Evidence map›Paper›PMID 41183103›Full record

ReviewRheumatology (Oxford, England)2026

Addressing clinical challenges in ANCA-associated vasculitis with real-world evidence.

David Jayne

Abstract readReview
In one paragraph

Review in Rheumatology (Oxford, England), 2026. 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. 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

1 author.

David JayneDepartment of Medicine, University of Cambridge and Addenbrooke's Hospital, Cambridge, UK.ORCID 0000-0002-1712-0637

Funding

AstraZenecaVifor Fresenius Medical Care Renal Pharma AG
6 · The paper itself

Abstract

Key challenges in the management of ANCA-associated vasculitis (AAV) include the need to achieve more rapid and sustained remission, reduce exposure to glucocorticoids (GC) and reliably monitor and predict treatment response. Clinical trials in patients receiving rituximab or cyclophosphamide for AAV show that the adjunctive use of avacopan (a novel complement 5a receptor 1 [C5aR1] antagonist) for up to 1 year enables sustained AAV remission, considerable reductions in GC exposure, and greater recovery of kidney function, especially in patients with acute kidney injury. Additional real-world evidence suggests avacopan can be used to replace GC in patients with GC toxicity and supports the use of avacopan in AAV patients with rapidly progressing glomerulonephritis, pulmonary hemorrhage and/or refractory AAV. Future studies are needed to investigate the benefits of extending avacopan treatment beyond 1 year and in specific populations.

Indexed as

Anti-Neutrophil Cytoplasmic Antibody-Associated VasculitisAniline CompoundsCyclophosphamideGlucocorticoidsHumansImmunosuppressive AgentsNipecotic AcidsRemission InductionRituximabTreatment OutcomeAniline CompoundsavacopanCyclophosphamideGlucocorticoidsImmunosuppressive AgentsNipecotic AcidsRituximabAAVANCAANCA-associated vasculitisavacopanglucocorticoidsreal-world studies

Identifiers

PMID41183103
PMCPMC12783589

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.