1. Plasma Exchange and Glucocorticoids in Severe ANCA-Associated Vasculitis
- Author
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Lucy Smyth, Andrea Mazzetti, Charles D. Pusey, Lorraine Harper, Donna Reidlinger, Gina Gregorini, William F. Clark, Pexivas Investigators Pexivas Investigators, Adeera Levin, Toshiko Ito-Ihara, Chen-Au Peh, Xavier Puéchal, Ulrich Specks, Carmel M. Hawley, Oliver Floßmann, Simon Carette, Alina Casian, Wojciech Szczeklik, Peter A. Merkel, Janak de Zoysa, Nader Khalidi, David Jayne, Samir Mehta, Biljana Brezina, Ron Wald, Michael Walsh, Luis Felipe Flores-Suárez, Carol A. McAlear, L. Guillevin, Louis Girard, Natalie Ives, Wladimir Szpirt, Vladimir Tesar, Elizabeth Broadhurst, Christian Pagnoux, Shouichi Fujimoto, McMaster University [Hamilton, Ontario], Royal Adelaide Hospital [Adelaide Australia], Hôpital Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), University of Miyazaki, McMaster University, St. Joseph’s Healthcare, Royal Berkshire Hospital, St. Michael's Hospital, University of British Columbia (UBC), Università degli Studi di Brescia [Brescia], Mount Sinai Hospital [Toronto, Canada] (MSH), Mayo Clinic [Rochester], Charles University [Prague] (CU), Instituto Nacional de Enfermedades Respiratorias [México, Mexico], University of Cambridge [UK] (CAM), Addenbrooke's Hospital, and Cambridge University NHS Trust
- Subjects
MESH: Combined Modality Therapy ,medicine.medical_specialty ,Cyclophosphamide ,medicine.medical_treatment ,Azathioprine ,030204 cardiovascular system & hematology ,urologic and male genital diseases ,[SDV.MHEP.UN]Life Sciences [q-bio]/Human health and pathology/Urology and Nephrology ,Gastroenterology ,MESH: Dose-Response Relationship, Drug ,MESH: Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis ,03 medical and health sciences ,0302 clinical medicine ,Maintenance therapy ,immune system diseases ,Internal medicine ,Medicine ,MESH: Incidence ,cardiovascular diseases ,030212 general & internal medicine ,skin and connective tissue diseases ,Anti-neutrophil cytoplasmic antibody ,MESH: Aged ,MESH: Kidney Diseases ,MESH: Middle Aged ,MESH: Humans ,business.industry ,MESH: Cyclophosphamide ,MESH: Adult ,Glomerulonephritis ,General Medicine ,MESH: Plasma Exchange ,medicine.disease ,MESH: Induction Chemotherapy ,MESH: Male ,respiratory tract diseases ,3. Good health ,MESH: Kidney Failure, Chronic ,MESH: Administration, Oral ,Rituximab ,Plasmapheresis ,MESH: Immunosuppressive Agents ,MESH: Rituximab ,MESH: Glucocorticoids ,business ,Vasculitis ,MESH: Female ,medicine.drug - Abstract
BACKGROUND More effective and safer treatments are needed for antineutrophil cytoplasmic antibody (ANCA)–associated vasculitis. METHODS We conducted a randomized trial with a 2-by-2 factorial design to evaluate the use of plasma exchange and two regimens of oral glucocorticoids in patients with severe ANCA-associated vasculitis (defined by an estimated glomerular filtration rate of
- Published
- 2020