Page last updated: 2024-10-23

azathioprine and Demyelinating Diseases

azathioprine has been researched along with Demyelinating Diseases in 21 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.

Demyelinating Diseases: Diseases characterized by loss or dysfunction of myelin in the central or peripheral nervous system.

Research Excerpts

ExcerptRelevanceReference
" No other serious adverse events were reported for these treatments."2.72Efficacy and safety of long-term immunotherapy in adult patients with MOG antibody disease: a systematic analysis. ( Gao, F; Hao, H; Jin, H; Jin, Y; Liu, R; Lu, Q; Luo, J, 2021)
"Demyelination is similar with malignancy in clinical symptoms."1.72Astrocytoma with myelin oligodendrocyte glycoprotein antibody associated encephalomyelitis: A case report. ( Gu, H; Liu, X; Yang, S; Zhang, J; Zhong, G, 2022)
"Azathioprine was the treatment prescribed in the four patients with NMOSD."1.51Inflammatory demyelinating diseases of the central nervous system in Niger. ( Adehossi Omar, É; Assadeck, H; Douma Maiga, D; Hassane Djibo, F; Mamadou, Z; Toudou Daouda, M, 2019)
"Prednisone use was associated with higher mortality [HR = 3."1.46Five-year Safety Data From ENCORE, a European Observational Safety Registry for Adults With Crohn's Disease Treated With Infliximab [Remicade®] or Conventional Therapy. ( Boice, J; Colombel, JF; Cornillie, F; D'Haens, G; Ghosh, S; Hommes, DW; Huang, Z; Huyck, S; Lindgren, S; Panes, J; Prantera, C; Reinisch, W, 2017)
" In spite of the temporary remission after re-initiation of oral steroid therapy, reduction of oral steroid dosage resulted in new lesion formation apart from the initial locations."1.43An adult-onset multiphasic disseminated encephalomyelitis (MDEM) presenting favorable response to steroid therapy. ( Fujimura, H; Fukada, K; Hazama, T; Inoue, K; Kinoshita, M; Sugimura, Y, 2016)
"In conclusion, CIDP is a clinically heterogeneous disorder."1.34Chronic inflammatory demyelinating polyneuropathy: a 6-year retrospective clinical study of a hospital-based population. ( Anyfanti, C; Ioannou, M; Kaponi, A; Pandis, D; Rentzos, M; Vassilopoulos, D, 2007)

Research

Studies (21)

TimeframeStudies, this research(%)All Research%
pre-19907 (33.33)18.7374
1990's7 (33.33)18.2507
2000's1 (4.76)29.6817
2010's3 (14.29)24.3611
2020's3 (14.29)2.80

Authors

AuthorsStudies
Zhong, G1
Zhang, J1
Liu, X1
Yang, S1
Gu, H1
George, IC1
Kvalsund, M1
Saylor, D1
Lu, Q1
Luo, J1
Hao, H1
Liu, R1
Jin, H1
Jin, Y1
Gao, F1
Assadeck, H1
Toudou Daouda, M1
Adehossi Omar, É1
Mamadou, Z1
Hassane Djibo, F1
Douma Maiga, D1
Sugimura, Y1
Kinoshita, M1
Fukada, K1
Inoue, K1
Fujimura, H1
Hazama, T1
D'Haens, G1
Reinisch, W1
Colombel, JF1
Panes, J1
Ghosh, S1
Prantera, C1
Lindgren, S1
Hommes, DW1
Huang, Z1
Boice, J1
Huyck, S1
Cornillie, F1
Rentzos, M1
Anyfanti, C1
Kaponi, A1
Pandis, D1
Ioannou, M1
Vassilopoulos, D1
Streib, EW1
Sun, SF1
Louboutin, JP1
Elie, B1
Krendel, DA1
Costigan, DA1
Hopkins, LC1
Nakamura, M1
Fuchinoue, S1
Sato, S1
Hoshino, T1
Sawada, T1
Sageshima, J1
Kitajima, K1
Tojinbara, T1
Fujita, S1
Nakajima, I1
Agishi, T1
Tanaka, K1
Mancuso, A1
Ardita, FV1
Leonardi, J1
Scuderi, M1
Baba, M1
Matsunaga, M1
Oh, SJ1
Joy, JL1
Sunwoo, I1
Kuruoglu, R1
Jakobsen, J1
Krarup, C1
Barrowman, JA1
Kutty, PK1
Ra, MU1
Huang, SN1
Kiprov, DD1
Miller, RG1
Dyck, PJ1
O'Brien, P1
Swanson, C1
Low, P1
Daube, J1
Schneck, SA1
Ulrich, J1
Wüthrich, R1
Manz, HJ1
Dinsdale, HB1
Morrin, PA1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Crohn's Disease European Registry. A Prospective, Observational, Postmarketing Safety Surveillance Registry of Patients Treated With Remicade® or Standard Therapy[NCT00705614]2,662 participants (Actual)Observational2003-07-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participant Fatalities

