Page last updated: 2024-10-23

azathioprine and Drug Withdrawal Symptoms

azathioprine has been researched along with Drug Withdrawal Symptoms in 31 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
"In most patients with autoimmune hepatitis, remission can be maintained with prednisolone, usually in combination with azathioprine, but the majority of patients have a relapse when treatment is stopped and therefore require long-term therapy."9.08Azathioprine for long-term maintenance of remission in autoimmune hepatitis. ( Johnson, PJ; McFarlane, IG; Williams, R, 1995)
"The combination of cyclosporine, azathioprine and low-dose prednisolone leads to marked improvement of perianal fistulas in Crohn's disease."7.69Combination of cyclosporine, azathioprine and prednisolone for perianal fistulas in Crohn's disease. ( Aichbichler, B; Fickert, P; Hinterleitner, TA; Krejs, GJ; Petritsch, W; Ranner, G, 1997)
"In most patients with autoimmune hepatitis, remission can be maintained with prednisolone, usually in combination with azathioprine, but the majority of patients have a relapse when treatment is stopped and therefore require long-term therapy."5.08Azathioprine for long-term maintenance of remission in autoimmune hepatitis. ( Johnson, PJ; McFarlane, IG; Williams, R, 1995)
"The aim of this study was to evaluate the long-term adverse effect (AE) profile of azathioprine (AZA) plus methylprednisolone combined immunosuppressive treatment in myasthenia gravis (MG) in a larger patient cohort."3.73Safety of long-term combined immunosuppressive treatment in myasthenia gravis--analysis of adverse effects of 163 patients. ( Fornadi, L; Komoly, S; Lovas, G; Rozsa, C; Szabo, G, 2006)
"The combination of cyclosporine, azathioprine and low-dose prednisolone leads to marked improvement of perianal fistulas in Crohn's disease."3.69Combination of cyclosporine, azathioprine and prednisolone for perianal fistulas in Crohn's disease. ( Aichbichler, B; Fickert, P; Hinterleitner, TA; Krejs, GJ; Petritsch, W; Ranner, G, 1997)
" The primary outcome was time to a major flare of SLE which resulted in either the institution of or an increase in the current dosage of prednisone of 10 mg/day or more, or institution of therapy with immunosuppressive agents."2.69A long-term study of hydroxychloroquine withdrawal on exacerbations in systemic lupus erythematosus. The Canadian Hydroxychloroquine Study Group. ( Choquette, D; Cividino, A; Danoff, D; Esdaile, JM; Joseph, L; Osterland, CK; Senécal, JL; Smith, CD; Tsakonas, E; Yeadon, C, 1998)
"A total of 79 patients with hepatitis C, B, or both, transplanted between 1973 and 1990, were grouped according to whether they had AZA either withdrawn from the immunosuppressive regimen [group (G) I, n=45] or a dosage reduction only (group II, n=34)."2.69The impact of azathioprine on chronic viral hepatitis in renal transplantation: a long-term, single-center, prospective study on azathioprine withdrawal. ( Americo da Fonseca, J; David-Neto, E; Ianhez, LE; Jota de Paula, F; Nahas, WC; Sabbaga, E, 1999)
"51 patients with Crohn's disease who were in good health while taking azathiprine, 2 mg/kg body-weight/day, for at least six months were allocated either to a group in which azathioprine was continued or to one in which a control tablet was substituted."2.64Double-blind withdrawal trial of azathioprine as maintenance treatment for Crohn's disease. ( Bown, RL; Dawson, AM; Lennard-Jones, JE; O'Donoghue, DP; Powell-Tuck, J, 1978)
"Current treatment strategies in autoimmune hepatitis (AIH) include long-term treatment with corticosteroids and/or azathioprine."1.39Relapse is almost universal after withdrawal of immunosuppressive medication in patients with autoimmune hepatitis in remission. ( Beuers, U; Bouma, G; Brouwer, JT; Coenraad, MJ; de Man, RA; den Ouden, JW; Drenth, JP; Guichelaar, MM; Koek, GH; Mulder, CJ; van Buuren, HR; van Erpecum, KJ; van Gerven, NM; van Hoek, B; van Nieuwkerk, KM; Verdonk, RC; Verwer, BJ; Witte, BI, 2013)
"His tacrolimus dosage was decreased, and azathioprine was discontinued."1.33Tumor lysis syndrome associated with reduced immunosuppression in a lung transplant recipient. ( Deel, C; Hellman, RN; Khan, BA, 2006)
"Relapse of type 1 autoimmune hepatitis after drug withdrawal may relate to incomplete histological improvement during corticosteroid therapy and/or persistence of pathogenic mechanisms."1.32Histological features associated with relapse after corticosteroid withdrawal in type 1 autoimmune hepatitis. ( Carpenter, HA; Czaja, AJ, 2003)
"Treatment with azathioprine and prednisolone for immunosuppression had been discontinued 1 year before admission."1.28Idiopathic portal hypertension in a renal transplant patient after long-term azathioprine therapy. ( Becker, K; Brauer, M; Classen, M; Lorenz, R; Tornieporth, N, 1992)
"Azathioprine was withdrawn from five recipients after renal transplantation because of hepatic damage."1.26Acute irreversible rejection after withdrawal of azathioprine in renal allograft recipients. ( Hata, J; Hida, M; Nakamura, K; Nakayama, M; Saitoh, H; Satoh, T; Shinbo, T; Shiramizu, T; Tsuji, K, 1981)

