マジマ　マサコ   馬嶋　雅子    所属   医学部 医学科（東京女子医科大学病院）    職種   助教
論文種別	原著
言語種別	英語
査読の有無	査読なし
表題	Nation-wide Cohort Study of Remission Induction Therapy using Rituximab in Japanese patients with ANCA-Associated Vasculitis: effectiveness and safety in the first six months.
掲載誌名	正式名：Modern rheumatology 略　 称：Mod Rheumatol ISSNコード：14397609/14397595
巻・号・頁	pp.150
著者・共著者	Nagasaka Kenji, Amano Koichi, Dobashi Hiroaki, Nagafuchi Hiroko, Sada Ken-Ei, Komagata Yoshinori, Yamamura Masahiro, Kato Masaru, Endo Tomomi, Nakaya Izaya, Takeuchi Tsutomu, Murakawa Yohko, Sugihara Takahiko, Saito Masaya, Hayashi Taichi, Furuta Shunsuke, Tamura Naoto, Karasawa Kazunori, Banno Shogo, Endo Shuichiro, Majima Masako, Kaname Shinya, Arimura Yoshiriro, Harigai Masayoshi
発行年月	2022/12
概要	OBJECTIVES:To evaluate effectiveness and safety of rituximab (RTX) for microscopic polyangiitis (MPA) and granulomatosis with polyangiitis (GPA) in Japan.METHODS:In this prospective observational study, all patients with MPA and GPA administered RTX were enrolled at each institution. During observation period of two years, data up to six months was analysed. Cox proportional hazards analysis was used to assess the factors associated with an outcome.RESULTS:Of the 75 patients who received RTX for remission induction therapy, 53 achieved remission by 6th month and 50 were in remission at 6th month. During therapy, 38 serious adverse events (SAE) were observed in 24 patients, 21 serious infections (SI) in 16 patients, and nine patients died. No factors were associated with remission; however, there was a significant difference between patients with and without remission in SAE (22.6 vs. 54.5 %), SI (11.3 vs. 45.4 %), and death (1.9 vs. 36.4 %). The hazard ratio (95 % CI) for SI was 3.49 (1.29-9.74) for patients aged ≥ 75 years and 3.53 (1.31-9.53) for pulmonary complications. Four patients maintained remission for 6 months.CONCLUSIONS:Effectiveness and safety of RTX for MPA and GPA for up to 6 months was demonstrated.
DOI	10.1093/mr/roac150
PMID	36478050