Evidence map›Paper›PMID 24323392›Full record

ArticleAnnals of the rheumatic diseases2014

An open-label trial of abatacept (CTLA4-IG) in non-severe relapsing granulomatosis with polyangiitis (Wegener's).

Carol A Langford, Paul A Monach, Ulrich Specks, Philip Seo, David Cuthbertson, Carol A McAlear, Steven R Ytterberg, Gary S Hoffman, Jeffrey P Krischer, Peter A Merkel and 1 more

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
10.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00468208 phase1 / phase2completednot on this map

A Multi-Center, Open-label Pilot Study of Abatacept (CTLA4-Ig) in the Treatment of Mild Relapsing Wegener's Granulomatosis

TypeinterventionalSponsorUniversity of PennsylvaniaRan2008 to 2011Enrolled20ConditionsWegener's GranulomatosisArmsAbatacept
NCT04871191 phase3recruitingnot on this mapstarted 2025, after this paper: background citation

Salvage Therapy for Patients With Inadequate Response to Standard of Care Therapy in Granulomatosis With Polyangiitis

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2025 to 2029Enrolled42ConditionsGranulomatosis With Polyangiitis, Anti-neutrophil Cytoplasmic Antibody-associated VasculitisArmsRituximab, Tocilizumab, Tofacitinib
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 146 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Carol A LangfordCleveland Clinic, Cleveland, Ohio, USA.
Paul A MonachBoston University, Boston, Massachusetts, USA.
Ulrich SpecksMayo Clinic, Rochester, Minnesota, USA.
Philip SeoJohn Hopkins University, Baltimore, Maryland, USA.
David CuthbertsonUniversity of South Florida, Tampa, Florida, USA.
Carol A McAlearUniversity of Pennsylvania, Philadelphia, Pennsylvania, USA.
Steven R YtterbergMayo Clinic, Rochester, Minnesota, USA.
Gary S HoffmanCleveland Clinic, Cleveland, Ohio, USA.
Jeffrey P KrischerUniversity of South Florida, Tampa, Florida, USA.
Peter A MerkelBoston University, Boston, Massachusetts, USA University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Vasculitis Clinical Research Consortium
California University of Pennsylvania · USCleveland Clinic · USMayo Clinic · USUniversity of South Florida · USBoston University · USJohns Hopkins University · US

Funding

Institute for Clinical and Translational Research (UL1)UL1RR025005 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2007 to 2011
$75.8M
MAYO CLINIC CENTER FOR TRANSLATIONAL SCIENCE ACTIVITIESUL1RR024150 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$66.4M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025771 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI CENTER, DAVID M. · 2008 to 2011
$17.6M
VCRC-VF FellowshipU54AR057319 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI MERKEL, PETER A · 2009 to 2020
$12.5M
VASCULITIS CLINICAL RESEARCH NETWORK (VCRN): RARE DISEASEU54RR019497 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MERKEL, PETER A · 2003 to 2008
$6.1M
IDENTIFICATION AND VALIDATION OF BIOMARKERS FOR VASCULITISRC1AR058303 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MERKEL, PETER A, MONACH, PAUL A · 2009 to 2010
$1.0M
Development of an ANCA-Vasculitis Index of Damage (AVID)K23AR052820 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI SEO, PHILIP · 2005 to 2009
$661k
Studies in Scleroderma and Cystic Fibrosis OsteoporosisK24AR002224 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MERKEL, PETER A · 2001 to 2005
$609k
NCATS NIH HHS UL1 TR000135NCATS NIH HHS UL1 TR000439NCRR NIH HHS U54 RR019497NCRR NIH HHS UL1 RR024150NCRR NIH HHS UL1 RR025005NCRR NIH HHS UL1 RR025771NIAMS NIH HHS 1RC1 AR058303NIAMS NIH HHS K23 AR052820NIAMS NIH HHS K24 AR002224NIAMS NIH HHS RC1 AR058303NIAMS NIH HHS U54 AR057319NIAMS NIH HHS U54AR057319
6 · The paper itself

Abstract

objectivesTo determine the safety and efficacy of abatacept in non-severe relapsing granulomatosis with polyangiitis (Wegener's)(GPA).

methodsAn open-label trial of intravenous abatacept was conducted in 20 patients with non-severe relapsing GPA. Prednisone up to 30 mg daily was permitted within the first 2 months, and patients on methotrexate, azathioprine, or mycophenolate mofetil continued these agents. Patients remained on study until common closing or early termination.

resultsOf the 20 patients, 18 (90%) had disease improvement, 16 (80%) achieved remission (BVAS/WG=0) at a median of 1.9 months, and 14 (70%) reached common closing. Six patients (30%) met criteria for early termination due to increased disease activity; 3 of 6 achieved remission and relapsed at a median of 8.6 months. The median duration of remission before common closing was 14.4 months, with the median duration of time on study for all patients being 12.3 months (range 2-35 months). Eleven of the 15 (73%) patients on prednisone reached 0 mg. Nine severe adverse events occurred in 7 patients, including 7 infections that were successfully treated.

conclusionsIn this study of patients with non-severe relapsing GPA, abatacept was well tolerated and was associated with a high frequency of disease remission and prednisone discontinuation.

Indexed as

AbataceptAdolescentAdultAgedAnti-Inflammatory AgentsAzathioprineCohort StudiesDrug Therapy, CombinationFemaleGranulomatosis with PolyangiitisHumansImmunoconjugatesImmunosuppressive AgentsMaleMethotrexateMiddle AgedAbataceptAnti-Inflammatory AgentsAzathioprineImmunoconjugatesImmunosuppressive AgentsMethotrexateMycophenolic AcidPrednisoneGranulomatosis with polyangiitisSystemic vasculitisTreatment

Identifiers

PMID24323392
PMCPMC4149903
OpenAlexW2128938868

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.