interventionparticipants (Number)
DeathGrade 2 or Higher LeukopeniaGrade 2 or Higher ThrombocytopeniaGrade 3 or Higher InfectionsHemorrhagic Cystitis (Grade 2 or Lower)MalignancyVenous Thromboembolic EventHospitalization Resulting from the DiseaseCerebrovascular Accident (CVA)Infusion Reactions Leading to Infusion Disc.
Control Group223116128710
Rituximab274182561611

The Duration of Complete Remission (BVAS=0, Off Glucocorticoids), the Time to Limited and/or Severe Flare After Remission in the Two Treatment Groups

"Duration of complete remission is defined as a Birmingham Vasculitis Activity Score for Wegener's Granulomatosis (BVAS/WG)[1] of 0 and a completing taper of Prednisone to the first flare, BVAS/WG score of greater than 0, or an increase in Prednisone dosing.~[1] The BVAS/WG is a disease activity index designed to document new or worsening clinically active vasculitis consisting of items divided into 9 organ based systems. BVAS/WG scores range from 0 to 63, with higher scores indicating more active disease" (NCT00104299)
Timeframe: 18 months post-randomization

,
InterventionDays (Number)
25% Quartile (95%CI)50% Quartile (95%CI)75% Quartile (95%CI)
Control Group230NANA
Rituximab243NANA

The Duration of Remission (BVAS=0), the Time to Limited and/or Severe Flare After Remission in the Two Treatment Groups

Duration of remission is defined as a Birmingham Vasculitis Activity Score for Wegener's Granulomatosis (BVAS/WG)[1] of 0 and a completing taper of glucocorticoid by 6 months post-randomization to the first flare, BVAS/WG score of greater than 0, or an increase in Prednisone dosing. (NCT00104299)
Timeframe: 18 months post-randomization

,
InterventionDays (Number)
25% Quartile (95%CI)50% Quartile (95%CI)75% Quartile (95%CI)
Control Group168NANA
Rituximab246NANA

Time to Complete Remission (BVAS=0, Off Glucocorticoids) From the Visit 1 Baseline Visit in the Two Treatment Groups

"Time to complete remission is defined as the number of days from baseline visit (Visit 1) to a Birmingham Vasculitis Activity Score for Wegener's Granulomatosis (BVAS/WG)[1] of 0 and completing taper of glucocorticoid by 6 months post-randomization.~[1] The BVAS/WG is a disease activity index designed to document new or worsening clinically active vasculitis consisting of items divided into 9 organ based systems. BVAS/WG scores range from 0 to 63, with higher scores indicating more active disease" (NCT00104299)
Timeframe: 18 months post-randomization

,
InterventionDays (Number)
25% Quartile (95%CI)50% Quartile (95%CI)75% Quartile (95%CI)
Control Group177183266
Rituximab176180189

Time to Remission (BVAS=0) From the Visit 1 Baseline Visit in the Two Treatment Groups

"Time to complete remission is defined as the number of days from baseline visit (Visit 1) to a Birmingham Vasculitis Activity Score for Wegener's Granulomatosis (BVAS/WG)[1] of 0.~[1] The BVAS/WG is a disease activity index designed to document new or worsening clinically active vasculitis consisting of items divided into 9 organ based systems. BVAS/WG scores range from 0 to 63, with higher scores indicating more active disease" (NCT00104299)
Timeframe: 18 months post-randomization

,
InterventionDays (Number)
25% Quartile (95%CI)50% Quartile (95%CI)75% Quartile (95%CI)
Control Group2943112
Rituximab3057119

Composite of Disease Relapse (Defined a BVAS/WG ≥ 2) and Serious Adverse Events

Number of disease relapse added with the number of SAE in each group (NCT02749292)
Timeframe: Median follow-up period of 4.1 years (IQR, 2.5 - 5.0)

InterventionNumber of events (Number)
B Cell Reconstitution27
Serologic ANCA Flare36

Mean Number of Rituximab Infusions Per Subject

The rituximab utilization was measured in how many times a subject received Rituximab throughout the study which was then averaged for all subjects in each treatment arm, including those who did not receive any infusion. (NCT02749292)
Timeframe: Median follow-up period of 4.1 years (IQR, 2.5 - 5.0)

InterventionInfusions per subject (Mean)
B Cell Reconstitution3.6
Serologic ANCA Flare0.5

Number of Major Relapses Defined as a BVAS/WG ≥ 3

The Birmingham Vasculitis Activity Score for Wegener's Granulomatosis (BVAS/WG ) is a form with 34 predefined items grouped into 9 organ systems. The items are clinical features observed in patients with active ANCA vasculitis. Each item has a specified weight of either 3 or 1, depending on whether it reflects major or minor disease activity. The total BVAS/WG score is the weighted sum of individual manifestations that are present and believed to be due to active ANCA vasculitis. Higher scores reflect more active disease. BVAS/WG scores range from 0 to 64. (NCT02749292)
Timeframe: Median follow-up period of 4.1 years (IQR, 2.5 - 5.0)

Interventionnumber of events (Number)
B Cell Reconstitution4
Serologic ANCA Flare7

Number of Patients Affected by Serious Adverse Events

Number of patients with serious adverse events (SAEs), including all episodes of late onset neutropenia (LON). SAE are defined in the Serious adverse event section. Serious adverse events were reported over the entire study period (5.5 years) (NCT02749292)
Timeframe: Median follow-up period of 4.1 years (IQR, 2.5 - 5.0)

InterventionParticipants (Count of Participants)
B Cell Reconstitution15
Serologic ANCA Flare14

Number of Patients With Hypogammaglobulinemia

Hypogammaglobulinemia defined as an IgG < 250mg/dL (NCT02749292)
Timeframe: Median follow-up period of 4.1 years (IQR, 2.5 - 5.0)

