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SHR Neuro Cancer Cardio Lipid Metab Microb

de, Groot, K; Aries, PM; Haubitz, M; Hellmich, B; Lamprecht, P; Thiel, J.
[Anti B-cell-antibody treatment for maintenance of remission in granulomatosis with polyangiitis and microscopic polyangiitis].
DEUT MED WOCHENSCHR. 2020; 145(1): 40-46. Doi: 10.1055/a-1060-2736
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Co-authors Med Uni Graz: Thiel Jens
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Abstract:: Granulomatosis with polyangiitis (GPA) and microscopic polyangiitis (MPA) are the most frequent primary necrotizing small vessel vasculitides. In these formerly fatal diseases remission can be induced by stage- and activity-adapted immunosuppressive regimens in the majority of patients. This does not lead to drug-free long-term remission or even cure. Consequently, maintenance of remission medication is needed. Recent randomized controlled trials demonstrated that maintenance treatment with the anti-B-cell antibody Rituximab, administered 6-monthly as opposed to azathioprine leads to a significantly lower relapse rate but a similar profile of adverse events. These data enabled the extension of the approval of Rituximab for maintenance of remission treatment of GPA and MPA in Germany in 2018. Guidelines and expert recommendations concerning measures of infection prevention and vaccination of immunosuppressed patients as well as the management of hypogammaglobulinemia and cytopenia on Rituximab are presented in this review.
Find related publications in this database (using NLM MeSH Indexing): Azathioprine - therapeutic use; Germany - administration & dosage; Granulomatosis with Polyangiitis - drug therapy; Humans - administration & dosage; Immunosuppressive Agents - therapeutic use; Microscopic Polyangiitis - drug therapy; Rituximab - therapeutic use
Find related publications in this database (Keywords): granulomatosis with polyangiitis; microscopic polyangiitis; maintenance of remission; B-cell; targeted therapy; Rituximab