Research

Studies (31)

TimeframeStudies, this research(%)All Research%
pre-199011 (35.48)18.7374
1990's13 (41.94)18.2507
2000's5 (16.13)29.6817
2010's2 (6.45)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Kabaçam, G1
Törüner, M1
Cassinotti, A1
Actis, GC1
Duca, P1
Massari, A1
Colombo, E1
Gai, E1
Annese, V1
D'Albasio, G1
Manes, G1
Travis, S1
Porro, GB1
Ardizzone, S1
van Gerven, NM1
Verwer, BJ1
Witte, BI1
van Hoek, B1
Coenraad, MJ1
van Erpecum, KJ1
Beuers, U1
van Buuren, HR1
de Man, RA1
Drenth, JP1
den Ouden, JW1
Verdonk, RC1
Koek, GH1
Brouwer, JT1
Guichelaar, MM1
Mulder, CJ1
van Nieuwkerk, KM1
Bouma, G1
Czaja, AJ1
Carpenter, HA1
Schulak, JA2
Rozsa, C1
Lovas, G1
Fornadi, L1
Szabo, G1
Komoly, S1
Khan, BA1
Deel, C1
Hellman, RN1
Ozaki, A1
Iwasaki, Y1
Miyajima, T1
Shiramizu, T1
Nakamura, K1
Hida, M1
Shinbo, T1
Nakayama, M1
Saitoh, H1
Satoh, T1
Hata, J1
Tsuji, K1
Johnson, PJ1
McFarlane, IG1
Williams, R1
Heim-Duthoy, KL1
Chitwood, KK1
Tortorice, KL1
Massy, ZA1
Kasiske, BL1
Sandborn, WJ1
Hay, JE1
Porayko, MK1
Gores, GJ1
Steers, JL1
Krom, RA1
Wiesner, RH1
Offermann, G2
Schwarz, A2
Krause, PH2
Padbury, RT1
Gunson, BK1
Dousset, B1
Hubscher, SG1
Buckels, JA1
Neuberger, JM1
Elias, E1
McMaster, P1
Hricik, DE1
Seliga, RM1
Fleming-Brooks, S1
Bartucci, MR1
Flachenecker, P1
Hartung, HP1
Ratcliffe, PJ1
Dudley, CR1
Higgins, RM1
Firth, JD1
Smith, B1
Morris, PJ1
Goldman, MH1
Davis, B1
Cruz, E1
Miller, P1
Stevens, SL1
Freeman, MB1
Tyler, JD1
Hinterleitner, TA1
Petritsch, W1
Aichbichler, B1
Fickert, P1
Ranner, G1
Krejs, GJ1
Tsakonas, E1
Joseph, L1
Esdaile, JM1
Choquette, D1
Senécal, JL1
Cividino, A1
Danoff, D1
Osterland, CK1
Yeadon, C1
Smith, CD1
David-Neto, E1
Americo da Fonseca, J1
Jota de Paula, F1
Nahas, WC1
Sabbaga, E1
Ianhez, LE1
Schmidt, P2
Kopsa, H2
Zazgornik, J2
Pils, P2
Balcke, P2
O'Donoghue, DP1
Dawson, AM1
Powell-Tuck, J1
Bown, RL1
Lennard-Jones, JE1
Dandavino, R1
Trunet, P1
Descamps, B1
Kreis, H1
Toussaint, C1
Kinnaert, P1
Vereerstraeten, P1
Dupont, E1
Van Geertruyden, J1
Lorenz, R1
Brauer, M1
Classen, M1
Tornieporth, N1
Becker, K1
Johann, D1
Neumayer, HH1
Scholle, J1
Stratta, RJ1
Armbrust, MJ1
Oh, CS1
Pirsch, JD1
Kalayoglu, M1
Sollinger, HW1
Belzer, FO1
Mieny, CJ1
Nel, PJ1
Becker, JH1
Pretorius, JP1
Karusseit, VO1
Brooke, BN1
Javett, SL1
Davison, OW1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Multicenter, Nationwide, Observational, Retrospective and Prospective Study Based on the Development of a Autoimmune Hepatitis Patient's Database Linked to a Biological Sample Storage[NCT06078098]10,000 participants (Anticipated)Observational [Patient Registry]2023-03-29Recruiting
Relevance of Monitoring Blood Levels Compared to Salivar Levels of Drugs Used in Rheumatic Autoimmune Diseases: Adherence and Understanding the Possible Underlying Mechanisms Involved in Effectiveness and in Adverse Effects[NCT03122431]Phase 493 participants (Actual)Interventional2017-06-05Completed
Hydroxychloroquine Exposure in Systemic Lupus Erythematosus (SLE)[NCT03802188]3,700 participants (Anticipated)Observational2018-05-09Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Serum Levels of Hydroxycloroquine