InterventionParticipants (Count of Participants)
B Cell Reconstitution1
Serologic ANCA Flare0

Patient Survival

number of deaths throughout the study. (NCT02749292)
Timeframe: 5.5 years

Interventionnumber of deaths (Number)
B Cell Reconstitution2
Serologic ANCA Flare0

Health-related Quality of Life as Assessed by the Short Form Health Survey (SF-36) Scores

The Short Form (36) Health Survey is a 36-item, patient-reported survey of patient health. The SF-36 is a measure of health status and is commonly used in health economics as a variable in the quality-adjusted life year calculation to determine the cost-effectiveness of a health treatment. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability. (NCT02749292)
Timeframe: Assessed throughout the study period, every 6 months unless such time point was not reached or was missed by the patient. Median follow-up period is of 4.1 years (IQR, 2.5 - 5.0)

Interventionscore on a scale (Mean)
Physical functioning at 6 monthsRole functioning/physical at 6 monthsRole functioning/emotional at 6 monthsEnergy/fatigue at 6 monthsEmotional well-being at 6 monthsSocial functioning at 6 monthsPain at 6 monthsGeneral health at 6 monthsPhysical functioning at 36 monthsRole functioning/physical at 36 monthsRole functioning/emotional at 36 monthsEnergy/fatigue at 36 monthsEmotional well-being at 36 monthsSocial functioning at 36 monthsPain at 36 monthsGeneral health at 36 monthsPhysical functioning at 12 monthsRole functioning/physical at 12 monthsRole functioning/emotional at 12 monthsEnergy/ fatigue at 12 monthsEmotional well-being at 12 monthsSocial functioning at 12 monthsPain at 12 monthsGeneral health at 12 monthsPhysical functioning at 18 monthsRole functioning/physical at 18 monthsRole functioning/emotional at 18 monthsEnergy/fatigue at 18 monthsEmotional well-being at 18 monthsSocial functioning at 18 monthsPain at 18 monthsGeneral health at 18 monthsPhysical functioning at 24 monthsRole functioning/physical at 24 monthsRole functioning/emotional at 24 monthsEnergy/fatigue at 24 monthsEmotional well-being at 24 monthsSocial functioning at 24 monthsPain at 24 monthsGeneral health at 24 monthsPhysical functioning at 30 monthsRole functioning/physical at 30 monthsRole functioning/emotional at 30 monthsEnergy/fatigue at 30 monthsEmotional well-being at 30 monthsSocial functioning at 30 monthsPain at 30 monthsGeneral health at 30 monthsPhysical functioning at 42 monthsRole functioning/physical at 42 monthsRole functioning/emotional at 42 monthsEnergy/fatigue at 42 monthsEmotional well-being at 42 monthsSocial functioning at 42 monthsPain at 42 monthsGeneral health at 42 monthsPhysical functioning at 48 monthsRole functioning/physical at 48 monthsRole functioning/emotional at 48 monthsEnergy/fatigue at 48 monthsEmotional well-being at 48 monthsSocial functioning at 48 monthsPain at 48 monthsGeneral health at 48 monthsPhysical functioning at 60 monthsRole functioning/physical at 60 monthsRole functioning/emotional at 60 monthsEnergy/fatigue at 60 monthsEmotional well-being at 60 monthsSocial functioning at 60 monthsPain at 60 monthsGeneral health at 60 months
Serologic ANCA Flare8265756781888263887982738495877082636865818680638262746881928267887180768594827088728072849483708260767085878263951001007585100807592100897183928370

Health-related Quality of Life as Assessed by the Short Form Health Survey (SF-36) Scores

The Short Form (36) Health Survey is a 36-item, patient-reported survey of patient health. The SF-36 is a measure of health status and is commonly used in health economics as a variable in the quality-adjusted life year calculation to determine the cost-effectiveness of a health treatment. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability. (NCT02749292)
Timeframe: Assessed throughout the study period, every 6 months unless such time point was not reached or was missed by the patient. Median follow-up period is of 4.1 years (IQR, 2.5 - 5.0)

Interventionscore on a scale (Mean)
Physical functioning at 6 monthsRole functioning/physical at 6 monthsRole functioning/emotional at 6 monthsEnergy/fatigue at 6 monthsEmotional well-being at 6 monthsSocial functioning at 6 monthsPain at 6 monthsGeneral health at 6 monthsPhysical functioning at 36 monthsRole functioning/physical at 36 monthsRole functioning/emotional at 36 monthsEnergy/fatigue at 36 monthsEmotional well-being at 36 monthsSocial functioning at 36 monthsPain at 36 monthsGeneral health at 36 monthsPhysical functioning at 12 monthsRole functioning/physical at 12 monthsRole functioning/emotional at 12 monthsEnergy/ fatigue at 12 monthsEmotional well-being at 12 monthsSocial functioning at 12 monthsPain at 12 monthsGeneral health at 12 monthsPhysical functioning at 18 monthsRole functioning/physical at 18 monthsRole functioning/emotional at 18 monthsEnergy/fatigue at 18 monthsEmotional well-being at 18 monthsSocial functioning at 18 monthsPain at 18 monthsGeneral health at 18 monthsPhysical functioning at 24 monthsRole functioning/physical at 24 monthsRole functioning/emotional at 24 monthsEnergy/fatigue at 24 monthsEmotional well-being at 24 monthsSocial functioning at 24 monthsPain at 24 monthsGeneral health at 24 monthsPhysical functioning at 30 monthsRole functioning/physical at 30 monthsRole functioning/emotional at 30 monthsEnergy/fatigue at 30 monthsEmotional well-being at 30 monthsSocial functioning at 30 monthsPain at 30 monthsGeneral health at 30 monthsPhysical functioning at 42 monthsRole functioning/physical at 42 monthsRole functioning/emotional at 42 monthsEnergy/fatigue at 42 monthsEmotional well-being at 42 monthsSocial functioning at 42 monthsPain at 42 monthsGeneral health at 42 monthsPhysical functioning at 48 monthsRole functioning/physical at 48 monthsRole functioning/emotional at 48 monthsEnergy/fatigue at 48 monthsEmotional well-being at 48 monthsSocial functioning at 48 monthsPain at 48 monthsGeneral health at 48 monthsPhysical functioning at 54 monthsRole functioning/physical at 54 monthsRole functioning/emotional at 54 monthsEnergy/fatigue at 54 monthsEmotional well-being at 54 monthsSocial functioning at 54 monthsPain at 54 monthsGeneral health at 54 monthsPhysical functioning at 60 monthsRole functioning/physical at 60 monthsRole functioning/emotional at 60 monthsEnergy/fatigue at 60 monthsEmotional well-being at 60 monthsSocial functioning at 60 monthsPain at 60 monthsGeneral health at 60 months
B Cell Reconstitution84667965838979667450655876836960796182658692816683708869859684688371846882918169857487648190866076586760778583596567675273657061885067678484815972331004882635358

