Evidence map›Paper›PMID 27094598›Full record

ArticleRheumatology (Oxford, England)2016

Ofatumumab for B cell depletion therapy in ANCA-associated vasculitis: a single-centre case series.

Stephen P McAdoo, Rachna Bedi, Ruth Tarzi, Megan Griffith, Charles D Pusey, Thomas D Cairns

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Rheumatology (Oxford, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Review
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  4. Targeting CD20 for B-cell Depletion in Autoimmune Kidney Disease: Next Generation.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
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  17. Long-term follow-up of a combined rituximab and cyclophosphamide regimen in renal anti-neutrophil cytoplasm antibody-associated vasculitis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2019
    Article
  18. Review
  19. The European Vasculitis Society 2016 Meeting Report.Kidney international reports · 2017
    Article
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

6 authors at 3 institutions in 1 country.

Stephen P McAdooVasculitis Centre, Imperial College Healthcare NHS Trust Renal and Vascular Inflammation Section, Department of Medicine, Imperial College London, Hammersmith Hospital, London, UK s.mcadoo@imperial.ac.uk.
Rachna BediVasculitis Centre, Imperial College Healthcare NHS Trust.
Ruth TarziRenal and Vascular Inflammation Section, Department of Medicine, Imperial College London, Hammersmith Hospital, London, UK.
Megan GriffithVasculitis Centre, Imperial College Healthcare NHS Trust Renal and Vascular Inflammation Section, Department of Medicine, Imperial College London, Hammersmith Hospital, London, UK.
Charles D PuseyVasculitis Centre, Imperial College Healthcare NHS Trust Renal and Vascular Inflammation Section, Department of Medicine, Imperial College London, Hammersmith Hospital, London, UK.
Thomas D CairnsVasculitis Centre, Imperial College Healthcare NHS Trust.
Imperial College Healthcare NHS Trust · GBImperial College London · GBHammersmith Hospital · GB

Funding

Medical Research Council G0901997
6 · The paper itself

Abstract

objectivesB cell depletion is an effective treatment strategy in ANCA-associated vasculitis (AAV). Ofatumumab is a fully humanized anti-CD20 mAb that has shown efficacy in the treatment of haematological malignancy and RA. The use of ofatumumab in the treatment of AAV has not previously been reported.

methodsThis study was based on a case series of eight patients who received ofatumumab, in conjunction with low-dose CYC and oral steroids, in the treatment of AAV.

resultsEight patients received ofatumumab: seven for remission induction in active disease (three relapsing; four with new disease) and one for remission maintenance. B cell depletion was achieved in all patients by 1 month, and was sustained for at least 6 months. All patients with active disease achieved clinical remission (BVAS of zero, or BVAS ⩽5 if all scores due to persistent urinary abnormalities in the presence of stable or improving renal function) by 3 months. This was associated with a rapid fall in ANCA titres, reduced inflammatory responses and improvements in renal function. At 12 months, three patients had repopulated B cells associated with the recurrence of circulating ANCAs, although no patients experienced major clinical relapse in the first 24 months. No unexpected side effects were observed.

conclusionTreatment with ofatumumab resulted in similar serological and clinical responses to those seen in previous cohorts treated at our centre with a comparable CS, CYC and rituximab-based regimen. Ofatumumab should be considered an alternative B cell depleting agent in patients who are intolerant of, or unresponsive to, rituximab.

Indexed as

AdultAgedAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisB-LymphocytesFemaleHumansImmunologic FactorsLymphocyte DepletionMaleMiddle AgedRemission InductionRenal Insufficiency, ChronicYoung AdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedImmunologic FactorsofatumumabANCAB cellsbiologic therapiesgranulomatosis with polyangiitismicroscopic polyangiitisvasculitis

Identifiers

PMID27094598
PMCPMC4957674
OpenAlexW2337395477

What OpenQuestion holds

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Registered trials

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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.