Page last updated: 2024-10-30

leflunomide and Recrudescence

leflunomide has been researched along with Recrudescence in 30 studies

Leflunomide: An isoxazole derivative that inhibits dihydroorotate dehydrogenase, the fourth enzyme in the pyrimidine biosynthetic pathway. It is used an immunosuppressive agent in the treatment of RHEUMATOID ARTHRITIS and PSORIATIC ARTHRITIS.
leflunomide : A monocarboxylic acid amide obtained by formal condensation of the carboxy group of 5-methyl-1,2-oxazole-4-carboxylic acid with the anilino group of 4-(trifluoromethyl)aniline. The prodrug of teriflunomide.

Research Excerpts

ExcerptRelevanceReference
"To evaluate the effectiveness of leflunomide as a steroid-sparing agent among Indian patients with giant cell arteritis (GCA) and to assess the changes of "halo sign" within affected arteries, detected ultrasonographically, after remission."8.12Efficacy of leflunomide as a steroid-sparing agent in treatment of Indian giant cell arteritis patients: A 2-year follow-up study. ( Das, S; Datta, A; Ghosal, A; Goswami, RP; Sarkar, S; Sinha, D, 2022)
"To investigate the efficacy and safety of leflunomide (LEF) versus tofacitinib (TOF) in Takayasu arteritis (TAK) patients."8.12Efficacy and safety of tofacitinib versus leflunomide with glucocorticoids treatment in Takayasu arteritis: A prospective study. ( Chen, H; Dai, X; Ding, Z; Ji, Z; Jiang, L; Jin, X; Kong, X; Ma, L; Wang, J; Wu, S, 2022)
"Chronic anterior uveitis is a serious complication of juvenile idiopathic arthritis (JIA); disease flares are highly associated with loss of vision."5.42Leflunomide is associated with a higher flare rate compared to methotrexate in the treatment of chronic uveitis in juvenile idiopathic arthritis. ( Benseler, SM; Bichler, J; Haas, JP; Hügle, B; Krumrey-Langkammerer, M, 2015)
" This report aims to assess the effectiveness and safety of leflunomide (LEF) in Takayasu arteritis (TA) and giant cell arteritis (GCA)."5.41Efficacy and safety of leflunomide in the management of large vessel vasculitis: A systematic review and metaanalysis of cohort studies. ( Brugarolas, E; Estrada, P; LLop, D; Maymó-Paituvi, P; Narváez, J; Nolla, JM; Palacios-Olid, J; Vidal-Montal, P, 2023)
"Recurrences of COVID-19 were observed in a patient with long-term usage of hydroxychloroquine, leflunomide, and glucocorticoids due to her 30-year history of rheumatoid arthritis (RA)."5.05A complex COVID-19 case with rheumatoid arthritis treated with tocilizumab. ( Cai, S; Dong, L; Li, M; Sun, W, 2020)
"We report the case of a 60 year female patient suffering from rheumatoid arthritis for the last 25 years, under TNF-blocker and leflunomide, affected by a recurrent pneumothorax with several subpleural nodules, basal bronchiectasis and apical bullous emphysema."4.85[Referring to an unusual case: pulmonary affection and rheumatoid arthritis]. ( Borges, H; Frey, JG; Schnyder, JM; Tschopp, JM, 2009)
"To evaluate the effectiveness of leflunomide as a steroid-sparing agent among Indian patients with giant cell arteritis (GCA) and to assess the changes of "halo sign" within affected arteries, detected ultrasonographically, after remission."4.12Efficacy of leflunomide as a steroid-sparing agent in treatment of Indian giant cell arteritis patients: A 2-year follow-up study. ( Das, S; Datta, A; Ghosal, A; Goswami, RP; Sarkar, S; Sinha, D, 2022)
"To investigate the efficacy and safety of leflunomide (LEF) versus tofacitinib (TOF) in Takayasu arteritis (TAK) patients."4.12Efficacy and safety of tofacitinib versus leflunomide with glucocorticoids treatment in Takayasu arteritis: A prospective study. ( Chen, H; Dai, X; Ding, Z; Ji, Z; Jiang, L; Jin, X; Kong, X; Ma, L; Wang, J; Wu, S, 2022)