Serum levels of hydroxycloroquine by LCMS (NCT03122431)
Timeframe: 12 months

Interventionng/mL (Mean)
Inactive SLE With Standard Dose of HCQ991.6
Inactive SLE With Reduced Dose of HCQ569.0

Serum Levels of Thalidomide

Serum levels of thalidomide by liquid chromatography and tandem mass spectrometry (HPLC-MS/MS) (NCT03122431)
Timeframe: 12 months

Interventionng/mL (Mean)
SLE/Cutaneous Lupus With Thalidomide415.1

Reviews

2 reviews available for azathioprine and Drug Withdrawal Symptoms

ArticleYear
Can azathioprine 6-mercaptopurine treatment be withdrawn in patients with response in ulcerative colitis: what is the most appropriate time for this?
    The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology, 2012, Volume: 23 Suppl 2

    Topics: Azathioprine; Colitis, Ulcerative; Humans; Immunosuppressive Agents; Mercaptopurine; Substance Withd

2012
Steroid immunosuppression in kidney transplantation: a passing era.
    The Journal of surgical research, 2004, Volume: 117, Issue:1

    Topics: Adrenal Cortex Hormones; Azathioprine; Blood Pressure; Cyclosporine; Diabetes Mellitus; Graft Reject

2004

Trials

6 trials available for azathioprine and Drug Withdrawal Symptoms

ArticleYear
Azathioprine for long-term maintenance of remission in autoimmune hepatitis.
    The New England journal of medicine, 1995, Oct-12, Volume: 333, Issue:15

    Topics: Adolescent; Adult; Aged; Arthralgia; Autoimmune Diseases; Azathioprine; Disease-Free Survival; Femal

1995
Randomised controlled trial of steroid withdrawal in renal transplant recipients receiving triple immunosuppression.
    Lancet (London, England), 1996, Sep-07, Volume: 348, Issue:9028

    Topics: Adult; Aged; Azathioprine; Cadaver; Creatinine; Cyclosporine; Drug Therapy, Combination; Female; Gra

1996
Effects of azathioprine withdrawal in kidney recipients with stable function two years after transplant.
    Clinical transplantation, 1996, Volume: 10, Issue:6 Pt 2

    Topics: Azathioprine; Chronic Disease; Graft Rejection; Hematocrit; Humans; Immunosuppressive Agents; Kidney

1996
A long-term study of hydroxychloroquine withdrawal on exacerbations in systemic lupus erythematosus. The Canadian Hydroxychloroquine Study Group.
    Lupus, 1998, Volume: 7, Issue:2

    Topics: Adult; Antimalarials; Azathioprine; Cyclophosphamide; Female; Follow-Up Studies; Humans; Hydroxychlo

1998
A long-term study of hydroxychloroquine withdrawal on exacerbations in systemic lupus erythematosus. The Canadian Hydroxychloroquine Study Group.
    Lupus, 1998, Volume: 7, Issue:2