Number of Infections

Number of infections mild and severe, whether they were treated or not with antibiotics (NCT02749292)
Timeframe: Median follow-up period of 4.1 years (IQR, 2.5 - 5.0)

,
Interventionnumber of events (Number)
Serious Adverse Events- InfectionsAdverse Events- Infections
B Cell Reconstitution1272
Serologic ANCA Flare659

Number of Patients With Disease Relapse(s) as Defined by a Birmingham Vasculitis Activity Score for Wegner's Granulomatosis (BVAS/WG) ≥ 2

Relapses recording period was from 6/1/2016 to 12/31/2021. The outcome was reported as the number of participants with disease relapse who had either positive ANCA titers specific for myeloperoxidase (MPO-ANCA) or proteinase 3 (PR3-ANCA). The Birmingham Vasculitis Activity Score for Wegener's Granulomatosis (BVAS/WG ) is a form with 34 predefined items grouped into 9 organ systems. The items are clinical features observed in patients with active ANCA vasculitis. Each item has a specified weight of either 3 or 1, depending on whether it reflects major or minor disease activity. The total BVAS/WG score is the weighted sum of individual manifestations that are present and believed to be due to active ANCA vasculitis. Higher scores reflect more active disease. BVAS/WG scores range from 0 to 64. (NCT02749292)
Timeframe: Median follow-up period of 4.1 years (IQR, 2.5 - 5.0)

,
InterventionParticipants (Count of Participants)
PR3MPO
B Cell Reconstitution14
Serologic ANCA Flare77

Organ Damage as Assessed by the Vasculitis Damage Index (VDI).

The Vasculitis Damage Index (VDI) is a validated formal assessment tool in ANCA-associated vasculitis clinical trials. The VDI distinguishes vasculitis-induced chronic damage from active inflammation or persistent disease. Each item represents a disease manifestation and is given a score (of 1) if present for at least 3 months. Neither the cause of damage (vasculitis vs treatment) nor an ongoing activity are taken into consideration. The VDI includes 64 items categorized into 11 groups (by organ system) and the scored items are summed to give a total score ranging from 0 to 64. A higher score means more accrued damage. (NCT02749292)
Timeframe: 3 years starting at inclusion

,
Interventionscore on a scale (Mean)
VDI at inclusionVDI at 3 years
B Cell Reconstitution1.271.42
Serologic ANCA Flare1.071.08

Health-related Quality of Life Using the SF-36 Mental Composite

The 36-Item Short Form Health Survey (SF-36) is a set of generic, coherent, and easily administered quality-of-life measures. Scores for the scale range from 0-100 and transformed to have a mean of 50 and SD of 10 in the reference population, with higher scores indicating a better Health-related Quality of Life. (NCT01697267)
Timeframe: 12 months

Interventionscore on a scale (Mean)
Rituximab Maintenance50.8
Azathioprine Maintenance51.9

Health-related Quality of Life Using the SF-36 Mental Composite

The 36-Item Short Form Health Survey (SF-36) is a set of generic, coherent, and easily administered quality-of-life measures. Scores for the scale range from 0-100 and transformed to have a mean of 50 and SD of 10 in the reference population, with higher scores indicating a better Health-related Quality of Life. (NCT01697267)
Timeframe: 24 months

Interventionscore on a scale (Mean)
Rituximab Maintenance51.9
Azathioprine Maintenance53.5

Health-related Quality of Life Using the SF-36 Mental Composite

The 36-Item Short Form Health Survey (SF-36) is a set of generic, coherent, and easily administered quality-of-life measures. Scores for the scale range from 0-100 and transformed to have a mean of 50 and SD of 10 in the reference population, with higher scores indicating a better Health-related Quality of Life. (NCT01697267)
Timeframe: 36 months

Interventionscore on a scale (Mean)
Rituximab Maintenance52.3
Azathioprine Maintenance51.8

Health-related Quality of Life Using the SF-36 Mental Composite

The 36-Item Short Form Health Survey (SF-36) is a set of generic, coherent, and easily administered quality-of-life measures. Scores for the scale range from 0-100 and transformed to have a mean of 50 and SD of 10 in the reference population, with higher scores indicating a better Health-related Quality of Life. (NCT01697267)
Timeframe: 4 months

Interventionscore on a scale (Mean)
Rituximab Maintenance51.8
Azathioprine Maintenance51.0

Health-related Quality of Life Using the SF-36 Mental Composite

The 36-Item Short Form Health Survey (SF-36) is a set of generic, coherent, and easily administered quality-of-life measures. Scores for the scale range from 0-100 and transformed to have a mean of 50 and SD of 10 in the reference population, with higher scores indicating a better Health-related Quality of Life. (NCT01697267)
Timeframe: 48 months