"A morning standard dose of 250 mcg tetracosactide (Synacthen test) was given in 25 consecutive patients (13 rheumatoid arthritis, 2 psoriatic arthritis, 5 systemic lupus erythematosus, 2 dermatomyositis, 1 systemic sclerosis, 2 temporal arteritis) at the time of relapse upon small reductions (1-2 mg daily) of low prednisolone dose (<7."4.12Impaired adrenal cortex reserve in patients with rheumatic and musculoskeletal diseases who relapse upon tapering of low glucocorticoid dose. ( Filippa, MG; Panopoulos, S; Sfikakis, PP; Spanos, E; Spanos, G; Tektonidou, MG; Yavropoulou, MP, 2022)
" All patients received GCs with a predefined taper regimen starting from a dosage of 0."2.94Additive effect of leflunomide and glucocorticoids compared with glucocorticoids monotherapy in preventing relapse of IgG4-related disease: A randomized clinical trial. ( Dong, C; Gao, D; Huang, F; Ji, X; Jin, J; Li, K; Li, Y; Liao, S; Luo, G; Wang, H; Wang, X; Wang, Y; Zhang, J; Zhang, Y; Zhao, Y; Zhao, Z; Zhu, J, 2020)
"LEF at a dosage of 30 mg/day appears to be effective in the prevention of major relapses in WG, however, this is associated with an increased frequency of adverse events."2.73Elevated relapse rate under oral methotrexate versus leflunomide for maintenance of remission in Wegener's granulomatosis. ( de Groot, K; Gross, WL; Hellmich, B; Iking-Konert, C; Manger, K; Metzler, C; Miehle, N; Reinhold-Keller, E, 2007)
"Leflunomide treatment was initiated at 20 mg/day and increased to 30 mg/day after 12 weeks and, in patients with partial remission, to 40 mg/day after 24 weeks."2.71Maintenance of remission with leflunomide in Wegener's granulomatosis. ( Fink, C; Gross, WL; Lamprecht, P; Metzler, C; Reinhold-Keller, E, 2004)
"In the past, recommendations for the treatment of Wegener's granulomatosis were primarily based on findings reported from open-label clinical trials."2.43Advances in the therapy of Wegener's granulomatosis. ( Gross, WL; Hellmich, B; Lamprecht, P, 2006)
" Clinical manifestation, IgG4-RD responder index (IgG-RD RI), serological indexes, gland ultrasound findings, and adverse drug effect were recorded."1.56Efficacy and safety of iguratimod on patients with relapsed or refractory IgG4-related disease. ( Bian, W; Chen, D; Chen, J; Fu, J; Li, Y; Li, Z; Liu, Y; Sun, X; Zhang, W; Zhang, Y; Zhao, X, 2020)
"Juvenile idiopathic arthritis is the most common chronic rheumatic disease of childhood resulting in disability in untreated cases."1.51Leflunomide treatment in juvenile idiopathic arthritis. ( Ayaz, NA; Çakan, M; Çakmak, F; Karadağ, ŞG; Sönmez, HE; Tanatar, A, 2019)
"Gender, age, and hypertension are associated with KD recurrence."1.43Clinicopathological features and prognosis of Kimura's disease with renal involvement in Chinese patients. ( Chen, Y; Liu, Z; Wang, J; Xu, F; Zeng, C, 2016)
"Episcleritis and scleritis are relatively rare ocular diseases, which are commonly associated with rheumatic diseases including systemic lupus erythematosus (SLE)."1.43[Clinical characteristics of 4 cases of scleritis associated with systemic lupus erythematosus]. ( Jia, Y; Miao, H; Wang, L; Yang, Y; Zhang, XY; Zhou, YS, 2016)
"Chronic anterior uveitis is a serious complication of juvenile idiopathic arthritis (JIA); disease flares are highly associated with loss of vision."1.42Leflunomide is associated with a higher flare rate compared to methotrexate in the treatment of chronic uveitis in juvenile idiopathic arthritis. ( Benseler, SM; Bichler, J; Haas, JP; Hügle, B; Krumrey-Langkammerer, M, 2015)
" No serious adverse events were observed."1.39Leflunomide plus oral prednisone in treatment of idiopathic membranous nephropathy: a retrospective clinical study of efficacy and safety. ( Lu, W; Xie, L; Xue, W; Yang, S; Yin, A, 2013)
"Extensive Wegener's granulomatosis (WG) is treated by glucocorticosteroids (GC) and cyclophosphamide (CYC)."1.34Rituximab for treatment-resistant extensive Wegener's granulomatosis--additive effects of a maintenance treatment with leflunomide. ( Fritz, J; Henes, JC; Horger, M; Kanz, L; Klein, R; Koch, S; Koetter, I; Risler, T, 2007)

Research

Studies (30)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (10.00)18.2507
2000's6 (20.00)29.6817
2010's11 (36.67)24.3611
2020's10 (33.33)2.80