    Topics: Adult; Antimalarials; Azathioprine; Cyclophosphamide; Female; Follow-Up Studies; Humans; Hydroxychlo

1998
A long-term study of hydroxychloroquine withdrawal on exacerbations in systemic lupus erythematosus. The Canadian Hydroxychloroquine Study Group.
    Lupus, 1998, Volume: 7, Issue:2

    Topics: Adult; Antimalarials; Azathioprine; Cyclophosphamide; Female; Follow-Up Studies; Humans; Hydroxychlo

1998
A long-term study of hydroxychloroquine withdrawal on exacerbations in systemic lupus erythematosus. The Canadian Hydroxychloroquine Study Group.
    Lupus, 1998, Volume: 7, Issue:2

    Topics: Adult; Antimalarials; Azathioprine; Cyclophosphamide; Female; Follow-Up Studies; Humans; Hydroxychlo

1998
The impact of azathioprine on chronic viral hepatitis in renal transplantation: a long-term, single-center, prospective study on azathioprine withdrawal.
    Transplantation, 1999, Oct-15, Volume: 68, Issue:7

    Topics: Adult; Alanine Transaminase; Azathioprine; Bilirubin; Disease Progression; Dose-Response Relationshi

1999
Double-blind withdrawal trial of azathioprine as maintenance treatment for Crohn's disease.
    Lancet (London, England), 1978, Nov-04, Volume: 2, Issue:8097

    Topics: Adult; Aged; Azathioprine; Clinical Trials as Topic; Crohn Disease; Double-Blind Method; Drug Evalua

1978

Other Studies

23 other studies available for azathioprine and Drug Withdrawal Symptoms

ArticleYear
Maintenance treatment with azathioprine in ulcerative colitis: outcome and predictive factors after drug withdrawal.
    The American journal of gastroenterology, 2009, Volume: 104, Issue:11

    Topics: Adult; Analysis of Variance; Azathioprine; Cohort Studies; Colitis, Ulcerative; Dose-Response Relati

2009
Relapse is almost universal after withdrawal of immunosuppressive medication in patients with autoimmune hepatitis in remission.
    Journal of hepatology, 2013, Volume: 58, Issue:1

    Topics: Adolescent; Adrenal Cortex Hormones; Adult; Aged; Azathioprine; Child; Female; Follow-Up Studies; He

2013
Histological features associated with relapse after corticosteroid withdrawal in type 1 autoimmune hepatitis.
    Liver international : official journal of the International Association for the Study of the Liver, 2003, Volume: 23, Issue:2

    Topics: Adrenal Cortex Hormones; Adult; Azathioprine; Biopsy; Female; Follow-Up Studies; Hepatitis, Autoimmu

2003
Safety of long-term combined immunosuppressive treatment in myasthenia gravis--analysis of adverse effects of 163 patients.
    European journal of neurology, 2006, Volume: 13, Issue:9

    Topics: Azathioprine; Drug Therapy, Combination; Female; Humans; Immunosuppressive Agents; Longitudinal Stud

2006
Tumor lysis syndrome associated with reduced immunosuppression in a lung transplant recipient.
    Mayo Clinic proceedings, 2006, Volume: 81, Issue:10

    Topics: Aged; Azathioprine; Fatal Outcome; Humans; Immunosuppressive Agents; Liver Transplantation; Lymphopr

2006
Withdrawal of azathioprine after renal transplantation.
    Transplantation proceedings, 1980, Volume: 12, Issue:3

    Topics: Azathioprine; Creatinine; Humans; Immunoglobulin Idiotypes; Kidney Transplantation; Liver Diseases;

1980
Acute irreversible rejection after withdrawal of azathioprine in renal allograft recipients.
    The Tokai journal of experimental and clinical medicine, 1981, Volume: 6, Issue:3

    Topics: Adult; Azathioprine; Graft Rejection; Humans; Kidney Transplantation; Male; Substance Withdrawal Syn

1981
Elective cyclosporine withdrawal 1 year after renal transplantation.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 1994, Volume: 24, Issue:5

    Topics: Acute Disease; Adult; Azathioprine; Cyclosporine; Drug Administration Schedule; Female; Graft Reject

1994
Cyclosporine withdrawal for nephrotoxicity in liver transplant recipients does not result in sustained improvement in kidney function and causes cellular and ductopenic rejection.
    Hepatology (Baltimore, Md.), 1994, Volume: 19, Issue:4

