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10.1136/annrheumdis-2014-206404

http://scihub22266oqcxt.onion/10.1136/annrheumdis-2014-206404
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25739829!ä!25739829

suck abstract from ncbi


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pmid25739829      Ann+Rheum+Dis 2015 ; 74 (6): 1178-82
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  • Rituximab versus cyclophosphamide in ANCA-associated renal vasculitis: 2-year results of a randomised trial #MMPMID25739829
  • Jones RB; Furuta S; Tervaert JW; Hauser T; Luqmani R; Morgan MD; Peh CA; Savage CO; Segelmark M; Tesar V; van Paassen P; Walsh M; Westman K; Jayne DR
  • Ann Rheum Dis 2015[Jun]; 74 (6): 1178-82 PMID25739829show ga
  • OBJECTIVES: The RITUXVAS trial reported similar remission induction rates and safety between rituximab and cyclophosphamide based regimens for antineutrophil cytoplasm antibody (ANCA)-associated vasculitis at 12 months; however, immunosuppression maintenance requirements and longer-term outcomes after rituximab in ANCA-associated renal vasculitis are unknown. METHODS: Forty-four patients with newly diagnosed ANCA-associated vasculitis and renal involvement were randomised, 3:1, to glucocorticoids plus either rituximab (375 mg/m(2)/weekx4) with two intravenous cyclophosphamide pulses (n=33, rituximab group), or intravenous cyclophosphamide for 3-6 months followed by azathioprine (n=11, control group). RESULTS: The primary end point at 24 months was a composite of death, end-stage renal disease and relapse, which occurred in 14/33 in the rituximab group (42%) and 4/11 in the control group (36%) (p=1.00). After remission induction treatment all patients in the rituximab group achieved complete B cell depletion and during subsequent follow-up, 23/33 (70%) had B cell return. Relapses occurred in seven in the rituximab group (21%) and two in the control group (18%) (p=1.00). All relapses in the rituximab group occurred after B cell return. CONCLUSIONS: At 24 months, rates of the composite outcome of death, end-stage renal disease and relapse did not differ between groups. In the rituximab group, B cell return was associated with relapse. TRIAL REGISTRATION NUMBER: ISRCTN28528813.
  • |Aged[MESH]
  • |Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/complications/drug therapy/immunology[MESH]
  • |Antibodies, Monoclonal, Murine-Derived/*therapeutic use[MESH]
  • |Azathioprine/*therapeutic use[MESH]
  • |B-Lymphocytes/cytology[MESH]
  • |Cyclophosphamide/*therapeutic use[MESH]
  • |Disease Progression[MESH]
  • |Disease-Free Survival[MESH]
  • |Drug Therapy, Combination[MESH]
  • |Female[MESH]
  • |Glucocorticoids/*therapeutic use[MESH]
  • |Granulomatosis with Polyangiitis/complications/*drug therapy/immunology[MESH]
  • |Humans[MESH]
  • |Immunosuppressive Agents/*therapeutic use[MESH]
  • |Kidney Failure, Chronic/etiology[MESH]
  • |Lymphocyte Count[MESH]
  • |Male[MESH]
  • |Microscopic Polyangiitis/complications/*drug therapy/immunology[MESH]
  • |Middle Aged[MESH]
  • |Renal Insufficiency, Chronic/*drug therapy/etiology/immunology[MESH]


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