Interventionscore on a scale (Mean)
Rituximab Maintenance50.9
Azathioprine Maintenance53.9

Health-related Quality of Life Using the SF-36 Physical Composite

The 36-Item Short Form Health Survey (SF-36) is a set of generic, coherent, and easily administered quality-of-life measures. Scores for the scale range from 0-100 and transformed to have a mean of 50 and SD of 10 in the reference population, with higher scores indicating a better Health-related Quality of Life. (NCT01697267)
Timeframe: 12 months

Interventionscore on a scale (Mean)
Rituximab Maintenance38.2
Azathioprine Maintenance34.6

Health-related Quality of Life Using the SF-36 Physical Composite

The 36-Item Short Form Health Survey (SF-36) is a set of generic, coherent, and easily administered quality-of-life measures. Scores for the scale range from 0-100 and transformed to have a mean of 50 and SD of 10 in the reference population, with higher scores indicating a better Health-related Quality of Life. (NCT01697267)
Timeframe: 24 months

Interventionscore on a scale (Mean)
Rituximab Maintenance36.7
Azathioprine Maintenance35.6

Health-related Quality of Life Using the SF-36 Physical Composite

The 36-Item Short Form Health Survey (SF-36) is a set of generic, coherent, and easily administered quality-of-life measures. Scores for the scale range from 0-100 and transformed to have a mean of 50 and SD of 10 in the reference population, with higher scores indicating a better Health-related Quality of Life. (NCT01697267)
Timeframe: 36 months

Interventionscore on a scale (Mean)
Rituximab Maintenance34.6
Azathioprine Maintenance33.8

Health-related Quality of Life Using the SF-36 Physical Composite

The 36-Item Short Form Health Survey (SF-36) is a set of generic, coherent, and easily administered quality-of-life measures. Scores for the scale range from 0-100 and transformed to have a mean of 50 and SD of 10 in the reference population, with higher scores indicating a better Health-related Quality of Life. (NCT01697267)
Timeframe: 4 months

Interventionscore on a scale (Mean)
Rituximab Maintenance36.7
Azathioprine Maintenance36.1

Health-related Quality of Life Using the SF-36 Physical Composite

The 36-Item Short Form Health Survey (SF-36) is a set of generic, coherent, and easily administered quality-of-life measures. Scores for the scale range from 0-100 and transformed to have a mean of 50 and SD of 10 in the reference population, with higher scores indicating a better Health-related Quality of Life. (NCT01697267)
Timeframe: 48 months

Interventionscore on a scale (Mean)
Rituximab Maintenance35.8
Azathioprine Maintenance35.0

Infection Rates

Infection (treated with intravenous or oral antibiotics) rates (NCT01697267)
Timeframe: Up to 4 years

InterventionParticipants (Count of Participants)
Rituximab Maintenance54
Azathioprine Maintenance62

Severe Adverse Event Rate

Severe adverse event (SAE) rate (NCT01697267)
Timeframe: Up to 48 months

InterventionParticipants (Count of Participants)
Rituximab Maintenance37
Azathioprine Maintenance48

Combined Damage Assessment Score (Disease Related Damage Assessment)

Cumulative accrual of damage as measured by the combined damage assessment score (CDA). Each persistent or new occurrence of damage is given a score of 1. The cumulative accrual of damage is obtained by summing across the different types of damage to get an overall score (max score = 64). (NCT01697267)
Timeframe: data in Rows represent the change from randomization (month 4) to months 12, 24, 36, and 48.

,
Interventionscore on a scale (Mean)
Randomisation to month 12Randomisation to month 24Randomisation to month 36Randomisation to month 48
Azathioprine Maintenance0.3370.5330.8991.38
Rituximab Maintenance0.2750.5710.6761.09

Cumulative GC Exposure

Cumulative glucocorticoid (GC) exposure during the trial. The trial had a common close out date when the final patient reached month 36 in the trial. Patients were followed until month 48 or the common close out date, whichever happened sooner. Therefore, follow up varied between 36 and 48 months. Cumulative glucocorticoid exposure is presented as a dose in mg for during the treatment period (up to month 24) and across the whole trial (until month 48 or common close out when the final patient reached month 36). (NCT01697267)
Timeframe: Up to 48 months

,
Interventionmg (Mean)
Overall (randomisation to end of trial)Maintenance treatment period (randomisation to month 24)
Azathioprine Maintenance47802426
Rituximab Maintenance37172184

Number of Participants in Remission at 24 and 48 Months

Proportion of patients who maintain remission at 24 and 48 months (NCT01697267)
Timeframe: 24 and 48 months

,
InterventionParticipants (Count of Participants)
Month 24Month 48
Azathioprine Maintenance7044
Rituximab Maintenance7354

Relapse-free Survival

The primary efficacy outcome measure of the trial is relapse-free survival, where a relapse is either major or minor. The primary analysis will be a Cox regression model adjusted for the stratification factors (ANCA type, relapse severity and prednisone induction regimen) for the difference in the distribution of relapse-free survival between the rituximab arm and the azathioprine (control) arm (two-sided at α-level of 5%). (NCT01697267)
Timeframe: Any patients who have not relapsed at up to a maximum of 4 years will be censored.

