Review Article

Anti-TNF-Alpha Therapy and Systemic Vasculitis

Table 3

Open label and randomized controlled trials performed in AAV.

ReferencesDesign/anti-TNF-α therapyNumber of patientsMain objectivesFollow-upMain resultsSide effects

Stone et al. [40]Open label trial ETN20 GPABVAS at 6 months adverse events during 6 months6 months3 points Decrease of BVAS (P < 0,05)Injection site reaction in 25%
95% of patients still taking ETN

WGET research group [41]Randomized controlled
trial
ETN versus placebo
180 GPA
(89 ETN, 91 placebo)
Sustained remission at 27 months
(BVAS = 0)
27 months69,7% for ETN
versus 75,3% for placebo (NS)
56,2% for ETN versus 57,1% for placebo had a life threatening event (NS)

Morgan et al.
[45]
Open label
trial IFX
33 (22 GPA, 11 MPA)
(16 IFX, 17 standard treatment)
Time to clinical remission (BVAS ≤ 1)12 monthsNo difference between the two groupsInfections in 8 patients for IFX and 7 for standard treatment (NS)

De Menthon et al. [44]Randomized controlled trial
IFX versus rituximab
17 GPA
(9 IFX, 8 RTX)
CR/PR
at month 12
12 monthsIFX: 2 CR, 1 PR
RTX: 4 CR, 1 PR
One death in
both groups
(invasive Aspergillosis for IFX and sudden death for RTX)

Laurino et al.
[46]
Phase 2
open label
trial ADA
14 (9 GPA,
5 MPA)
(i) Induction of remission within the first 14 weeks
(ii) time to remission
17 months(i) 78,5% achieved remission
(ii) Time to remission 12 weeks
Infections in 3 patients (1 mild and 2 severe including 1 death)

NS: Nonsignificant; RTX: rituximab; CP: complete remission; PR: partial remission.