The role of rituximab in the treatment of ANCA-associated vasculitides (AAV)

The antineutrophil cytoplasmic antibody (ANCA) associated vasculitides (AAV) are a group of primary vasculitides that affect predominantly small- to medium-sized blood vessels. AAV include granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA) and eosinophilic granulomatosis with p...

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Main Authors: Thomas Daikeler, Andreas D. Kistler, Pierre-Yves Martin, Bruno Vogt, Uyen Huynh-Do
Format: Article
Language:English
Published: SMW supporting association (Trägerverein Swiss Medical Weekly SMW) 2015-01-01
Series:Swiss Medical Weekly
Subjects:
Online Access:https://www.smw.ch/index.php/smw/article/view/1980
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author Thomas Daikeler
Andreas D. Kistler
Pierre-Yves Martin
Bruno Vogt
Uyen Huynh-Do
author_facet Thomas Daikeler
Andreas D. Kistler
Pierre-Yves Martin
Bruno Vogt
Uyen Huynh-Do
author_sort Thomas Daikeler
collection DOAJ
description The antineutrophil cytoplasmic antibody (ANCA) associated vasculitides (AAV) are a group of primary vasculitides that affect predominantly small- to medium-sized blood vessels. AAV include granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA) and eosinophilic granulomatosis with polyangiitis (EGPA). Disease severity is dictated by the location and extent of the blood vessels affected. If left untreated, systemic forms of AAV are often fatal. The advent of immunosuppressive therapy (cyclophosphamide plus glucocorticoids) has revolutionised the prognosis for patients with AAV, transforming the course of the disease from fatal to one that can be managed, though not without significant treatment-related toxicity. Recently, the monoclonal antibody rituximab was approved for the treatment of GPA and MPA, providing the first major alternative to cyclophosphamide for induction therapy of AAV. This review explores the emerging role of rituximab in the management of this complex disorder.
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spelling doaj.art-9f9b32413dee44fc818901190436544a2022-12-22T03:04:16ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972015-01-01145050610.4414/smw.2015.14103The role of rituximab in the treatment of ANCA-associated vasculitides (AAV)Thomas DaikelerAndreas D. KistlerPierre-Yves MartinBruno VogtUyen Huynh-Do The antineutrophil cytoplasmic antibody (ANCA) associated vasculitides (AAV) are a group of primary vasculitides that affect predominantly small- to medium-sized blood vessels. AAV include granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA) and eosinophilic granulomatosis with polyangiitis (EGPA). Disease severity is dictated by the location and extent of the blood vessels affected. If left untreated, systemic forms of AAV are often fatal. The advent of immunosuppressive therapy (cyclophosphamide plus glucocorticoids) has revolutionised the prognosis for patients with AAV, transforming the course of the disease from fatal to one that can be managed, though not without significant treatment-related toxicity. Recently, the monoclonal antibody rituximab was approved for the treatment of GPA and MPA, providing the first major alternative to cyclophosphamide for induction therapy of AAV. This review explores the emerging role of rituximab in the management of this complex disorder. https://www.smw.ch/index.php/smw/article/view/1980rituximabfirst-line treatmentrelapsed/refractory diseasecyclophosphamideglucocorticoidsmethotrexate
spellingShingle Thomas Daikeler
Andreas D. Kistler
Pierre-Yves Martin
Bruno Vogt
Uyen Huynh-Do
The role of rituximab in the treatment of ANCA-associated vasculitides (AAV)
Swiss Medical Weekly
rituximab
first-line treatment
relapsed/refractory disease
cyclophosphamide
glucocorticoids
methotrexate
title The role of rituximab in the treatment of ANCA-associated vasculitides (AAV)
title_full The role of rituximab in the treatment of ANCA-associated vasculitides (AAV)
title_fullStr The role of rituximab in the treatment of ANCA-associated vasculitides (AAV)
title_full_unstemmed The role of rituximab in the treatment of ANCA-associated vasculitides (AAV)
title_short The role of rituximab in the treatment of ANCA-associated vasculitides (AAV)
title_sort role of rituximab in the treatment of anca associated vasculitides aav
topic rituximab
first-line treatment
relapsed/refractory disease
cyclophosphamide
glucocorticoids
methotrexate
url https://www.smw.ch/index.php/smw/article/view/1980
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