The number of participant fatalities was evaluated throughout the study. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade30
Standard Therapy14
Switched to Remicade4

Number of Participants With Demyelinating Neurological Disorders

The number of participants with demyelinating neurological disorders was evaluated. Demyelinating neurological disorders were defined as multiple sclerosis, optic neuritis, peripheral syndromes such as peripheral neuropathy, mononeuropathy multipex, cranial neuropathies, Guillain-Barré syndrome, chronic inflammatory demyelinating polyradiculoneuropathy, and transverse myelitis. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade4
Standard Therapy1
Switched to Remicade0

Number of Participants With Hematologic Conditions

The number of participants wtih hematologic conditions was evaluated. A hematologic condition was defined as thrombocytopenia, neutropenia, pancytopenia, granulocytopenia, leukopenia, or aplastic anemia. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade50
Standard Therapy11
Switched to Remicade7

Number of Participants With Infusion-Related Reactions/Hypersensitivity

The number of participants with infusion-related reactions and/or hypersensitivity was evaluated. An infuson-related reaction/hypersensitivity was defined as as an acute reaction, including anaphylactic shock that occurs after the onset of the infusion or within the 1- to 2-hour observation period following the end of the infusion. Delayed hypersensitivity reactions (myalgia and/or arthralgia with fever and rash within 14 days of the infusion) were included. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade173
Standard Therapy1
Switched to Remicade28

Number of Participants With Lymphoproliferative Disorders/Malignancies

The number of participants wtih lymphoproliferative disorders and/or malignancies was evaluated. A lymphoproliferative disorder and /or malignancy included, but was not limited to, lymphoma, gastrointestinal cancer, skin cancer (including basocellular and squamous carcinoma, melanoma) and in situ cervical carcinoma. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade49
Standard Therapy21
Switched to Remicade8

Number of Participants With New or Worsening Congestive Heart Failure

The number of participants with new or worsening congestive heart failure was evaluated throughout the study. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade1
Standard Therapy1
Switched to Remicade0

Number of Participants With Serious Infections

The number of participants experiencing serious infections was evaluated. Serious infections included, but were not limited to, tuberculosis, opportunistic infections (such as Pneumocystis carinii [PCP] pneumonia, listeriosis, atypical mycobacteria, and histoplasmosis), salmonellosis,and serious viral infections. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade132
Standard Therapy47
Switched to Remicade18

Duration of Participant Hospital Stays for Crohn's Disease in the Prior 6 Months

The duration of hospital stays for Crohn's Disease in the prior 6 months was evaluated at each study visit. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionDays (Mean)
Visit 1 (Baseline; n=657,418 ,0)Visit 2 (n=304,126, 33)Visit 3 (n=216, 58, 35)Visit 4 (n=151, 60, 24)Visit 5 (n=105, 35, 34)Visit 6 (n=107, 49, 19)Visit 7 (n=109, 45, 25)Visit 8 (n=98, 29, 23)Visit 9 (n=80, 38, 17)Visit 10 (n=85, 29, 27)Visit 11 (n=63, 19, 18)
Remicade12.214.414.212.611.710.810.69.512.410.111.4
Standard Therapy10.812.09.48.59.813.710.216.36.98.08.7
Switched to RemicadeNA13.013.59.17.118.310.014.710.79.018.1

