Page last updated: 2024-10-23

azathioprine and Bronchiolitis Obliterans

azathioprine has been researched along with Bronchiolitis Obliterans in 25 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.

Bronchiolitis Obliterans: Inflammation of the BRONCHIOLES leading to an obstructive lung disease. Bronchioles are characterized by fibrous granulation tissue with bronchial exudates in the lumens. Clinical features include a nonproductive cough and DYSPNEA.

Research Excerpts

ExcerptRelevanceReference
"Everolimus is a proliferation signal inhibitor with immunosuppressive activity that may reduce the rate of progression of chronic rejection, bronchiolitis obliterans syndrome (BOS), after lung transplantation."5.12Everolimus versus azathioprine in maintenance lung transplant recipients: an international, randomized, double-blind clinical trial. ( Aris, R; Glanville, AR; Hmissi, A; Loyd, JE; McGiffin, DC; Pirron, U; Roman, A; Snell, GI; Sole, A; Valentine, VG; Vitulo, P, 2006)
"Tacrolimus is associated with a lower burden of acute rejection and lymphocytic bronchitis and a trend to a greater freedom from BOS stage 0-p than cyclosporine after lung transplantation."5.12A randomized controlled trial of tacrolimus versus cyclosporine after lung transplantation. ( Aloush, AA; Chakinala, MM; Hachem, RR; Lynch, JP; Meyers, BF; Patterson, GA; Trulock, EP; Yusen, RD, 2007)

Research

Studies (25)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's9 (36.00)18.2507
2000's11 (44.00)29.6817
2010's5 (20.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Bellon, H1
Vandermeulen, E1
Verleden, SE1
Heigl, T1
Vriens, H1
Lammertyn, E1
Verlinden, L1
Vanhove, T1
Verstuyf, M1
Hoet, P1
Vos, R1
Verleden, GM1
Vanaudenaerde, BM1
Giménez, AR1
Pastrana, DB1
Huaranga, MAR1
Izquierdo, JR1
Cabrera, B1
García, AN1
Rodríguez, CCR1
Dogra, S1
Saini, AG1
Suri, D1
Rawat, A1
Sodhi, KS1
Singh, S1
Speich, R2
Schneider, S1
Hofer, M1
Irani, S1
Vogt, P1
Weder, W1
Boehler, A1
Bhorade, S1
Ahya, VN1
Baz, MA1
Valentine, VG2
Arcasoy, SM1
Love, RB1
Seethamraju, H1
Alex, CG1
Bag, R1
Deoliveira, NC1
Husain, A1
Vigneswaran, WT1
Charbeneau, J1
Krishnan, JA1
Durazo-Arvizu, R1
Norwick, L1
Garrity, E1
Azzola, A1
Havryk, A1
Chhajed, P1
Hostettler, K1
Black, J1
Johnson, P1
Roth, M1
Glanville, A2
Tamm, M1
Sarahrudi, K1
Estenne, M1
Corris, P1
Niedermayer, J1
Knoop, C2
Chaparro, C1
Verleden, G1
Gerbase, MW1
Venuta, F1
Böttcher, H1
Aubert, JD1
Levvey, B1
Reichenspurner, H1
Auterith, A1
Klepetko, W1
Päiväniemi, OE1
Maasilta, PK2
Alho, HS2
Wolff, CH1
Salminen, US5
Snell, GI3
Vitulo, P2
Glanville, AR2
McGiffin, DC1
Loyd, JE1
Roman, A1
Aris, R1
Sole, A1
Hmissi, A1
Pirron, U1
McNeil, K1
Wahlers, T2
Mamelok, RD1
Maurer, J1
Ives, J1
Corris, PA1
Cottin, V1
Meloni, F1
Morosini, M1
Solari, N1
Bini, F1
Arbustini, E1
Pellegrini, C1
Fietta, AM1
Hachem, RR1
Yusen, RD1
Chakinala, MM1
Meyers, BF1
Lynch, JP1
Aloush, AA1
Patterson, GA1
Trulock, EP1
Hsue, YT1
Paulus, HE1
Coulson, WF1
Yagyu, K1
van Breda Vriesman, PJ1
Duijvestijn, AM1
Bruggeman, CA1
Steinhoff, G1
Ross, DJ1
Jordan, SC1
Nathan, SD1
Kass, RM1
Koerner, SK1
Esmore, DS1
Williams, TJ2
Ward, C1
Wilson, JW1
Orsida, B1
Walters, EH1
Uusitalo, M2
Ikonen, T3
Taskinen, E3
Morris, RE1
Harjula, AL4
Wiebe, K1
Harringer, W2
Franke, U1
Strüber, M1
Krug, N1
Korff, F1
Cremer, J1
Haverich, A2
Korpela, A1
Maasilta, P2
Alho, H1
Taskinen, EI1
Ikonen, TS1
Hoffmeyer, F1
Hoeper, MM1
Spiekerkötter, E1
Fabel, H1
Niedermeyer, J1
Streichenberger, N1
Peyrol, S1
Philit, F1
Loire, R1
Sommer, P1
Cordier, JF1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Comparison of a Tacrolimus/Sirolimus/Prednisone Regimen Versus Tacrolimus/Azathioprine/Prednisone Immunosuppressive Regimen in Lung Transplantation[NCT00321906]Phase 4181 participants (Actual)Interventional2002-04-30Completed
Randomized, Open-label, Multi-Center Study Comparing Tacrolimus With Cyclosporin, Both Arms in Combination With Mycophenolate Mofetil and Corticosteroids for Prevention of Bronchiolitis Obliterans Syndrome in Lung Transplant Patients[NCT01429844]Phase 3274 participants (Actual)Interventional2001-01-31Completed
The Role Of Endoscopic Alveoscopy by Confocal Endomicroscopy in Diagnosing Acute and Chronic Rejection in Lung Transplant Recipients, Diagnosis of End Stage Lung Disease, and Other Pulmonary Pathologies in Vivo[NCT01033201]71 participants (Actual)Observational2008-04-30Completed
Prospective and Retrospective Study to Develop a Multi-center Randomized Study, to Determine if Prevention of GERD Related Aspiration by Surgical Fundoplication Improves Lung Allograft Function[NCT01406210]647 participants (Actual)Observational2011-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Acute Rejection Rate at 12 Months