Authors

AuthorsStudies
Das, S1
Goswami, RP1
Sinha, D1
Ghosal, A1
Datta, A1
Sarkar, S1
Wang, J2
Dai, X1
Ma, L2
Wu, S1
Jin, X1
Ji, Z1
Chen, H1
Ding, Z1
Jiang, L1
Kong, X1
Yavropoulou, MP1
Filippa, MG1
Panopoulos, S1
Spanos, E1
Spanos, G1
Tektonidou, MG1
Sfikakis, PP1
Wang, Y2
Zhao, Z2
Gao, D2
Wang, H2
Liao, S2
Luo, G2
Ji, X2
Li, Y3
Wang, X2
Zhao, Y2
Li, K2
Zhang, J4
Jin, J2
Zhang, Y3
Zhu, J2
Huang, F2
Narváez, J1
Estrada, P1
LLop, D1
Vidal-Montal, P1
Brugarolas, E1
Maymó-Paituvi, P1
Palacios-Olid, J1
Nolla, JM1
Liu, Y1
Bian, W1
Fu, J1
Sun, X1
Chen, D1
Chen, J1
Zhao, X1
Zhang, W1
Li, Z1
Tani, A1
Seno, T1
Yokoyama, N1
Nakagawa, T1
Tomiyasu, H1
Goto-Koshino, Y1
Tsujimoto, H1
Ohno, K1
Dong, C1
Navarro, CE1
Enríquez-Ruano, P1
Enríquez-Ruano, MN1
Cai, S1
Sun, W1
Li, M1
Dong, L1
Hočevar, A1
Ješe, R1
Rotar, Ž1
Tomšič, M1
Lee, JJY1
Alsaleem, A1
Chiang, GPK1
Limenis, E1
Sontichai, W1
Yeung, RSM1
Akikusa, J1
Laxer, RM1
Ayaz, NA1
Karadağ, ŞG1
Çakmak, F1
Çakan, M1
Tanatar, A1
Sönmez, HE1
Yang, S1
Xie, L1
Xue, W1
Yin, A1
Lu, W1
Bichler, J1
Benseler, SM1
Krumrey-Langkammerer, M1
Haas, JP1
Hügle, B1
Chen, Y1
Xu, F1
Zeng, C1
Liu, Z1
Wang, L1
Yang, Y1
Jia, Y1
Miao, H1
Zhou, YS1
Zhang, XY1
Kim, SH1
Yoo, WH1
Borges, H1
Schnyder, JM1
Frey, JG1
Tschopp, JM1
Henes, JC2
Schedel, J1
Kanz, L2
Koetter, I2
Goldsmith, PM1
Husain, MM1
Carmichael, A1
Zhang, H1
Middleton, SJ1
Adizie, T1
Christidis, D1
Dharmapaliah, C1
Borg, F1
Dasgupta, B1
Metzler, C2
Fink, C1
Lamprecht, P2
Gross, WL3
Reinhold-Keller, E2
Hellmich, B2
Jayne, D1
Fritz, J1
Koch, S1
Klein, R1
Horger, M1
Risler, T1
Miehle, N1
Manger, K1
Iking-Konert, C1
de Groot, K1
Hausen, B1
Morris, RE1
Guo, Z2
Mital, D2
Shen, J2
Chong, AS2
Tian, Y2
Foster, P2
Sankary, H2
McChesney, L2
Jensik, SC2
Williams, JW2

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
An Impaired Functional Reserve of Adrenal Cortex May Associate With difficult-to Treat RA: Can a Disturbed Cortisol Circadian Rhythm Serve as a Predictor of Difficult-to-treat RA?[NCT05671627]50 participants (Anticipated)Observational2022-02-02Recruiting
A Study of Safety and Efficacy of Leflunomide for Maintenance of Remission in IgG4 Related Disease[NCT02703194]Phase 468 participants (Actual)Interventional2016-03-31Completed
A Multicenter Randomized Placebo Controlled Treatment Study of Leflunomide in Polymyalgia Rheumatica[NCT03576794]Phase 394 participants (Anticipated)Interventional2019-03-01Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

7 reviews available for leflunomide and Recrudescence

ArticleYear
Efficacy and safety of leflunomide in the management of large vessel vasculitis: A systematic review and metaanalysis of cohort studies.
    Seminars in arthritis and rheumatism, 2023, Volume: 59

    Topics: Antirheumatic Agents; Cohort Studies; Giant Cell Arteritis; Glucocorticoids; Humans; Leflunomide; Me

2023
A complex COVID-19 case with rheumatoid arthritis treated with tocilizumab.
    Clinical rheumatology, 2020, Volume: 39, Issue:9