Number of Participant Hospital Stays for Crohn's Disease in the Prior 6 Months

The number of participant hospital stays for Crohn's Disease in the prior 6 months was evaluated at each study visit. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionHospital Stays (Mean)
Visit 1 (Baseline; n=1539, 1121, 0)Visit 2 (n=1418, 920, 100)Visit 3 (n=1334, 827, 152)Visit 4 (n=1285, 779, 168)Visit 5 (n=1221, 714, 188)Visit 6 (n=1170, 665, 208)Visit 7 (n=1111, 615, 219)Visit 8 (n=1099, 589, 233)Visit 9 (n=1046, 562, 229)Visit 10 (n=1031, 535, 235)Visit 11 (n=1006, 541, 248)
Remicade0.70.30.30.20.10.10.10.10.10.10.1
Standard Therapy0.50.20.10.20.10.10.10.10.10.10.1
Switched to RemicadeNA0.50.40.20.30.10.20.10.10.10.1

Number of Participant Surgical Procedures for Crohn's Disease in the Prior 6 Months

The number of participants undergoing surgical procedures for Crohn's Disease in the prior 6 months was evaluated at each study visit. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionSurgical Procedures (Number)
Visit 1 (Basline; n=660, 419, 0)Visit 2 (n=304, 126, 33)Visit 3 (n=217, 57, 36)Visit 4 (n=153, 60, 24)Visit 5 (n=106, 36, 34)Visit 6 (n=108, 49, 19)Visit 7 (n=109, 45, 25)Visit 8 (n=98, 29, 23)Visit 9 (n=82, 38, 17)Visit 10 (n=85, 29, 27)Visit 11 (n=63, 19, 18)
Remicade1711351216850494843383834
Standard Therapy815123161421201213136
Switched to RemicadeNA7128141167888

Number of Participants With a Draining Fistula By Study Visit

The number of participants with a draining fistula was evaluated at each study visit. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionParticipants (Number)
Visit 1 (Baseline; n=1541, 1120, 0)Visit 2 (n=1420, 920, 100)Visit 3 (n=1334, 827, 152)Visit 4 (n=1285, 779, 168)Visit 5 (n=1221, 714, 188)Visit 6 (n=1169, 666, 208)Visit 7 (n=1110, 615, 219)Visit 8 (n=1097, 588, 233)Visit 9 (n=1046, 562, 229)Visit 10 (n=1030, 535, 235)Visit 11 (n=1006, 541, 248)
Remicade34921117014612511497105988587
Standard Therapy9651413129263123321516
Switched to RemicadeNA16191215151516152020

Participant Assessment of Overall Health Status By Study Visit

The participant assessment of overall health status was evaluated at baseline and each study visit. The overall health status questionnaire asked participants to rate their current health status over the prior 24 hours as 1=best possible, 2=much better than average, 3=better than average, 4=average, 5=worse than average, 6=much worse than average, or 7=worst possible. Scores ranged from 1 to 7 with lower scores indicating better health status. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionScore on a Scale (Mean)
Visit 1 (Baseline; n=1526, 1116, 0)Visit 2 (n=1344, 903, 95)Visit 3 (n=1280, 809, 146)Visit 4 (n=1217, 755, 162)Visit 5 (n=1160, 704, 184)Visit 6 (n=1110, 649, 202)Visit 7 (n=1046, 606, 212)Visit 8 (n=1044, 573, 221)Visit 9 (n=999, 544, 223)Visit 10 (n=963, 520, 227)Visit 11 (n=956, 527, 235)
Remicade4.33.33.23.23.13.13.13.13.13.03.0
Standard Therapy3.93.33.13.03.13.03.03.02.92.82.8
Switched to RemicadeNA3.93.63.53.23.43.33.23.23.13.1

The Harvey-Bradshaw Index of Crohn's Disease Activity By Study Visit

The Harvey-Bradshaw Index of Crohn's Disease Acitivity was evaluated at each study visit. The Harvey-Bradshaw Index evaluates participants' general health in the day prior in the domains of well being, abdominal pain, number of liquid stools per day, and abdominal mass and complications and was evaluated on the day of the study visit. The score is derived from a 0-4 score for general well being, 0-3 for abdmonial pain, raw score for number of liquid stools per day, 0-3 for abdominal mass, and raw score for complications. The total score is from 0 to infinity, with lower scores indicating better outcomes. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionScore on a Scale (Mean)
Visit 1 (Baseline; n=1505, 1106, 0)Visit 2 (n=1320, 876, 91)Visit 3 (n=1250, 785, 143)Visit 4 (n=1196, 742, 159)Visit 5 (n=1127, 692, 181)Visit 6 (n=1070, 647, 199)Visit 7 (n=1023, 592, 209)Visit 8 (n=1015, 562, 224)Visit 9 (n=953, 546, 219)Visit 10 (n=936, 526, 225)Visit 11 (n=918, 525, 238)
Remicade8.24.13.73.83.73.63.63.63.63.43.4
Standard Therapy6.23.83.53.23.43.13.03.22.92.72.7
Switched to RemicadeNA6.04.44.84.94.54.14.14.44.34.2