Raw proportion of patients that experienced acute rejection at or before 12 months. (NCT00321906)
Timeframe: 12mos

Interventionpercentage of participants (Number)
Azathioprine48
Sirolimus39

Acute Rejection-free Survival at 12 Months

"Kaplan-Meier estimate of proportion of patients that had not experienced acute rejection by 12 months. Acute rejection is defined as rejection at any of the following grades.~Grade A0 - None With/Without Grade A1 - Minimal Grade A2 - Mild Grade A3 - Moderate" (NCT00321906)
Timeframe: 12 mos

Interventionpercentage of participants (Number)
Azathioprine56
Sirolimus58

Bronchiolitis Obliterans Syndrome (BOS) at 24 Months

Kaplan-Meier estimate of proportion of patients that had not experienced BOS by 24 months. (NCT00321906)
Timeframe: 24 mos

Interventionpercentage of participants (Number)
Azathioprine81
Sirolimus78

Bronchiolitis Obliterans Syndrome (BOS) at 36 Months

Kaplan-Meier estimate of proportion of patients that had not experienced BOS by 36 months. (NCT00321906)
Timeframe: 36 mos

Interventionpercentage of participants (Number)
Azathioprine76
Sirolimus72

Overall Survival at 12 Months

Kaplan-Meier estimate of proportion of patients that survived to (i.e., had not died by) 12 months. (NCT00321906)
Timeframe: 12 mos

Interventionpercentage of participants (Number)
Azathioprine97
Sirolimus97

Overall Survival at 24 Months

Kaplan-Meier estimate of proportion of patients that survived to (i.e., had not died by) 24 months. (NCT00321906)
Timeframe: 24 mos

Interventionpercentage of participants (Number)
Azathioprine89
Sirolimus94

Overall Survival at 36 Months

Kaplan-Meier estimate of proportion of patients that survived to (i.e., had not died by) 36 months. (NCT00321906)
Timeframe: 36 mos

Interventionpercentage of participants (Number)
Azathioprine84
Sirolimus87

Severity of Acute Rejection at 12 Months

"Raw proportion of patients that experienced rejection at or above grade A2 by 12 months.~Grade A0 - None With/Without Grade A1 - Minimal Grade A2 - Mild Grade A3 - Moderate" (NCT00321906)
Timeframe: 12 mos

Interventionpercentage of participants (Number)
Azathioprine24
Sirolimus18

Reviews

1 review available for azathioprine and Bronchiolitis Obliterans

ArticleYear
[Idiopathic interstitial pneumonia: treatment].
    Revue des maladies respiratoires, 2006, Volume: 23, Issue:4 Pt 2

    Topics: Acetylcysteine; Acute Disease; Adrenal Cortex Hormones; Adult; Age Factors; Aged; Azathioprine; Benz