    Topics: Aged; Anti-Bacterial Agents; Antifungal Agents; Antirheumatic Agents; Antiviral Agents; Arthritis, R

2020
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
Recurrent pneumothorax associated with pulmonary nodules after leflunomide therapy in rheumatoid arthritis: a case report and review of the literature.
    Rheumatology international, 2011, Volume: 31, Issue:7

    Topics: Antirheumatic Agents; Arthritis, Rheumatoid; Female; Humans; Isoxazoles; Leflunomide; Middle Aged; M

2011
[Referring to an unusual case: pulmonary affection and rheumatoid arthritis].
    Revue medicale suisse, 2009, Nov-11, Volume: 5, Issue:225

    Topics: Anti-Bacterial Agents; Antirheumatic Agents; Arthritis, Rheumatoid; Bronchiectasis; Dyspnea; Female;

2009
Advances in the therapy of Wegener's granulomatosis.
    Current opinion in rheumatology, 2006, Volume: 18, Issue:1

    Topics: Antibodies, Monoclonal; Antibodies, Monoclonal, Murine-Derived; Azathioprine; Cyclophosphamide; Etan

2006
Review of immunosuppression for lung transplantation. Novel drugs, new uses for conventional immunosuppressants, and alternative strategies.
    Clinics in chest medicine, 1997, Volume: 18, Issue:2

    Topics: Graft Rejection; Humans; Immunosuppressive Agents; Isoxazoles; Leflunomide; Lung Transplantation; Ly

1997

Trials

3 trials available for leflunomide and Recrudescence

ArticleYear
Additive effect of leflunomide and glucocorticoids compared with glucocorticoids monotherapy in preventing relapse of IgG4-related disease: A randomized clinical trial.
    Seminars in arthritis and rheumatism, 2020, Volume: 50, Issue:6

    Topics: Drug Therapy, Combination; Glucocorticoids; Humans; Immunoglobulin G4-Related Disease; Immunosuppres

2020
Maintenance of remission with leflunomide in Wegener's granulomatosis.
    Rheumatology (Oxford, England), 2004, Volume: 43, Issue:3

    Topics: Adult; Aged; Antirheumatic Agents; Drug Therapy, Combination; Female; Glucocorticoids; Granulomatosi

2004
Elevated relapse rate under oral methotrexate versus leflunomide for maintenance of remission in Wegener's granulomatosis.
    Rheumatology (Oxford, England), 2007, Volume: 46, Issue:7

    Topics: Administration, Oral; Adult; Aged; Antibodies, Antineutrophil Cytoplasmic; C-Reactive Protein; Cyclo

2007

Other Studies

20 other studies available for leflunomide and Recrudescence

ArticleYear
Efficacy of leflunomide as a steroid-sparing agent in treatment of Indian giant cell arteritis patients: A 2-year follow-up study.
    International journal of rheumatic diseases, 2022, Volume: 25, Issue:6

    Topics: Follow-Up Studies; Giant Cell Arteritis; Humans; Leflunomide; Prednisolone; Recurrence; Steroids

2022
Efficacy and safety of tofacitinib versus leflunomide with glucocorticoids treatment in Takayasu arteritis: A prospective study.
    Seminars in arthritis and rheumatism, 2022, Volume: 55

    Topics: Glucocorticoids; Humans; Immunosuppressive Agents; Leflunomide; Piperidines; Prospective Studies; Py

2022
Impaired adrenal cortex reserve in patients with rheumatic and musculoskeletal diseases who relapse upon tapering of low glucocorticoid dose.
    Clinical and experimental rheumatology, 2022, Volume: 40, Issue:9

    Topics: Adrenal Cortex; Adrenal Cortex Hormones; Adrenal Insufficiency; Antirheumatic Agents; Arthritis, Rhe

2022
Clinical value of plasmablasts in predicting disease relapse in patients with IgG4-related disease.
    Clinical rheumatology, 2023, Volume: 42, Issue:1

    Topics: Chronic Disease; Humans; Immunoglobulin G; Immunoglobulin G4-Related Disease; Leflunomide; Plasma Ce

2023
Efficacy and safety of iguratimod on patients with relapsed or refractory IgG4-related disease.
    Clinical rheumatology, 2020, Volume: 39, Issue:2

    Topics: Adult; Aged; Chromones; Cyclophosphamide; Female; Glucocorticoids; Humans; Immunoglobulin G; Immunog

2020
Comparison of the efficacy of cyclosporine and leflunomide in treating inflammatory colorectal polyps in miniature dachshunds.
    The Journal of veterinary medical science, 2020, Apr-09, Volume: 82, Issue:4

