Vasculitis & polymyalgia rheumatica

Risk Factors for Relapse in Antineutrophil Cytoplasmic Antibody–Associated Vasculitis Among Patients With Relapse After Induction of Remission With Rituximab

Arthritis RheumatolPublished Secondary analysis of the RITAZAREM randomised trial

Authors' conclusion

Risk factors for relapse in AAV vary by treatment phase.

Study context

Population
Patients aged ≥15 years with relapsing AAV, PR3- or MPO-ANCA positive, in remission after reinduction with rituximab and GC (median age 59 [IQR 48–68] years; disease duration 5 [2–10] years)99 relapses (46 during maintenance)
Participants
170 patients
Comparison
Risk factors for relapse after rituximab reinduction, by phase: maintenance (rituximab or azathioprine) vs off-treatment
Primary endpoint
Relapse by the next visit, risk factors in the maintenance (months 4-24) and off-treatment (months 24-48) phases
Follow-up
Up to 48 months
Methodological detailspost hoc analysis, generalized estimating equations logistic regression
  • Post hoc analysis
  • Generalized estimating equations logistic regression

Primary result

As reported in the abstract

Risk factors for relapse

Maintenance phase: musculoskeletal involvement, OR

2.8

95% CI 1.1–7.2P = 0.03

Maintenance phase: higher patient global assessment, OR

1.1

95% CI 1.0–1.2P = 0.04

Off-treatment phase: presence of CD19+ B cells, OR

2.5

95% CI 1.2–5.1P = 0.01

Off-treatment phase: reappearance of antineutrophil cytoplasmic antibody (ANCA), OR

3.2

95% CI 1.3–7.7P = 0.01

Original publication

Risk Factors for Relapse in Antineutrophil Cytoplasmic Antibody–Associated Vasculitis Among Patients With Relapse After Induction of Remission With Rituximab. Arthritis Rheumatol. Published 16 March 2026. doi:10.1002/art.70025

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