Vasculitis & polymyalgia rheumatica

Prospective study of complications and sequelae of glucocorticoid therapy in ANCA-associated vasculitis

RMD OpenPublished Prospective cohort study

Authors' conclusion

The GTI is capable of capturing GC toxicity in AAV and identifies patients at increased risk for GC side effects.

Study context

Population
Patients with confirmed antibodies-associated vasculitides (AAV)
Participants
138 patients
Outcome
GC toxicity assessed by the GTI (GTI-AIS and GTI-CWS) and its relationship with GC exposure, toxicity and disease activity
Follow-up
T1 baseline, t2 6 months later
Methodological detailsmonocentric
  • Monocentric

Main finding

As reported in the abstract

Median cumulative glucocorticoids (GC) dose (mg)
9014.0
GC exposure and toxicity significantly correlated
p<0.001
GTI-AIS significantly higher in active disease vs remission
p<0.001
GTI-CWS significantly higher in long-standing disease
p=0.013
GTI-CWS significantly higher with high cumulative GC doses
p=0.003

Observational data: associations, not effects.

Safety

Most frequent adverse events

Skin atrophy, osteoporosis and myopathy

Original publication

Prospective study of complications and sequelae of glucocorticoid therapy in ANCA-associated vasculitis. RMD Open. Published 29 February 2024. doi:10.1136/rmdopen-2023-003956

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