Evidence map›Paper›PMID 25047592›Full record

Trial reportArthritis & rheumatology (Hoboken, N.J.)2014

Rituximab for the treatment of relapses in antineutrophil cytoplasmic antibody-associated vasculitis.

E M Miloslavsky, U Specks, P A Merkel, P Seo, R Spiera, C A Langford, G S Hoffman, C G M Kallenberg, E W St Clair, N K Tchao and 17 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Arthritis & rheumatology (Hoboken, N.J.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00104299 (Rituximab Therapy for the Induction of Remission and Tolerance in ANCA-Associated Vasculitis), which is not on this map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
8.7field-weighted citation impact, top 2% 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.

NCT00104299 phase2 / phase3completednot on this map

Rituximab Therapy for the Induction of Remission and Tolerance in ANCA-Associated Vasculitis (ITN021AI)

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2005 to 2010Enrolled197ConditionsVasculitis, Wegener's Granulomatosis, Microscopic PolyangiitisArmsRituximab plus cyclophosphamide placebo (rituximab group), Cyclophosphamide plus rituximab placebo (control group), Azathioprine, Methylprednisolone (or other glucocorticoid), Prednisone
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Interventions for renal vasculitis in adults.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Understanding the burden of ANCA-associated vasculitis.Rheumatology (Oxford, England) · 2026
    Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. [ANCA-associated vasculitides : State of the art].Zeitschrift fur Rheumatologie · 2019
    Review
  17. Pathogenesis of ANCA-Associated Pulmonary Vasculitis.Seminars in respiratory and critical care medicine · 2018
    Review
  18. Review
  19. Review
  20. Observational
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

27 authors at 13 institutions in 2 countries.

E M MiloslavskyMassachusetts General Hospital, Boston.
U Specks
P A Merkel
P Seo
R Spiera
C A Langford
G S Hoffman
C G M Kallenberg
E W St Clair
N K Tchao
L Viviano
L Ding
D Iklé
M Villarreal
B Jepson
P Brunetta
N B Allen
F C Fervenza
D Geetha
K Keogh
E Y Kissin
P A Monach
T Peikert
C Stegeman
S R Ytterberg
J H Stone
Rituximab in ANCA-Associated Vasculitis-Immune Tolerance Network Research Group
Mayo Clinic · USRho (United States) · USBoston University · USCleveland Clinic · USDuke Medical Center · USJohns Hopkins University · USMassachusetts General Hospital · USNational Institute of Allergy and Infectious Diseases · USHospital for Special Surgery · USImmune Tolerance Network · USUniversity Medical Center Groningen · NLUniversity of Groningen · NLUniversity of Pennsylvania · 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
YOGA INDUCED CHANGES IN BRAIN GABA LEVELSM01RR000533 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI HOLICK, MICHAEL F. · 1985 to 2008
$19.4M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025771 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI CENTER, DAVID M. · 2008 to 2011
$17.6M
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
Translational Research in Systemic VasculitisK24AR049185 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI STONE, JOHN H · 2003 to 2006
$351k
IMMUNE TOLERANCE NETWORK-266015416-266015416N01AI015416 · NIAID · REGENTS OF THE UNIVERSITY OF C · PI BLUESTONE, JEFFREY A · 2002 to 2006
–
NCRR NIH HHS 1 UL1-RR-024150-01NCRR NIH HHS M01 RR000533NCRR NIH HHS M01-RR-00533NCRR NIH HHS UL1 RR024150NCRR NIH HHS UL1 RR025005NCRR NIH HHS UL1 RR025771NCRR NIH HHS UL1-RR-025771NIAID NIH HHS N01 AI015416NIAMS NIH HHS K23 AR052820NIAMS NIH HHS K23-AR-052820NIAMS NIH HHS K24 AR002224NIAMS NIH HHS K24-AR-02224NIAMS NIH HHS K24 AR049185NIAMS NIH HHS K24-AR-049185
6 · The paper itself

Abstract

objectiveDisease relapses are frequent in antineutrophil cytoplasmic antibody-associated vasculitis (AAV). This study was undertaken to evaluate outcomes in patients with AAV who are re-treated with rituximab (RTX) and prednisone for severe disease relapses.

methodsThe Rituximab in AAV trial was a randomized, double-blind, placebo-controlled trial comparing the rates of remission induction among patients treated with RTX (n = 99) and patients treated with cyclophosphamide (CYC) followed by azathioprine (AZA) (n = 98). Prednisone was tapered to discontinuation after 5.5 months. After remission was achieved, patients who experienced a severe disease relapse between months 6 and 18 were eligible to receive RTX and prednisone on an open-label basis according to a prespecified protocol. Investigators remained blinded with regard to the original treatment assignment.

resultsTwenty-six patients received RTX for disease relapse after remission had initially been achieved with their originally assigned treatment. Fifteen of these patients were initially randomized to receive RTX and 11 to receive CYC/AZA. Thirteen (87%) of the patients originally assigned to receive RTX and 10 (91%) originally assigned to receive CYC/AZA achieved remission again with open-label RTX (an overall percentage of 88%). In half of the patients treated with open-label RTX, prednisone could be discontinued entirely. Patients in this cohort experienced fewer adverse events compared to the overall study population (4.7 adverse events per patient-year versus 11.8 adverse events per patient-year).

conclusionRe-treatment of AAV relapses with RTX and glucocorticoids appears to be a safe and effective strategy, regardless of previous treatment.

Indexed as

Antibodies, Monoclonal, Murine-DerivedAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisAntirheumatic AgentsAzathioprineCyclophosphamideDouble-Blind MethodDrug Therapy, CombinationGlucocorticoidsHumansPrednisoneProspective StudiesRecurrenceRemission InductionRituximabSecondary PreventionTime FactorsAntibodies, Monoclonal, Murine-DerivedAntirheumatic AgentsAzathioprineCyclophosphamideGlucocorticoidsPrednisoneRituximab

Identifiers

PMID25047592
PMCPMC4229846
OpenAlexW1694019824

What OpenQuestion holds

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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.