    Topics: Azathioprine; Creatinine; Cyclosporine; Drug Therapy, Combination; Female; Follow-Up Studies; Graft

1994
Long-term effects of steroid withdrawal in kidney transplantation.
    Transplant international : official journal of the European Society for Organ Transplantation, 1993, Volume: 6, Issue:5

    Topics: Azathioprine; Creatinine; Cyclosporine; Graft Rejection; Graft Survival; Humans; Kidney; Kidney Tran

1993
Steroid withdrawal from long-term immunosuppression in liver allograft recipients.
    Transplantation, 1993, Volume: 55, Issue:4

    Topics: Adolescent; Adrenal Cortex Hormones; Adult; Aged; Azathioprine; Cyclosporine; Dose-Response Relation

1993
Determinants of long-term allograft function following steroid withdrawal in renal transplant recipients.
    Clinical transplantation, 1995, Volume: 9, Issue:5

    Topics: Adult; Aged; Azathioprine; Cyclosporine; Dose-Response Relationship, Drug; Female; Follow-Up Studies

1995
[EDMUS--a new European databank for multiple sclerosis. A brief introduction of ongoing and planned multicenter studies within the scope of the "European Concentrated Action for Multiple Sclerosis"].
    Der Nervenarzt, 1996, Volume: 67, Issue:4

    Topics: Azathioprine; Clinical Trials as Topic; Databases, Factual; Disability Evaluation; Europe; European

1996
Combination of cyclosporine, azathioprine and prednisolone for perianal fistulas in Crohn's disease.
    Zeitschrift fur Gastroenterologie, 1997, Volume: 35, Issue:8

    Topics: Adult; Azathioprine; Crohn Disease; Cyclosporine; Dose-Response Relationship, Drug; Drug Administrat

1997
Renal graft acceptance without azathioprine.
    Lancet (London, England), 1978, Aug-05, Volume: 2, Issue:8084

    Topics: Azathioprine; Graft Survival; Humans; Kidney Transplantation; Substance Withdrawal Syndrome; Transpl

1978
Prolonged withdrawal of azathioprine in kidney transplantation.
    Transplantation proceedings, 1978, Volume: 10, Issue:3

    Topics: Azathioprine; Creatinine; Graft Survival; Humans; Kidney Transplantation; Lymphocyte Activation; Lym

1978
Azathioprine is necessary in kidney transplantation.
    Transplantation, 1979, Volume: 27, Issue:2

    Topics: Adult; Azathioprine; Female; Graft Survival; Humans; Kidney Transplantation; Male; Middle Aged; Subs

1979
Cadaveric renal graft acceptance without azathioprine.
    Proceedings of the European Dialysis and Transplant Association. European Dialysis and Transplant Association, 1979, Volume: 16

    Topics: Azathioprine; Cadaver; Creatinine; Female; Graft Rejection; Graft Survival; Hematologic Diseases; He

1979
Idiopathic portal hypertension in a renal transplant patient after long-term azathioprine therapy.
    The Clinical investigator, 1992, Volume: 70, Issue:2

    Topics: Angiography; Azathioprine; Biopsy; Esophageal and Gastric Varices; Graft Rejection; Humans; Hyperten

1992
Late conversion from steroids to azathioprine in cyclosporin-treated renal graft recipients.
    Transplant international : official journal of the European Society for Organ Transplantation, 1989, Volume: 2, Issue:2

    Topics: Azathioprine; Biopsy; Cyclosporins; Graft Rejection; Humans; Immunosuppressive Agents; Kidney Transp

1989
Withdrawal of steroid immunosuppression in renal transplant recipients.
    Transplantation, 1988, Volume: 45, Issue:2

    Topics: Adult; Azathioprine; Cyclosporins; Female; Graft Rejection; Haplotypes; Histocompatibility Testing;

1988
Conversion from cyclosporin to azathioprine 3 months after renal transplantation--is it safe?
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 1987, Jun-06, Volume: 71, Issue:11

    Topics: Azathioprine; Cyclosporins; Graft Survival; Humans; Kidney Transplantation; Substance Withdrawal Syn

1987
Further experience with azathioprine for Crohn's disease.
    Lancet (London, England), 1970, Nov-21, Volume: 2, Issue:7682

    Topics: Adolescent; Adult; Azathioprine; Crohn Disease; Female; Humans; Intestinal Fistula; Klebsiella Infec

1970