Evidence map›Paper›PMID 39854178›Full record

ArticleACR open rheumatology2025

Treatment With Avacopan in Patients With Respiratory Tract Manifestations of Antineutrophil Cytoplasmic Antibody-Associated Vasculitis.

Ulrich Specks, Robert F Spiera, Lynn A Fussner, Robert Lebovics, Sarah Bray, Rachel E Gurlin, Darcy Trimpe, David R W Jayne, Peter A Merkel, ADVOCATE Study Group

Abstract read
In one paragraph

Article in ACR open rheumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Review
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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

10 authors.

Ulrich SpecksMayo Clinic, Rochester, Minnesota.ORCID https://orcid.org/0000-0002-6559-1206
Robert F SpieraHospital for Special Surgery, New York, New York.ORCID https://orcid.org/0000-0003-2911-6800
Lynn A FussnerThe Ohio State University Wexner Medical Center, Columbus, Ohio.
Robert LebovicsHackensack Meridian University Health System, Edison, New Jersey.
Sarah BrayAmgen Ltd, Cambridge, United Kingdom.
Rachel E GurlinAmgen Inc, Thousand Oaks, California.ORCID https://orcid.org/0000-0002-6139-4328
Darcy TrimpeAmgen Inc, Thousand Oaks, California.
David R W JayneUniversity of Cambridge, Cambridge, United Kingdom.ORCID https://orcid.org/0000-0002-1712-0637
Peter A MerkelUniversity of Pennsylvania, Philadelphia.ORCID https://orcid.org/0000-0001-9284-7345
ADVOCATE Study Group

Funding

Novel role of alpha-1 antitrypsin in monocyte-driven disease activity in ANCA-associated vasculitisK23HL168328 · NHLBI · OHIO STATE UNIVERSITY · PI Lynn Fussner · 2024 to 2026
$572k
AmgenChemoCentryx, Inc. (a wholly owned subsidiary of Amgen Inc.)NHLBI NIH HHS K23 HL168328
6 · The paper itself

Abstract

objectiveThe ADVOCATE trial demonstrated that treatment of active granulomatosis with polyangiitis (GPA) and microscopic polyangiitis (MPA) with avacopan was noninferior in achieving remission at week 26 and superior for sustained remission at week 52 compared with a prednisone taper. This analysis of ADVOCATE evaluated the efficacy and safety of avacopan in patients with ear, nose, throat (ENT), or lung manifestations.

methodsThis post hoc analysis included patients enrolled in ADVOCATE with ENT or lung manifestations at baseline. Outcomes included remission at weeks 26 and 52, respiratory tract manifestations over time, relapse rate, glucocorticoid-related toxicity, health-related quality of life (HRQoL), and safety.

resultsADVOCATE included 144 patients with ENT manifestations (avacopan: n = 75, prednisone taper: n = 69) and 142 with lung manifestations (avacopan: n = 71, prednisone taper: n = 71). Among patients with ENT manifestations, remission was achieved at week 26 by 72.0% (avacopan group) and 71.0% (prednisone taper group) and was sustained at week 52 by 62.7% (avacopan) and 53.6% (prednisone taper). Among patients with lung manifestations, remission was achieved at week 26 by 73.2% (avacopan) and 66.2% (prednisone taper) and sustained at week 52 by 67.6% (avacopan) and 53.5% (prednisone taper). The relapse rate, glucocorticoid toxicity, and measures of HRQoL favored avacopan for both respiratory tract manifestation groups. Safety was comparable across treatment groups.

conclusionPatients with GPA or MPA with ENT or lung manifestations demonstrated similar responses to avacopan, reflecting results reported in the overall ADVOCATE trial population and supporting the administration of avacopan in these subgroups.

Identifiers

PMID39854178
PMCPMC11760992

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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.