PMID- 25658140 OWN - NLM STAT- MEDLINE DCOM- 20150921 LR - 20151119 IS - 1424-3997 (Electronic) IS - 0036-7672 (Linking) VI - 145 DP - 2015 TI - The role of rituximab in the treatment of ANCA-associated vasculitides (AAV). PG - w14103 LID - 10.4414/smw.2015.14103 [doi] AB - 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. FAU - Daikeler, Thomas AU - Daikeler T AD - Rheumatology, University Hospital Basel, Switzerland. FAU - Kistler, Andreas D AU - Kistler AD AD - Division of Nephrology, University Hospital, Zurich, Switzerland. FAU - Martin, Pierre-Yves AU - Martin PY AD - Nephrology Division, University Hospital and School of Medicine, Geneva, Switzerland. FAU - Vogt, Bruno AU - Vogt B AD - Department of Nephrology and Hypertension, Inselspital, University of Bern Medical School, Switzerland. FAU - Huynh-Do, Uyen AU - Huynh-Do U AD - Department of Nephrology and Hypertension, Inselspital, University of Bern Medical School, Switzerland. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20150206 PL - Switzerland TA - Swiss Med Wkly JT - Swiss medical weekly JID - 100970884 RN - 0 (Antibodies, Monoclonal, Murine-Derived) RN - 0 (Immunosuppressive Agents) RN - 4F4X42SYQ6 (Rituximab) SB - IM MH - Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/*drug therapy MH - Antibodies, Monoclonal, Murine-Derived/*therapeutic use MH - Humans MH - Immunosuppressive Agents/*therapeutic use MH - Remission Induction/methods MH - Rituximab EDAT- 2015/02/07 06:00 MHDA- 2015/09/22 06:00 CRDT- 2015/02/07 06:00 PHST- 2015/02/07 06:00 [entrez] PHST- 2015/02/07 06:00 [pubmed] PHST- 2015/09/22 06:00 [medline] AID - smw-14103 [pii] AID - 10.4414/smw.2015.14103 [doi] PST - epublish SO - Swiss Med Wkly. 2015 Feb 6;145:w14103. doi: 10.4414/smw.2015.14103. eCollection 2015.