Vasculitis & polymyalgia rheumatica

Association of baseline soluble immune checkpoints with the risk of relapse in PR3-ANCA vasculitis following induction of remission

Ann Rheum DisPublished Secondary analysis of the RAVE randomised trial

Authors' conclusion

Patients with AAV treated with rituximab achieved remission less frequently when concentrations of sLag-3 were low and concentrations of sCD27 were high. Higher concentrations of sTim-3, sCD27 and sBTLA at baseline predicted relapse in patients treated with rituximab.

Study context

Population
Patients with AAV (PR3- or MPO-ANCA vasculitis) in the RAVE trial with available baseline plasma samplesplasma samples at baseline
Participants
189 plasma samples
Comparison
Baseline soluble immune checkpoint concentrations vs treatment failure, relapse and infections; rituximab vs cyclophosphamide/azathioprine induction
  • MPO-ANCAn = 62
  • PR3-ANCAn = 127reference
  • Rituximabn = 95
  • Cyclophosphamide/azathioprinen = 94
Methodological detailsbiomarker study
  • Biomarker study

Primary result

As reported in the abstract

Rituximab, remission at 6 months: relapsed during follow-up

24 of 73

32.9%

Original publication

Association of baseline soluble immune checkpoints with the risk of relapse in PR3-ANCA vasculitis following induction of remission. Ann Rheum Dis. Published 16 August 2022. doi:10.1136/ard-2022-222479

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