Vasculitis & polymyalgia rheumatica

Phenotypic clusters of patients with Takayasu arteritis predict disease activity at presentation, damage and future vascular complications

Rheumatology (Oxford)Published Cluster analysis of multicentre cohorts

Authors' conclusion

Phenotypic clusters of TAK reflected distinct angiographic involvement with prognostic implications.

Study context

Population
Patients with TAK from three cohorts from India and Türkiye
Participants
564 patients3 cohorts
Comparison
Phenotypic clusters 2A and 2B vs cluster 1
Outcome
Clinical outcomes in cluster 2A vs cluster 1
Methodological detailsagglomerative hierarchical clustering, three cohorts from India and Türkiye, Cox regression
  • Agglomerative hierarchical clustering
  • Three cohorts from India and Türkiye
  • Cox regression

Main finding

As reported in the abstract

OR adjusted for centre
Each group vs cluster 1Estimate (95% CI)
Cluster 2A
aOR (initiation of GC) 0.51(0.31–0.83)
Cluster 2A
aOR (initiation of immunosuppressants) 0.35(0.20–0.60)
Cluster 2A
aOR (new-onset vascular complications) 0.22(0.07–0.74)

Further findings

OutcomeHR for death (95% CI)
Survival (mortality, Cox regression)Cluster 2Avs Cluster 10.99 (0.43–2.29)
Survival (mortality, Cox regression)Cluster 2Bvs Cluster 11.20 (0.84–1.70)

Survival (mortality, Cox regression)

Survival was similar across clusters

Original publication

Phenotypic clusters of patients with Takayasu arteritis predict disease activity at presentation, damage and future vascular complications. Rheumatology (Oxford). Published 20 September 2025. doi:10.1093/rheumatology/keaf505

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