,
Interventionparticipants (Number)
Total number of patients with a relapseTotal number of patients with a relapse during treatmentTotal number of patients with a relapse post treatment
Azathioprine Maintenance603228
Rituximab Maintenance381325

Reviews

27 reviews available for azathioprine and ANCA-Associated Vasculitides

ArticleYear
Comparative efficacy and safety of rituximab, mycophenolate, methotrexate, and cyclophosphamide versus azathioprine as maintenance therapy in antineutrophil cytoplasmic antibody-associated vasculitis: A Bayesian network meta-analysis of randomized control
    International journal of clinical pharmacology and therapeutics, 2022, Volume: 60, Issue:2

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil Cytoplasmic;

2022
Cost-Effectiveness of Rituximab (Fixed Schedule vs Tailored Dose) Compared With Azathioprine Maintenance Therapy in Adults With Generalized Antineutrophil Cytoplasm Antibody-Associated Vasculitis in Colombia.
    Value in health regional issues, 2022, Volume: 28

    Topics: Adult; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; Colombia; Cost-Bene

2022
Antineutrophilic cytoplasmic antibody-associated vasculitis and the kidney.
    Current opinion in pediatrics, 2022, 04-01, Volume: 34, Issue:2

    Topics: Adult; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; Child; Humans; Immu

2022
Systematic review and meta-analysis for 2023 clinical practice guidelines of the Japan Research Committee of the Ministry of Health, Labour, and Welfare for Intractable Vasculitis for the management of ANCA-associated vasculitis.
    Modern rheumatology, 2023, Aug-25, Volume: 33, Issue:5

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil Cytoplasmic;

2023
ANCA associated vasculitis.
    European journal of internal medicine, 2020, Volume: 74

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil Cytoplasmic;

2020
Management of ANCA associated vasculitis.
    BMJ (Clinical research ed.), 2020, 03-18, Volume: 368

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; Cyclophosphamide; Glucocor

2020
Updates in the treatment of granulomatosis with polyangiitis and microscopic polyangiitis: At a crossroad.
    Presse medicale (Paris, France : 1983), 2020, Volume: 49, Issue:3

    Topics: Adrenal Cortex Hormones; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; C

2020
New therapeutic strategies in lung vasculitis.
    Current opinion in pulmonary medicine, 2020, Volume: 26, Issue:5

    Topics: Aniline Compounds; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclona

2020
Vasculitis and Pregnancy.
    Rheumatic diseases clinics of North America, 2017, Volume: 43, Issue:2

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; Behcet Syndrome; Contraind

2017
Antineutrophil cytoplasmic antibody-associated vasculitis and malignancy.
    Current opinion in rheumatology, 2018, Volume: 30, Issue:1

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antirheumatic Agents; Azathioprine; Cycl

2018
[ANCA-associated vasculitides : State of the art].
    Zeitschrift fur Rheumatologie, 2019, Volume: 78, Issue:6

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil Cytoplasmic;

2019
Hallmark trials in ANCA-associated vasculitis (AAV) for the pediatric rheumatologist.
    Pediatric rheumatology online journal, 2019, Jun-26, Volume: 17, Issue:1

    Topics: Adult; Anti-Inflammatory Agents; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathio

2019
L52. Vasculitis treatment: is it time to change the standard of care for ANCA-associated vasculitis?
    Presse medicale (Paris, France : 1983), 2013, Volume: 42, Issue:4 Pt 2

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
L44. Management of relapses in vasculitis.
    Presse medicale (Paris, France : 1983), 2013, Volume: 42, Issue:4 Pt 2

    Topics: Anti-Inflammatory Agents; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Mo

2013
S2. Rituximab for ANCA-associated vasculitis: the UK experience.
    Presse medicale (Paris, France : 1983), 2013, Volume: 42, Issue:4 Pt 2

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil Cytoplasmic;

2013
Non-biologic remission maintenance therapy in adult patients with ANCA-associated vasculitis: a systematic review and network meta-analysis.
    Joint bone spine, 2014, Volume: 81, Issue:4

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; Female; Humans; Immunosupp

2014
Hemorrhagic complications associated with PR3-ANCA crescentic glomerulonephritis.
    Renal failure, 2015, Volume: 37, Issue:5

    Topics: Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil Cytopla

2015
[Recent advances in the treatment of antineutrophil cytoplasm antibody associated vasculitides].
    Orvosi hetilap, 2015, Oct-11, Volume: 156, Issue:41

    Topics: Algorithms; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; Clinical Trial

2015
Vasculitides associated with IgG antineutrophil cytoplasmic autoantibodies in childhood.
    Pediatric nephrology (Berlin, Germany), 2010, Volume: 25, Issue:2

    Topics: Adolescent; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil C

2010
Necrotizing vasculitis--a 2009 update.
    Bulletin of the NYU hospital for joint diseases, 2009, Volume: 67, Issue:3

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; Behcet Syndrome; Churg-Str

2009
ANCA-associated vasculitides: advances in pathophysiology and treatment.
    The Netherlands journal of medicine, 2010, Volume: 68, Issue:2

    Topics: Animals; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil Cyto

2010
[Diagnosis and management of small vessel vasculitides].
    Duodecim; laaketieteellinen aikakauskirja, 2010, Volume: 126, Issue:12

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal; Antibodies, Mono

2010
ANCA vasculitis: time for a change in treatment paradigm? Not yet.
    Rheumatology (Oxford, England), 2011, Volume: 50, Issue:6

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2011
Incidence of malignancy in patients treated for antineutrophil cytoplasm antibody-associated vasculitis: follow-up data from European Vasculitis Study Group clinical trials.
    Annals of the rheumatic diseases, 2011, Volume: 70, Issue:8

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; Cyclophospham

2011
Immunosuppressive and cytotoxic therapy: pharmacology, toxicities, and monitoring.
    Seminars in respiratory and critical care medicine, 2011, Volume: 32, Issue:3

    Topics: Adrenal Cortex Hormones; Anti-Inflammatory Agents; Anti-Neutrophil Cytoplasmic Antibody-Associated V

2011
[Maintainance treatment of anti-neutrophil cytoplasm associated antibodies (ANCA)].
    Reumatologia clinica, 2011, Volume: 7 Suppl 3

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2011
Treatment of ANCA-associated vasculitis, where to go?
    Clinical reviews in allergy & immunology, 2012, Volume: 43, Issue:3

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; Cyclophosphamide; Humans;