2006

Trials

6 trials available for azathioprine and Bronchiolitis Obliterans

ArticleYear
Comparison of sirolimus with azathioprine in a tacrolimus-based immunosuppressive regimen in lung transplantation.
    American journal of respiratory and critical care medicine, 2011, Feb-01, Volume: 183, Issue:3

    Topics: Azathioprine; Bronchiolitis Obliterans; Drug Therapy, Combination; Graft Rejection; Humans; Immunosu

2011
Everolimus versus azathioprine in maintenance lung transplant recipients: an international, randomized, double-blind clinical trial.
    American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2006, Volume: 6, Issue:1

    Topics: Adrenal Cortex Hormones; Adult; Azathioprine; Bronchiolitis Obliterans; Cyclosporine; Double-Blind M

2006
Comparison of mycophenolate mofetil and azathioprine for prevention of bronchiolitis obliterans syndrome in de novo lung transplant recipients.
    Transplantation, 2006, Apr-15, Volume: 81, Issue:7

    Topics: Adolescent; Adult; Aged; Azathioprine; Bronchiolitis Obliterans; Drug Therapy, Combination; Graft Re

2006
A randomized controlled trial of tacrolimus versus cyclosporine after lung transplantation.
    The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2007, Volume: 26, Issue:10

    Topics: Adult; Azathioprine; Bronchiolitis Obliterans; Bronchitis; Cyclosporine; Diabetes Mellitus; Drug The

2007
A randomized controlled trial of tacrolimus versus cyclosporine after lung transplantation.
    The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2007, Volume: 26, Issue:10

    Topics: Adult; Azathioprine; Bronchiolitis Obliterans; Bronchitis; Cyclosporine; Diabetes Mellitus; Drug The

2007
A randomized controlled trial of tacrolimus versus cyclosporine after lung transplantation.
    The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2007, Volume: 26, Issue:10

    Topics: Adult; Azathioprine; Bronchiolitis Obliterans; Bronchitis; Cyclosporine; Diabetes Mellitus; Drug The

2007
A randomized controlled trial of tacrolimus versus cyclosporine after lung transplantation.
    The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2007, Volume: 26, Issue:10

    Topics: Adult; Azathioprine; Bronchiolitis Obliterans; Bronchitis; Cyclosporine; Diabetes Mellitus; Drug The

2007
FK506 rescue therapy in lung transplantation.
    Transplantation proceedings, 1998, Volume: 30, Issue:4

    Topics: Azathioprine; Bronchiolitis Obliterans; Cyclosporine; Drug Therapy, Combination; Graft Rejection; He

1998
Azathioprine withdrawal in stable lung and heart/lung recipients receiving cyclosporine-based immunosuppression.
    Transplantation, 2000, Aug-15, Volume: 70, Issue:3

    Topics: Acute Disease; Adult; Azathioprine; Bronchiolitis Obliterans; Cyclosporine; Cytomegalovirus Infectio

2000

Other Studies

18 other studies available for azathioprine and Bronchiolitis Obliterans

ArticleYear
The Effect of Immunosuppression on Airway Integrity.
    Transplantation, 2017, Volume: 101, Issue:12

    Topics: Azathioprine; Bronchiolitis Obliterans; Cyclosporine; Dexamethasone; Endothelial Cells; Epithelial C

2017
Belimumab in refractory organizing pneumonia associated with systemic lupus erythematosus: a case report.
    Lupus, 2019, Volume: 28, Issue:4

    Topics: Antibodies, Antinuclear; Antibodies, Monoclonal, Humanized; Azathioprine; Bronchiolitis Obliterans;

2019
Bronchiolitis obliterans associated with Stevens-Johnson syndrome and response to azathioprine.
    Indian journal of pediatrics, 2014, Volume: 81, Issue:7

    Topics: Azathioprine; Bronchiolitis Obliterans; Child; Humans; Immunosuppressive Agents; Male; Remission Ind

2014
Mycophenolate mofetil reduces alveolar inflammation, acute rejection and graft loss due to bronchiolitis obliterans syndrome after lung transplantation.
    Pulmonary pharmacology & therapeutics, 2010, Volume: 23, Issue:5

    Topics: Adult; Azathioprine; Bronchiolitis Obliterans; Bronchoalveolar Lavage Fluid; Female; Graft Rejection

2010
Everolimus and mycophenolate mofetil are potent inhibitors of fibroblast proliferation after lung transplantation.
    Transplantation, 2004, Jan-27, Volume: 77, Issue:2