Work/Daily Activity Status Score By Study Visit

The participant work/daily activity status score was evaluated at each study visit. The work/daily activity questionnaire asked participants to rate their level of daily functioning on a scale of 1 to 10 with a lower score indicating less of an impact of Crohn's disease on work or daily life functioning. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionScore on a Scale (Mean)
Visit 1 (Baseline; n=1496, 1108, 0)Visit 2 (n=1316, 895, 94)Visit 3 (n=1235, 797, 143)Visit 4 (n=1192, 738, 159)Visit 5 (n=1128, 694, 179)Visit 6 (n=1077, 638, 201)Visit 7 (n=1030, 601, 207)Visit 8 (n=1025, 571, 221)Visit 9 (n=982, 542, 222)Visit 10 (n=934, 514, 225)Visit 11 (n=925, 521, 235)
Remicade5.94.23.83.63.43.33.23.33.33.13.2
Standard Therapy4.93.73.22.93.02.72.82.72.62.42.4
Switched to RemicadeNA5.54.84.34.03.93.63.53.53.63.6

Reviews

2 reviews available for azathioprine and Demyelinating Diseases

ArticleYear
Efficacy and safety of long-term immunotherapy in adult patients with MOG antibody disease: a systematic analysis.
    Journal of neurology, 2021, Volume: 268, Issue:12

    Topics: Adult; Autoantibodies; Azathioprine; Demyelinating Diseases; Humans; Immunologic Factors; Immunother

2021
[Chronic inflammatory demyelinating polyneuropathy: multifocal demyelinating neuropathy].
    No to shinkei = Brain and nerve, 1992, Volume: 44, Issue:8

    Topics: Adolescent; Adult; Aged; Azathioprine; Child; Chronic Disease; Demyelinating Diseases; Female; Human

1992

Trials

1 trial available for azathioprine and Demyelinating Diseases

ArticleYear
Combined azathioprine and prednisone in chronic inflammatory-demyelinating polyneuropathy.
    Neurology, 1985, Volume: 35, Issue:8

    Topics: Adult; Aged; Azathioprine; Demyelinating Diseases; Drug Combinations; Female; Humans; Male; Middle A

1985

Other Studies

18 other studies available for azathioprine and Demyelinating Diseases

ArticleYear
Astrocytoma with myelin oligodendrocyte glycoprotein antibody associated encephalomyelitis: A case report.
    Medicine, 2022, Oct-07, Volume: 101, Issue:40

    Topics: Aquaporin 4; Astrocytoma; Autoantibodies; Azathioprine; Demyelinating Diseases; Dizziness; Encephalo

2022
A case of combined central and peripheral demyelination in Zambia.
    Multiple sclerosis and related disorders, 2020, Volume: 40

    Topics: Adult; Azathioprine; Comorbidity; Demyelinating Diseases; Developing Countries; Glucocorticoids; Hum

2020
Inflammatory demyelinating diseases of the central nervous system in Niger.
    Revue neurologique, 2019, Volume: 175, Issue:4

    Topics: Adult; Aged; Azathioprine; Central Nervous System Diseases; Demyelinating Diseases; Disability Evalu

2019
An adult-onset multiphasic disseminated encephalomyelitis (MDEM) presenting favorable response to steroid therapy.
    Rinsho shinkeigaku = Clinical neurology, 2016, 12-28, Volume: 56, Issue:12

    Topics: Administration, Oral; Azathioprine; Brain; Demyelinating Diseases; Diagnosis, Differential; Drug The

2016
Five-year Safety Data From ENCORE, a European Observational Safety Registry for Adults With Crohn's Disease Treated With Infliximab [Remicade®] or Conventional Therapy.
    Journal of Crohn's & colitis, 2017, Jun-01, Volume: 11, Issue:6