2012

Trials

18 trials available for azathioprine and ANCA-Associated Vasculitides

ArticleYear
Rituximab versus azathioprine for maintenance of remission for patients with ANCA-associated vasculitis and relapsing disease: an international randomised controlled trial.
    Annals of the rheumatic diseases, 2023, Volume: 82, Issue:7

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil Cytoplasmic;

2023
Avacopan for the Treatment of ANCA-Associated Vasculitis.
    The New England journal of medicine, 2021, 02-18, Volume: 384, Issue:7

    Topics: Administration, Oral; Aniline Compounds; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis;

2021
Randomised controlled trial of prolonged treatment in the remission phase of ANCA-associated vasculitis.
    Annals of the rheumatic diseases, 2017, Volume: 76, Issue:10

    Topics: Adult; Aged; Anti-Inflammatory Agents; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; A

2017
Long-term efficacy of remission-maintenance regimens for ANCA-associated vasculitides.
    Annals of the rheumatic diseases, 2018, Volume: 77, Issue:8

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil

2018
Mycophenolate mofetil versus cyclophosphamide for remission induction in ANCA-associated vasculitis: a randomised, non-inferiority trial.
    Annals of the rheumatic diseases, 2019, Volume: 78, Issue:3

    Topics: Adolescent; Adult; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; Child;

2019
Efficacy and Safety of Belimumab and Azathioprine for Maintenance of Remission in Antineutrophil Cytoplasmic Antibody-Associated Vasculitis: A Randomized Controlled Study.
    Arthritis & rheumatology (Hoboken, N.J.), 2019, Volume: 71, Issue:6

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil

2019
The association of serum interleukin-6 levels with clinical outcomes in antineutrophil cytoplasmic antibody-associated vasculitis.
    Journal of autoimmunity, 2019, Volume: 105

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil Cytoplasmic;

2019
Efficacy of remission-induction regimens for ANCA-associated vasculitis.
    The New England journal of medicine, 2013, Aug-01, Volume: 369, Issue:5

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Efficacy of remission-induction regimens for ANCA-associated vasculitis.
    The New England journal of medicine, 2013, Aug-01, Volume: 369, Issue:5

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Efficacy of remission-induction regimens for ANCA-associated vasculitis.
    The New England journal of medicine, 2013, Aug-01, Volume: 369, Issue:5

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Efficacy of remission-induction regimens for ANCA-associated vasculitis.
    The New England journal of medicine, 2013, Aug-01, Volume: 369, Issue:5

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Efficacy of remission-induction regimens for ANCA-associated vasculitis.
    The New England journal of medicine, 2013, Aug-01, Volume: 369, Issue:5

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Efficacy of remission-induction regimens for ANCA-associated vasculitis.
    The New England journal of medicine, 2013, Aug-01, Volume: 369, Issue:5

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Efficacy of remission-induction regimens for ANCA-associated vasculitis.
    The New England journal of medicine, 2013, Aug-01, Volume: 369, Issue:5

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Efficacy of remission-induction regimens for ANCA-associated vasculitis.
    The New England journal of medicine, 2013, Aug-01, Volume: 369, Issue:5

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Efficacy of remission-induction regimens for ANCA-associated vasculitis.
    The New England journal of medicine, 2013, Aug-01, Volume: 369, Issue:5

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Efficacy of remission-induction regimens for ANCA-associated vasculitis.
    The New England journal of medicine, 2013, Aug-01, Volume: 369, Issue:5

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Efficacy of remission-induction regimens for ANCA-associated vasculitis.
    The New England journal of medicine, 2013, Aug-01, Volume: 369, Issue:5

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Efficacy of remission-induction regimens for ANCA-associated vasculitis.
    The New England journal of medicine, 2013, Aug-01, Volume: 369, Issue:5

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Efficacy of remission-induction regimens for ANCA-associated vasculitis.
    The New England journal of medicine, 2013, Aug-01, Volume: 369, Issue:5

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Efficacy of remission-induction regimens for ANCA-associated vasculitis.
    The New England journal of medicine, 2013, Aug-01, Volume: 369, Issue:5

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Efficacy of remission-induction regimens for ANCA-associated vasculitis.
    The New England journal of medicine, 2013, Aug-01, Volume: 369, Issue:5

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Efficacy of remission-induction regimens for ANCA-associated vasculitis.
    The New England journal of medicine, 2013, Aug-01, Volume: 369, Issue:5

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Long-term follow-up of cyclophosphamide compared with azathioprine for initial maintenance therapy in ANCA-associated vasculitis.
    Clinical journal of the American Society of Nephrology : CJASN, 2014, Sep-05, Volume: 9, Issue:9

    Topics: Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; Cyclophosphamide; Fe

2014
Rituximab for the treatment of relapses in antineutrophil cytoplasmic antibody-associated vasculitis.
    Arthritis & rheumatology (Hoboken, N.J.), 2014, Volume: 66, Issue:11

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2014
Peripheral CD5+ B cells in antineutrophil cytoplasmic antibody-associated vasculitis.
    Arthritis & rheumatology (Hoboken, N.J.), 2015, Volume: 67, Issue:2

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2015
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus azathioprine for maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2014
Rituximab versus cyclophosphamide for ANCA-associated vasculitis with renal involvement.
    Journal of the American Society of Nephrology : JASN, 2015, Volume: 26, Issue:4

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Mur

2015
Rituximab versus cyclophosphamide in ANCA-associated renal vasculitis: 2-year results of a randomised trial.
    Annals of the rheumatic diseases, 2015, Volume: 74, Issue:6

    Topics: Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Der

2015
Outcomes of nonsevere relapses in antineutrophil cytoplasmic antibody-associated vasculitis treated with glucocorticoids.
    Arthritis & rheumatology (Hoboken, N.J.), 2015, Volume: 67, Issue:6

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2015
Clinical outcomes of treatment of anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis based on ANCA type.
    Annals of the rheumatic diseases, 2016, Volume: 75, Issue:6