    Topics: Adult; Aged; Azathioprine; Bronchi; Bronchiolitis Obliterans; Cell Division; Cells, Cultured; Cyclos

2004
International experience with conversion from cyclosporine to tacrolimus for acute and chronic lung allograft rejection.
    The Journal of thoracic and cardiovascular surgery, 2004, Volume: 127, Issue:4

    Topics: Acute Disease; Adult; Australia; Azathioprine; Bronchiolitis Obliterans; Canada; Chronic Disease; Cy

2004
Cyclooxygenase-2 expression in experimental post-transplant obliterative bronchiolitis.
    The Journal of pathology, 2004, Volume: 204, Issue:3

    Topics: Animals; Azathioprine; Bronchi; Bronchiolitis Obliterans; Chondrocytes; Cyclooxygenase 2; Cyclospori

2004
Peripheral CD4+ CD25+ Treg cell expansion in lung transplant recipients is not affected by calcineurin inhibitors.
    International immunopharmacology, 2006, Dec-20, Volume: 6, Issue:13-14

    Topics: Adult; Aged; Antigens, CD; Antigens, Differentiation, T-Lymphocyte; Azathioprine; Bronchiolitis Obli

2006
Bronchiolitis obliterans organizing pneumonia in polymyositis. A case report with longterm survival.
    The Journal of rheumatology, 1993, Volume: 20, Issue:5

    Topics: Adult; Azathioprine; Bronchi; Bronchiolitis Obliterans; Female; Humans; Lung; Pneumonia; Polymyositi

1993
Reactivation of cytomegalovirus with acute rejection and cytomegalovirus infection with obliterative bronchiolitis in rat lung allografts.
    Transplantation proceedings, 1993, Volume: 25, Issue:1 Pt 2

    Topics: Animals; Azathioprine; Bronchiolitis Obliterans; Cyclosporine; Cytomegalovirus Infections; Graft Rej

1993
Delayed development of obliterative bronchiolitis syndrome with OKT3 after unilateral lung transplantation. A plea for multicenter immunosuppressive trials.
    Chest, 1996, Volume: 109, Issue:4

    Topics: Acute Disease; Antilymphocyte Serum; Azathioprine; Biopsy; Bronchiolitis Obliterans; Bronchoscopy; C

1996
Cytolytic therapy for the bronchiolitis obliterans syndrome complicating lung transplantation.
    Chest, 1996, Volume: 109, Issue:4

    Topics: Adult; Anti-Inflammatory Agents; Antibiotic Prophylaxis; Antilymphocyte Serum; Azathioprine; Bronchi

1996
Immunopathological changes in the airways of stable lung transplant recipients.
    Thorax, 1997, Volume: 52, Issue:4

    Topics: Adult; Anti-Inflammatory Agents; Azathioprine; Biopsy; Bronchiolitis; Bronchiolitis Obliterans; Cycl

1997
Effect of immunosuppression on obliterative lesions in a heterotopic large-animal bronchial allograft model.
    Transplantation proceedings, 1997, Volume: 29, Issue:7

    Topics: Animals; Azathioprine; Bronchi; Bronchiolitis Obliterans; Cartilage; Cyclosporine; Drug Therapy, Com

1997
Obliterative lesions in small airways in an immunosuppressed porcine heterotopic bronchial allograft model.
    Transplant international : official journal of the European Society for Organ Transplantation, 1998, Volume: 11 Suppl 1

    Topics: Animals; Azathioprine; Bronchi; Bronchiolitis Obliterans; Cyclosporine; Disease Models, Animal; Immu

1998
Effects of rapamycin analogue SDZ RAD on obliterative lesions in a porcine heterotopic bronchial allograft model.
    Transplantation proceedings, 1998, Volume: 30, Issue:5

    Topics: Animals; Azathioprine; Bronchi; Bronchiolitis Obliterans; Cartilage; Cyclosporine; Epithelium; Evero

1998
Prevention of small airway obliteration in a swine heterotopic lung allograft model.
    The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2000, Volume: 19, Issue:2

    Topics: Animals; Azathioprine; Bronchi; Bronchiolitis Obliterans; Disease Models, Animal; Epithelium; Everol

2000
Constrictive bronchiolitis obliterans. Characterisation of fibrogenesis and lysyl oxidase expression patterns.
    Virchows Archiv : an international journal of pathology, 2001, Volume: 439, Issue:1

    Topics: Adult; Azathioprine; Biomarkers; Bone Marrow Transplantation; Bronchiolitis Obliterans; Drug Therapy

2001