Vasculitis & polymyalgia rheumatica

Reduced-dose versus high-dose glucocorticoids added to rituximab on remission induction in antineutrophil cytoplasm antibody (ANCA)-associated vasculitis: predefined 2-year follow-up study

Ann Rheum DisPublished Secondary analysis of the LoVAS randomised trial

Authors' conclusion

At 24 months, frequencies of relapse did not differ between the groups, and SAEs were less frequent in the reduced-dose group due to the lower event rate in the 6-month induction phase.

Study context

Population
New-onset AAV without severe glomerulonephritis or alveolar haemorrhage; rituximab maintenance (1 g/6 months) after remission134 analysed
Participants
140 participants
Comparison
Reduced-dose vs high-dose prednisolone, each plus rituximab
Methodological detailspredefined 2-year follow-up
  • Predefined 2-year follow-up

Primary result

As reported in the abstract

Relapse · 24 months

P = 0.311

Further findings

Prednisolone discontinuation among patients achieving remission

Median time to withdrawal Reduced-dose 150 days · High-dose 375 days

OutcomeReduced-doseHigh-doseP value
Death · 24 months2.8%— not stated in the abstractP = 0.225

— not stated in the abstract

Safety

Serious adverse events · 24 months

P = 0.025

Events Reduced-dose 36 · High-dose 54

Original publication

Reduced-dose versus high-dose glucocorticoids added to rituximab on remission induction in ANCA-associated vasculitis: predefined 2-year follow-up study. Ann Rheum Dis. Published 2 January 2024. doi:10.1136/ard-2023-224343

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