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Efficacy and safety of rituximab treatment in patients with antineutrophil cytoplasmic antibody-associated vasculitides: results from a German registry (GRAID).

AbstractOBJECTIVE:
Rituximab (RTX) therapy is a treatment option in patients with refractory antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV). We investigated the tolerability and clinical efficacy of RTX in a cohort of patients with refractory AAV.
METHODS:
Clinical and safety data of patients with AAV treated with RTX were retrospectively assessed from the data of a German national registry.
RESULTS:
In total, 58 patients were included in this analysis (50/58 with granulomatosis with polyangiitis; 8/58 with microscopic polyangiitis who received at least 1 cycle, 17 patients who received 2 cycles, and 3 patients who received 3 cycles of RTX). Response was classified as complete and partial in 22 (40%) and in 29 cases (52.7%), respectively. Four patients (7.3%) were classified as nonresponders.
CONCLUSION:
RTX was well tolerated with good clinical efficacy in patients with refractory AAV.
AuthorsPetra Roll, Eva Ostermeier, Marion Haubitz, Svjetlana Lovric, Leonore Unger, Julia Holle, Ina Kötter, Jörg C Henes, Raoul Bergner, Andrea Rubbert-Roth, Christof Specker, Hendrik Schulze-Koops, Ulf Müller-Ladner, Martin Fleck, Gerd-Rüdiger Burmester, Falk Hiepe, Stefan Heitmann, Martin Aringer, Rebecca Fischer-Betz, Thomas Dörner, Hans-Peter Tony
JournalThe Journal of rheumatology (J Rheumatol) Vol. 39 Issue 11 Pg. 2153-6 (Nov 2012) ISSN: 0315-162X [Print] Canada
PMID22984269 (Publication Type: Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't)
Chemical References
  • Antibodies, Monoclonal, Murine-Derived
  • Antirheumatic Agents
  • Rituximab
Topics
  • Adult
  • Aged
  • Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis (drug therapy, epidemiology)
  • Antibodies, Monoclonal, Murine-Derived (adverse effects, therapeutic use)
  • Antirheumatic Agents (adverse effects, therapeutic use)
  • Cohort Studies
  • Dose-Response Relationship, Drug
  • Female
  • Germany (epidemiology)
  • Humans
  • Male
  • Middle Aged
  • Registries
  • Retrospective Studies
  • Rituximab
  • Time Factors
  • Treatment Outcome

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