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil

2016
Extended versus standard azathioprine maintenance therapy in newly diagnosed proteinase-3 anti-neutrophil cytoplasmic antibody-associated vasculitis patients who remain cytoplasmic anti-neutrophil cytoplasmic antibody-positive after induction of remission
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2016, Volume: 31, Issue:9

    Topics: Adrenal Cortex Hormones; Adult; Aged; Aged, 80 and over; Anti-Neutrophil Cytoplasmic Antibody-Associ

2016
Rituximab versus azathioprine as therapy for maintenance of remission for anti-neutrophil cytoplasm antibody-associated vasculitis (RITAZAREM): study protocol for a randomized controlled trial.
    Trials, 2017, 03-07, Volume: 18, Issue:1

    Topics: Administration, Intravenous; Administration, Oral; Anti-Neutrophil Cytoplasmic Antibody-Associated V

2017

Other Studies

46 other studies available for azathioprine and ANCA-Associated Vasculitides

ArticleYear
Treating Patients With ANCA-Associated Vasculitis and Very Severe Renal Injury With an Intensified B Cell Depletion Therapy: Comparison With a Control Cohort Receiving a Conventional Therapy.
    Frontiers in immunology, 2022, Volume: 13

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil Cytoplasmic;

2022
ANCA-Associated Vasculitis following the First Dose of Pfizer-BioNTech COVID-19 Vaccine.
    Nephron, 2023, Volume: 147, Issue:2

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; BNT162 Vaccine; COVID-19;

2023
Human leukocyte antigen association with azathioprine-induced drug hypersensitivity reactions in patients with anti-neutrophil cytoplasmic antibody associated vasculitis.
    Human immunology, 2023, Volume: 84, Issue:3

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil Cytoplasmic;

2023
Development and Validation of a Simulation Model for Treatment to Maintain Remission in Antineutrophil Cytoplasmic Antibody-Associated Vasculitis.
    Arthritis care & research, 2023, Volume: 75, Issue:9

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil Cytoplasmic;

2023
Risk factors for serious infections in ANCA-associated vasculitis.
    Annals of the rheumatic diseases, 2023, Volume: 82, Issue:5

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2023
Identification of Covariates Modulating B-Cell Repopulation Kinetics in Subjects Receiving Rituximab Treatment.
    Arthritis & rheumatology (Hoboken, N.J.), 2023, Volume: 75, Issue:11

    Topics: Adrenal Cortex Hormones; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; C

2023
Treatment and its side effects in ANCA-associated vasculitides - Study based on POLVAS registry data.
    Advances in medical sciences, 2020, Volume: 65, Issue:1

    Topics: Adult; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; Cyclophosphamide; D

2020
Development of central retinal artery occlusion accompanied by choroidal folds in a patient with antineutrophil cytoplasmic antibody-associated vasculitis: A case report.
    Medicine, 2020, Aug-28, Volume: 99, Issue:35

    Topics: Aged; Anti-Inflammatory Agents; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathiop

2020
Incidence, Clinical Features, and Outcomes of Late-Onset Neutropenia From Rituximab for Autoimmune Disease.
    Arthritis & rheumatology (Hoboken, N.J.), 2021, Volume: 73, Issue:2

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Asymptomatic Diseases; Auto

2021
Blood CD3-(CD56 or 16)+ natural killer cell distributions are heterogeneous in healthy adults and suppressed by azathioprine in patients with ANCA-associated vasculitides.
    BMC immunology, 2021, 04-12, Volume: 22, Issue:1

    Topics: Adult; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; Blood Cells; CD3 Co

2021
Efficacy of tacrolimus as maintenance therapy after cyclophosphamide for treating antineutrophil cytoplasmic antibody-associated vasculitis.
    Medicine, 2021, Aug-27, Volume: 100, Issue:34

    Topics: Adult; Aged; Aged, 80 and over; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathiop

2021
ANCA vasculitis in a patient with Alport syndrome: a difficult diagnosis but a treatable disease!
    BMC nephrology, 2017, Mar-29, Volume: 18, Issue:1

    Topics: Adolescent; Anti-Inflammatory Agents; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Az

2017
Early Outcomes in Children With Antineutrophil Cytoplasmic Antibody-Associated Vasculitis.
    Arthritis & rheumatology (Hoboken, N.J.), 2017, Volume: 69, Issue:7

    Topics: Adolescent; Adrenal Cortex Hormones; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Aza

2017
Azathioprine Intolerance in Japanese Patients with Antineutrophil Cytoplasmic Antibody-associated Vasculitis.
    Internal medicine (Tokyo, Japan), 2017, Volume: 56, Issue:13

    Topics: Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Asian People; Azathioprine; Female

2017
Long term azathioprine maintenance therapy in ANCA-associated vasculitis: combined results of long-term follow-up data.
    Rheumatology (Oxford, England), 2017, 11-01, Volume: 56, Issue:11

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil

2017
Long-term follow-up of a combined rituximab and cyclophosphamide regimen in renal anti-neutrophil cytoplasm antibody-associated vasculitis.
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2019, 01-01, Volume: 34, Issue:1

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculit

2019
Thiopurine methyltransferase genotype and activity cannot predict outcomes of azathioprine maintenance therapy for antineutrophil cytoplasmic antibody associated vasculitis: A retrospective cohort study.
    PloS one, 2018, Volume: 13, Issue:4

    Topics: Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; Cohort Studies; Cycl

2018
2017 Clinical practice guidelines of the Japan Research Committee of the Ministry of Health, Labour, and Welfare for Intractable Vasculitis for the management of ANCA-associated vasculitis.
    Modern rheumatology, 2019, Volume: 29, Issue:1

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; Cyclophosphamide; Drug Adm