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anti-Bacterial Agents; Anti-Inflammatory Agents; Azathio

2017
Chronic inflammatory demyelinating polyneuropathy: a 6-year retrospective clinical study of a hospital-based population.
    Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 2007, Volume: 14, Issue:3

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Azathioprine; Biopsy; Demyelinating Diseases; Female; Gr

2007
Acquired demyelinative polyneuropathy: diagnosis and treatment with special reference to immunosuppressive therapy.
    The Nebraska medical journal, 1984, Volume: 69, Issue:3

    Topics: Adult; Azathioprine; Demyelinating Diseases; Female; Humans; Immunosuppressive Agents; Male; Middle

1984
Treatment of Balo's concentric sclerosis with immunosuppressive drugs followed by multimodality evoked potentials and MRI.
    Muscle & nerve, 1995, Volume: 18, Issue:12

    Topics: Adolescent; Azathioprine; Cyclophosphamide; Demyelinating Diseases; Diffuse Cerebral Sclerosis of Sc

1995
Successful treatment of neuropathies in patients with diabetes mellitus.
    Archives of neurology, 1995, Volume: 52, Issue:11

    Topics: Aged; Azathioprine; Cyclophosphamide; Demyelinating Diseases; Diabetes Mellitus, Type 1; Diabetes Me

1995
Clinical and radiological features of two cases of tacrolimus-related posterior leukoencephalopathy in living related liver transplantation.
    Transplantation proceedings, 1998, Volume: 30, Issue:4

    Topics: Adult; Azathioprine; Brain Diseases; Cyclosporine; Demyelinating Diseases; Drug Therapy, Combination

1998
Interferon alpha-2a therapy and pregnancy. Report of a case of chronic inflammatory demyelinating polyneuropathy.
    Acta obstetricia et gynecologica Scandinavica, 1998, Volume: 77, Issue:8

    Topics: Adrenal Cortex Hormones; Adult; Azathioprine; Chronic Disease; Demyelinating Diseases; Female; Human

1998
A case of chronic sensory demyelinating neuropathy responding to immunotherapies.
    Muscle & nerve, 1992, Volume: 15, Issue:2

    Topics: Azathioprine; Demyelinating Diseases; Humans; Immunotherapy; Male; Middle Aged; Nervous System Disea

1992
[Immunomodulator therapy of chronic inflammatory demyelinating polyradiculoneuropathy].
    Ugeskrift for laeger, 1991, Aug-05, Volume: 153, Issue:32

    Topics: Adjuvants, Immunologic; Adult; Azathioprine; Chronic Disease; Demyelinating Diseases; Female; Humans

1991
Sclerosing hepatitis and azathioprine.
    Digestive diseases and sciences, 1986, Volume: 31, Issue:2

    Topics: Adult; Azathioprine; Chemical and Drug Induced Liver Injury; Demyelinating Diseases; Humans; Male

1986
Paraproteinemia associated with demyelinating polyneuropathy or myositis: treatment with plasmapheresis and immunosuppressive drugs.
    Artificial organs, 1985, Volume: 9, Issue:1

    Topics: Azathioprine; Cyclophosphamide; Demyelinating Diseases; Female; Humans; Immunosuppressive Agents; Ma

1985
Neurology and neuropathology of immunosuppressive therapy and acquired immunological deficiency.
    Research publications - Association for Research in Nervous and Mental Disease, 1971, Volume: 49

    Topics: Adolescent; Adult; Agammaglobulinemia; Aspergillus; Azathioprine; Brain; Brain Diseases; Candida; Ce

1971
Multiple sclerosis: reticulum cell sarcoma of the nervous system in a patient treated with immunosuppressive drugs.
    European neurology, 1974, Volume: 12, Issue:2

    Topics: Adrenocorticotropic Hormone; Adult; Autopsy; Azathioprine; Biopsy, Needle; Brain Neoplasms; Cortison

1974
Progressive multifocal leukoencephalopathy after renal transplantation. Demonstration of Papova-like virions.
    Annals of internal medicine, 1971, Volume: 75, Issue:1

    Topics: Adult; Autopsy; Azathioprine; Brain; Demyelinating Diseases; Encephalitis; Female; Gliosis; Humans;

1971