Renal and Vascular Inflammation Section, Department of Medicine, Commonwealth Building, Hammersmith Hospital, Du Cane Road, London W12 0NN, UK.
Nat Rev Nephrol. 2013 Nov;9(11):628-9. doi: 10.1038/nrneph.2013.204. Epub 2013 Oct 1.
Follow-up data from the RAVE trial have shown that rituximab is as effective as immunosuppression with cyclophosphamide followed by azathioprine in antineutrophil cytoplasmic antibody (ANCA) associated vasculitis. Rituximab is likely to become the standard of care for many patients with ANCA disease. However, an individualized approach is needed to identify those who require more-intense or prolonged therapy.
来自 RAVE 试验的随访数据显示,利妥昔单抗与环磷酰胺继以硫唑嘌呤免疫抑制治疗在抗中性粒细胞胞质抗体(ANCA)相关性血管炎方面同样有效。利妥昔单抗可能成为许多 ANCA 疾病患者的标准治疗方法。然而,需要采取个体化方法来确定那些需要更强化或延长治疗的患者。