Vasculitis & polymyalgia rheumatica

Avacopan with combined cyclophosphamide and rituximab for induction therapy in severe anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis: retrospective observational study of 30 patients in two German referral centres

Clin Exp RheumatolPublished Retrospective observational study

Authors' conclusion

In this observational study, avacopan as GC-sparing agent appeared safe and efficacious in combination with RTX and CYC for remission induction in severe ANCA-associated vasculitis.

Study context

Population
Patients with severe AAV with renal and at least two further organ-threatening involvement, two German referral centres
Participants
30 patients
Outcome
Remission
Follow-up
Week 24
Methodological detailstwo German referral centres
  • Two German referral centres

Main finding

As reported in the abstract

  • All patients achieved remission by week 24

Observational data: associations, not effects.

Further findings

Events

OutcomeGC-freeGC-treatedOR (CI)P value
Dialysis dependency, GC-freevs GC-treated · week 24140.12 (0.01–1.25)P = 0.048

Safety

Avacopan discontinuation

Discontinued due to urosepsis
1
Discontinued due to refractory disease
1

Original publication

Avacopan with combined cyclophosphamide and rituximab for induction therapy in severe ANCA-associated vasculitis: retrospective observational study of 30 patients in two German referral centres. Clin Exp Rheumatol. Published 5 December 2024. doi:10.55563/clinexprheumatol/7sz0zp

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