Evidence map›Paper›PMID 40814647›Full record

ArticleKidney international reports2025

Treatment With Avacopan in ANCA-Associated Vasculitis With Kidney Involvement.

Duvuru Geetha, Frank B Cortazar, Annette Bruchfeld, Andreas Kronbichler, Alexandre Karras, Georges N Nakhoul, Peter A Merkel, Sarah Bray, Alana M Bozeman, David R W Jayne and 1 more

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 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. Article
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  5. 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

11 authors.

Duvuru GeethaDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Frank B CortazarNew York Nephrology Vasculitis and Glomerular Center, Albany, New York, USA.
Annette BruchfeldDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Andreas KronbichlerDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Alexandre KarrasUniversité Paris Cité, Paris, France.
Georges N NakhoulDepartment of Kidney Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Peter A MerkelDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Sarah BrayDepartment of Biostatistics, Amgen Ltd, Cambridge, UK.
Alana M BozemanDepartment of Medical Affairs, Amgen Inc., Thousand Oaks, California, USA.
David R W JayneDepartment of Medicine, University of Cambridge, Cambridge, UK.
ADVOCATE Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Kidney disease impacts long-term outcomes of patients with granulomatosis with polyangiitis (GPA) and microscopic polyangiitis (MPA). This Methods: The analysis included a study population of 268 patients (of 330 patients, 81.2%). Key efficacy outcomes were remission at week 26, sustained remission at week 52, and relapse after remission through week 52. Changes in estimated glomerular filtration rate (eGFR) were analyzed overall and stratified by baseline eGFR categories (≥ 90, 60-89, 45-59, 30-44, and 15-29 ml/min per 1.73 m Results: Remission at week 26 and sustained remission at week 52, respectively, were respectively achieved by 99 of 134 (73.9%) and 91 of 134 (67.9%) patients in the avacopan group and 95 of 134 (70.9%) and 76 of 134 (56.7%) in the prednisone taper group. Relapse rate after remission was lower in the avacopan than in the prednisone taper group (9.4% vs. 20.9%; hazard ratio [95% confidence interval, CI]: 0.43 [0.22-0.85]). Recovery of kidney function, speed of reduction in albuminuria and hematuria, and changes in GTI favored the avacopan group. No new safety issues were reported for this subset of patients. Conclusion: In patients with GPA or MPA with kidney involvement, treatment with an avacopan regimen compared with a prednisone taper regimen achieved similar rates of remission, improved recovery of kidney function, led to faster reduction in albuminuria and hematuria, and lowered GC-related toxicity, with an acceptable safety profile.

Indexed as

ANCAcomplementgranulomatosis with polyangiitis (GPA)hematuriamicroscopic polyangiitis (MPA)proteinuria

Identifiers

PMID40814647
PMCPMC12348124

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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.