Evidence map›Paper›PMID 40677334›Full record

ArticleKidney international reports2025

Combination Cyclophosphamide and Rituximab to Minimize Glucocorticoid Use in Antineutrophil Cytoplasm Antibody-Associated Vasculitis.

Tania Salehi, Gavin B Chapman, Tariq E Farrah, Fiona A Chapman, Dan Pugh, Robert W Hunter, Neeraj Dhaun

Abstract read
In one paragraph

Article in Kidney international reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Glucocorticoid reduction in Glomerular Diseases.Kidney international reports · 2026
    Review
  2. 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

7 authors.

Tania SalehiDepartment of Renal Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK.
Gavin B ChapmanDepartment of Renal Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK.
Tariq E FarrahDepartment of Renal Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK.
Fiona A ChapmanDepartment of Renal Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK.
Dan PughDepartment of Renal Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK.
Robert W HunterDepartment of Renal Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK.
Neeraj DhaunDepartment of Renal Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The optimal duration of immunosuppressive therapy for antineutrophil cytoplasm antibody (ANCA)-associated vasculitis (AAV) is uncertain. Glucocorticoids are a mainstay of treatment but are associated with significant morbidity. Here, we describe outcomes of a cohort of patients treated with combination cyclophosphamide and rituximab induction alongside a rapidly tapering oral-only glucocorticoid regimen. Methods: In this retrospective, observational, cohort study, we identified patients presenting with AAV between 2011 and 2023 treated with combination cyclophosphamide and rituximab induction therapy. We analyzed biochemical, histologic, and outcome data, including time-to-remission and relapse rate. A subgroup analysis compared outcomes based on glucocorticoid duration. Results: A total of 112 patients with active AAV treated with combination cyclophosphamide and rituximab were identified (median age: 67 years; 85% kidney involvement; baseline estimated glomerular filtration rate [eGFR] 24 ml/min per 1.73 m Conclusion: Early withdrawal of oral glucocorticoid therapy in patients with severe AAV treated with combination cyclophosphamide and rituximab induction immunosuppression is safe and effective and may reduce morbidity, in particular serious infections.

Indexed as

ANCA vasculitiscyclophosphamideglucocorticoidsinduction treatmentrituximab

Identifiers

PMID40677334
PMCPMC12266221

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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.