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Heterogeneity of Vasculitis Challenges Rheumatologists

Larry Beresford  |  Issue: August 2016  |  August 11, 2016

“What is exciting is that the first-ever large randomized trial for Churg-Strauss syndrome is underway,” investigating the role of mepolizumab, a monoclonal antibody that targets an interleukin 5, in the treatment of CSS/EGPA, she said. Past studies have offered promise for this medication in the treatment of refractory/relapsing CSS/EGPA, but the effect may not be durable after the medication is stopped, based on evidence from a single investigation, Dr. Chung noted. “If successful, mepolizumab would be the first identified targeted therapy for CSS/EGPA, which represents a major advancement in the treatment of this disease.”


Larry Beresford is an Oakland, Calif.-based freelance medical journalist.

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References

  1. Villiger PM, Adler S, Kuchen S, et al. Tocilizumab for induction and maintenance of remission in giant cell arteritis: A Phase 2, randomised, double-blind, placebo-controlled trial. Lancet. 2016 May 7;387(10031):1921–1927.
  2. Langford CA, Cuthbertson D, Ytterberg SR, et al. A randomized double-blind trial of abatacept and glucocorticoids for the treatment of giant cell arteritis. Abstract 9L. 2015 American College of Rheumatology/Association of Rheumatology Health Professionals Annual Meeting: San Francisco. Date of first publication: 2015 Oct 27.
  3. Guillevin L, Pagnoux C, Karras A, et al. Ritux­imab versus azathioprine for maintenance in ANCA-associated vasculitis. N Engl J Med. 2014 Nov 6;371(19):1771–1780.
  4. Mohammad AJ, Hot A, Arndt F, et al. Rituximab for the treatment of eosinophilic granulomatosis with polyangiitis (Churg–Strauss). Ann Rheum Dis. 2016 Feb;75(2):396–401.

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Filed under:ConditionsResearch RheumVasculitis Tagged with:California Rheumatology Alliance 2016heterogeneityResearchrheumatologistrheumatologyVasculitis

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