    Topics: Animals; Colonic Polyps; Cyclosporine; Dog Diseases; Dogs; Female; Immunosuppressive Agents; Japan;

2020
Leflunomide-induced recurrent-transient ischaemic attacks in a patient with rheumatoid arthritis: first case report.
    European journal of clinical pharmacology, 2020, Volume: 76, Issue:9

    Topics: Aged, 80 and over; Arthritis, Rheumatoid; Humans; Immunosuppressive Agents; Ischemic Attack, Transie

2020
Does leflunomide have a role in giant cell arteritis? An open-label study.
    Clinical rheumatology, 2019, Volume: 38, Issue:2

    Topics: Aged; Drug Therapy, Combination; Female; Giant Cell Arteritis; Glucocorticoids; Humans; Immunosuppre

2019
Leflunomide treatment in juvenile idiopathic arthritis.
    Rheumatology international, 2019, Volume: 39, Issue:9

    Topics: Adolescent; Arthritis, Juvenile; Biological Products; Child; Child, Preschool; Drug Substitution; Fe

2019
Leflunomide plus oral prednisone in treatment of idiopathic membranous nephropathy: a retrospective clinical study of efficacy and safety.
    Nephrology (Carlton, Vic.), 2013, Volume: 18, Issue:9

    Topics: Administration, Oral; Adolescent; Adult; Aged; Biopsy; China; Drug Therapy, Combination; Female; Glo

2013
Leflunomide is associated with a higher flare rate compared to methotrexate in the treatment of chronic uveitis in juvenile idiopathic arthritis.
    Scandinavian journal of rheumatology, 2015, Volume: 44, Issue:4

    Topics: Antirheumatic Agents; Arthritis, Juvenile; Child; Child, Preschool; Chronic Disease; Cohort Studies;

2015
Clinicopathological features and prognosis of Kimura's disease with renal involvement in Chinese patients.
    Clinical nephrology, 2016, Volume: 85, Issue:6

    Topics: Adolescent; Adult; Angiolymphoid Hyperplasia with Eosinophilia; Anti-Inflammatory Agents; China; Fem

2016
[Clinical characteristics of 4 cases of scleritis associated with systemic lupus erythematosus].
    Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences, 2016, 12-18, Volume: 48, Issue:6

    Topics: Adrenal Cortex Hormones; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Antibodies, Antinucle

2016
Rituximab and concomitant leflunomide for the treatment of rheumatoid arthritis.
    Rheumatology international, 2010, Volume: 30, Issue:5

    Topics: Adult; Aged; Antibodies, Monoclonal; Antibodies, Monoclonal, Murine-Derived; Antirheumatic Agents; A

2010
Case report: Multidrug-resistant cytomegalovirus in a modified multivisceral transplant recipient.
    Transplantation, 2012, Apr-15, Volume: 93, Issue:7

    Topics: Adult; Antiviral Agents; Cidofovir; Cytomegalovirus; Cytomegalovirus Infections; Cytosine; Drug Resi

2012
Efficacy and tolerability of leflunomide in difficult-to-treat polymyalgia rheumatica and giant cell arteritis: a case series.
    International journal of clinical practice, 2012, Volume: 66, Issue:9

    Topics: Aged; Aged, 80 and over; Antirheumatic Agents; Case-Control Studies; Female; Giant Cell Arteritis; H

2012
Leflunomide versus methotrexate in Wegener's granulomatosis.
    Rheumatology (Oxford, England), 2007, Volume: 46, Issue:7

    Topics: Glucocorticoids; Granulomatosis with Polyangiitis; Humans; Immunosuppressive Agents; Isoxazoles; Lef

2007
Rituximab for treatment-resistant extensive Wegener's granulomatosis--additive effects of a maintenance treatment with leflunomide.
    Clinical rheumatology, 2007, Volume: 26, Issue:10

    Topics: Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Antibodies, Monoclonal; Antibodies, Monoclonal

2007
Differential effect of leflunomide on concordant xenogeneic islet graft rejection and recurrence of autoimmune diabetes.
    Transplantation proceedings, 1998, Volume: 30, Issue:2

    Topics: Animals; Autoimmunity; Diabetes Mellitus, Type 1; Graft Rejection; Immunosuppressive Agents; Islets

1998
Immunosuppression preventing concordant xenogeneic islet graft rejection is not sufficient to prevent recurrence of autoimmune diabetes in nonobese diabetic mice.
    Transplantation, 1998, May-27, Volume: 65, Issue:10

    Topics: Animals; Autoimmune Diseases; Diabetes Mellitus; Diabetes Mellitus, Experimental; Female; Graft Reje

1998