Evidence map›Paper›PMID 34114739›Full record

ArticleACR open rheumatology2021

Comparison of Two Rituximab Induction Regimens for Antineutrophil Cytoplasm Antibody-Associated Vasculitis: Systematic Review and Meta-Analysis.

Valérie Bénard, Cynthia Farhat, Melissa Zarandi-Nowroozi, Madeleine Durand, Pierre Charles, Xavier Puéchal, Loic Guillevin, Christian Pagnoux, Jean-Paul Makhzoum

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Guideline
  2. [Diagnosis and treatment of ANCA-associated vasculitis : SHORT VERSION of the S3 guideline of the German Society for Rheumatology and Clinical Immunology e. V. (DGRh) and German Society for Internal Medicine e. V. (DGIM), German Society for Nephrology e. V. (DGfN), German Society for Otorhinolaryngology and Head and Neck Surgery e. V. (DGHNO-KHC), German Ophthalmological Society e. V. (DOG), German Society for Neurology e. V. (DGN), German Society for Pneumology and Respiratory Medicine e. V. (DGP), German Society for Pathology e. V. (DGP), German Radiological Society, Society for Medical Radiology e. V. (DRG), Federal Association of German Pathologists, Federal Kidney Association e. V., German Rheumatism League Federal Association e. V.]Zeitschrift fur Rheumatologie · 2025
    Guideline
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Top ten tips in managing ANCA vasculitis.Clinical kidney journal · 2025
    Review
  11. Review
  12. Review
  13. Article
  14. Updates in ANCA-associated vasculitis.European journal of rheumatology · 2022
    Article
  15. Article
  16. Review
  17. Review
  18. Review
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

9 authors at 5 institutions in 2 countries.

Valérie BénardCanadian Network for Research on Vasculitides, Hôpital Sacré-Coeur de Montréal, and University of Montreal, Montreal, Quebec, Canada.
Cynthia FarhatUniversity of Montreal, Montreal, Quebec, Canada.
Melissa Zarandi-NowrooziUniversity of Montreal, Montreal, Quebec, Canada.
Madeleine DurandCentre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.
Pierre CharlesNational Referral Center for Rare Systemic Autoimmune Diseases, Université de Paris, and Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, Paris, France.
Xavier PuéchalNational Referral Center for Rare Systemic Autoimmune Diseases, Université de Paris, and Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, Paris, France.ORCID https://orcid.org/0000-0003-3573-9203
Loic GuillevinNational Referral Center for Rare Systemic Autoimmune Diseases, Université de Paris, and Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, Paris, France.
Christian PagnouxCanadian Network for Research on Vasculitides, Mount Sinai Hospital, and University of Toronto, Toronto, Ontario, Canada.
Jean-Paul MakhzoumCanadian Network for Research on Vasculitides, Hôpital Sacré-Coeur de Montréal, and University of Montreal, Montreal, Quebec, Canada.ORCID https://orcid.org/0000-0003-4523-8525
Université Paris Cité · FRHôpital du Sacré-Cœur de Montréal · CAUniversité de Montréal · CACentre Hospitalier de l’Université de Montréal · CAMount Sinai Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study was to compare the efficacy and safety of two rituximab (RTX) regimens for the induction of remission in severe antineutrophil cytoplasm antibody-associated vasculitis (AAV): the four-dose (375 mg/m

methodsA systematic review was performed to identify studies using the four- and/or two-dose RTX regimens for induction of remission in severe AAV. Disease status 6 months after RTX infusion was required for inclusion. Patients were excluded if they received concomitant cyclophosphamide or plasma exchange. The primary end point was the proportion of patients in complete remission at 6 months. The pooled estimate was obtained by using meta-analysis methods for proportions with random effects. Secondary end points included antineutrophil cytoplasm antibody status, number of patients with B-cell depletion, mean prednisone dose, infections, and death.

resultsA total of 27 studies and 506 patients were included for analysis: 361 patients received the four-dose regimen, and 145 patients received the two-dose regimen. Most patients had relapsing disease at inclusion (83% and 92% of patients, respectively). There was no significant difference between the four- and two-dose regimens, with a complete remission achieved in 85% (95% confidence interval [CI]: 70-96) and 91% (95% CI: 79-99) of patients, respectively. At 6 months, both regimens were associated with a similar mean daily prednisone dose (8.1 mg), infections (12% in both), and death (1% vs 0%, respectively).

conclusionNo difference was found in terms of efficacy or safety between the four- and two-dose RTX regimens for induction of remission in severe AAV.

Identifiers

PMID34114739
PMCPMC8280814
OpenAlexW3167754380

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.