2019
Azathioprine Hypersensitivity Syndrome in a Cohort of Antineutrophil Cytoplasmic Antibody-Associated Vasculitis Patients.
    The journal of allergy and clinical immunology. In practice, 2019, Volume: 7, Issue:3

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antirheumatic Agents; Azath

2019
Disease Activity, Antineutrophil Cytoplasmic Antibody Type, and Lipid Levels in Antineutrophil Cytoplasmic Antibody-Associated Vasculitis.
    Arthritis & rheumatology (Hoboken, N.J.), 2019, Volume: 71, Issue:11

    Topics: Adult; Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil

2019
B cell homeostasis is disturbed by immunosuppressive therapies in patients with ANCA-associated vasculitides.
    Autoimmunity, 2013, Volume: 46, Issue:7

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Participant-level data and the new frontier in trial transparency.
    The New England journal of medicine, 2013, Aug-01, Volume: 369, Issue:5

    Topics: Access to Information; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoc

2013
Induction regimens for ANCA-Associated Vasculitis.
    The New England journal of medicine, 2013, 11-07, Volume: 369, Issue:19

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Induction regimens for ANCA-Associated Vasculitis.
    The New England journal of medicine, 2013, 11-07, Volume: 369, Issue:19

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Induction Regimens for ANCA-Associated Vasculitis.
    The New England journal of medicine, 2013, 11-07, Volume: 369, Issue:19

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2013
Clinical outcomes of ANCA-associated vasculitis in elderly patients.
    International urology and nephrology, 2014, Volume: 46, Issue:8

    Topics: Age Factors; Aged; Anti-Inflammatory Agents; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculi

2014
[Effectiveness of regimens of remission-induction on vasculitis associated with antineutrophil cytoplasmic antibodies].
    Revista clinica espanola, 2014, Volume: 214, Issue:2

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2014
A rare association between Fabry's disease and granulomatosis with polyangiitis: a potential pathogenic link.
    BMC nephrology, 2014, Oct-01, Volume: 15

    Topics: Adult; alpha-Galactosidase; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies,

2014
Extending the indications for rituximab in ANCA-associated vasculitis.
    The New England journal of medicine, 2014, Nov-06, Volume: 371, Issue:19

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2014
Clinical trials. Rituximab for maintenance of remission in AAV.
    Nature reviews. Nephrology, 2015, Volume: 11, Issue:3

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2015
Rituximab or azathioprine maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2015, 01-22, Volume: 372, Issue:4

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2015
Rituximab or azathioprine maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2015, 01-22, Volume: 372, Issue:4

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2015
Rituximab or azathioprine maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2015, 01-22, Volume: 372, Issue:4

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2015
Rituximab or azathioprine maintenance in ANCA-associated vasculitis.
    The New England journal of medicine, 2015, 01-22, Volume: 372, Issue:4

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal, Murine-Derived;

2015
Clinicopathologic characteristics and outcomes of renal thrombotic microangiopathy in anti-neutrophil cytoplasmic autoantibody-associated glomerulonephritis.
    Clinical journal of the American Society of Nephrology : CJASN, 2015, May-07, Volume: 10, Issue:5

    Topics: ADAM Proteins; ADAMTS13 Protein; Adrenal Cortex Hormones; Adult; Aged; Anti-Inflammatory Agents; Ant

2015
Diffuse alveolar hemorrhage secondary to ANCA-associated vasculitis in a patient with Down syndrome.
    Pediatrics international : official journal of the Japan Pediatric Society, 2015, Volume: 57, Issue:2

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; Child, Preschool; Down Syn

2015
[Clinical practice guideline for ANCA-associated vasculitis with renal involvement].
    Medicina, 2015, Volume: 75 Suppl 1

    Topics: Adult; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil Cytopl

2015
Brief Report: Menopause and Primary Ovarian Insufficiency in Women Treated for Antineutrophil Cytoplasmic Antibody-Associated Vasculitides.
    Arthritis & rheumatology (Hoboken, N.J.), 2016, Volume: 68, Issue:4

    Topics: Adult; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; Case-Control Studie

2016
Vasculitis syndromes: Inducing remission in ANCA-positive vasculitis: time to RAVE?
    Nature reviews. Rheumatology, 2010, Volume: 6, Issue:3

    Topics: Administration, Oral; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monocl

2010
A case of ANCA-associated vasculitis presenting with calf claudication.
    Rheumatology international, 2012, Volume: 32, Issue:9

    Topics: Aged; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Azathioprine; Electromyography; Hu

2012
Case of refractory otitis media with high-titer positive serum MPO-ANCA value.
    Nihon Rinsho Men'eki Gakkai kaishi = Japanese journal of clinical immunology, 2010, Volume: 33, Issue:2

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil Cytoplasmic;

2010
Preventing relapses in antineutrophil cytoplasmic antibody-associated vasculitis.
    JAMA, 2011, Mar-09, Volume: 305, Issue:10

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antirheumatic Agents; Area Under Curve;

2011
Development of anti-neutrophil cytoplasmic antibody-associated vasculitis in a patient with Graves' disease independent of anti-thyroid drug therapy.
    Modern rheumatology, 2012, Volume: 22, Issue:5

    Topics: Adult; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil Cytopl

2012
[Allergo-immunology. Clinical immunology].
    Revue medicale suisse, 2012, Jan-11, Volume: 8, Issue:323

    Topics: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Monoclonal; Antibodies, Mono

2012
Clinical features and outcomes of ANCA-associated renal vasculitis.
    Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia, 2012, Volume: 23, Issue:2

    Topics: Adrenal Cortex Hormones; Anti-Inflammatory Agents; Anti-Neutrophil Cytoplasmic Antibody-Associated V

2012
ANCA-associated vasculitis with dual ANCA positivity in coexistence with mixed connective tissue disease.
    Modern rheumatology, 2013, Volume: 23, Issue:1

    Topics: Adult; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Antibodies, Antineutrophil Cytopl

2013