Evidence map›Paper›PMID 40109798›Full record

ArticleCureus2025

Avacopan as a Steroid-Sparing Therapy in Relapsing Granulomatosis With Polyangiitis.

Nisha Sapkota, Yubraj Aryal, Prasansa Basnet

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Nisha SapkotaMedicine, One Brooklyn Health-Interfaith Medical Center, New York, USA.
Yubraj AryalHospital Medicine, Geisinger Medical Center, Danville, USA.
Prasansa BasnetInternal Medicine, Kathmandu University, Biratnagar, NPL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Granulomatosis with polyangiitis (GPA) is a rare autoimmune disease that causes inflammation in small and medium-sized blood vessels, affecting organs such as the lungs, kidneys, and sinuses. We report the case of a 66-year-old man with relapsing GPA. He first presented with sinus and ear symptoms, which were managed with steroids and other immunosuppressive drugs. After many years of remission, he relapsed with nasal congestion, nosebleeds, and lung nodules. During his latest flare, he was treated with high-dose prednisone, rituximab, and avacopan, a new oral drug that blocks the C5a receptor. Avacopan helped reduce inflammation and allowed for a significant decrease in steroid use. The patient's rapid improvement supports the role of avacopan as a steroid-sparing agent in GPA management, offering a promising way to reduce the harmful side effects of long-term steroid therapy.

Indexed as

avacopangranulomatosis with polyangiitis (gpa)necrotizing and crescentic glomerulonephritisnecrotizing glomerulonephritiswegener’s granulomatosis

Identifiers

PMID40109798
PMCPMC11920855

What OpenQuestion holds

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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.