Vasculitis & polymyalgia rheumatica

Estimating 2-year risk of first relapse in antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis: derivation of a risk-prediction model based on participants in the PEXIVAS trial

Ann Rheum DisPublished Secondary analysis of the PEXIVAS randomised trial

Authors' conclusion

Our model estimates the risk of first relapse for individuals with AAV within 2 years after achieving disease remission.

Study context

Population
Participants with AAV with estimated glomerular filtration rate (eGFR) <50 mL/min/1.73 m² or diffuse alveolar haemorrhage, enrolled in a trial of plasma exchange and a reduced GC dosing regimen, who achieved disease remission100 relapsed within 2 years
Participants
649 participants
Primary endpoint
Risk of first relapse within 2 years of remission
Follow-up
2 years
Methodological detailspost hoc analysis, risk-prediction model derivation, LASSO regression, time-to-event analysis
  • Post hoc analysis
  • Risk-prediction model derivation
  • LASSO regression
  • Time-to-event analysis

Primary result

As reported in the abstract

Risk-prediction model performance for first relapse within 2 years of remission

Optimism-corrected Harrell's AUC

0.709

95% CI 0.707–0.710

Calibration slope

0.99

95% CI 0.65–1.34

Original publication

Estimating 2-year risk of first relapse in ANCA-associated vasculitis: derivation of a risk-prediction model based on participants in the PEXIVAS trial. Ann Rheum Dis. Published 23 September 2026. doi:10.1016/j.ard.2026.08.020

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