Corticosteroid-free treatment of tocilizumab monotherapy for microscopic polyangiitis: a single-arm, single-center, clinical trial.

Abstract:

OBJECTIVES:To assess the efficacy of tocilizumab (TCZ) monotherapy for the remission induction of microscopic polyangiitis (MPA) in a prospective single-arm, single-center, cohort, pilot study. METHODS:Eligible patients were aged between 20 and 80 years and were newly diagnosed with MPA according to Watts' classification algorithm. Seven patients received 8 mg/kg of intravenous TCZ fortnightly for the first 2 months (5 courses), and monthly for the next 10 months (10 courses). One year after TCZ monotherapy, the patients were followed-up without any treatment. The protocol did not permit the use corticosteroids or any other immunosuppressants. Complete remission (CR) was defined as the Birmingham Vasculitis Activity Score of 0 at two consecutive visits made at least a month apart. RESULTS:CR was achieved in two of six patients (33.3%) at 6 months and three patients (50.0%) at 12 months. Two patients were withdrawn: one because of inefficacy at 6 weeks and the other because of flare at 6 months. One patient voluntarily withdrew after CR at 3 months. Four patients (66.7%) could be kept drug-free after 1 year of TCZ without relapse for 6-15 months at the last visit. CONCLUSION:TCZ monotherapy may be an alternative treatment strategy in some patients with MPA.

journal_name

Mod Rheumatol

journal_title

Modern rheumatology

authors

Sakai R,Kondo T,Kikuchi J,Shibata A,Chino K,Okuyama A,Takei H,Amano K

doi

10.3109/14397595.2016.1160968

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

900-907

issue

6

eissn

1439-7595

issn

1439-7609

journal_volume

26

pub_type

临床试验,杂志文章
  • Efficacy and safety of interleukin-1 inhibitors in familial Mediterranean fever patients complicated with amyloidosis.

    abstract:BACKGROUND:Colchicine is the mainstay of the treatment of familial Mediterranean fever (FMF). However, 10% of FMF patients do not respond well to colchicine. Efficacy of interleukin (IL)-1 inhibitors in reducing attacks have been demonstrated in colchicine-resistant FMF (crFMF) patients recently. Colchicine is still th...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2018.1457469

    authors: Varan Ö,Kucuk H,Babaoglu H,Guven SC,Ozturk MA,Haznedaroglu S,Goker B,Tufan A

    更新日期:2019-03-01 00:00:00

  • Efficacy and safety of baricitinib in Japanese patients with active rheumatoid arthritis: A 52-week, randomized, single-blind, extension study.

    abstract:OBJECTIVES:The objective of this study is to evaluate the efficacy and safety of long-term (64 weeks; 52-week extension of a 12-week study) baricitinib treatment in Japanese patients with active rheumatoid arthritis (RA) despite methotrexate therapy. METHODS:Patients (N = 145) with active RA were randomized to placebo...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/14397595.2017.1307899

    authors: Tanaka Y,Ishii T,Cai Z,Schlichting D,Rooney T,Macias W

    更新日期:2018-01-01 00:00:00

  • Cardiac involvement in patients with systemic lupus erythematosus and correlation of valvular lesions with anti-Ro/SS-A and anti-La/SS-B antibody levels.

    abstract::The aim of this study was to evaluate the incidence of morphologic and functional cardiac abnormalities in patients with systemic lupus erythematosus (SLE) and to correlate the findings with levels of anti-Ro/SS-A, anti-La/SS-B, and anti-cardiolipin antibody (aCL). Sixty-two patients with SLE were enrolled in this stu...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-004-0277-6

    authors: Shahin AA,Shahin HA,Hamid MA,Amin MA

    更新日期:2004-01-01 00:00:00

  • A case of IgG4-related tubulointerstitial nephritis and membranous glomerulonephritis during the clinical course of gastric cancer: Imaging features of IgG4-related kidney disease.

    abstract::We describe an 81-year-old man with immunoglobulin G4-related disease (IgG4-RD) presenting with submandibular gland, lymph node, lung, kidney, aortic wall, and prostate lesions with concomitant gastric cancer. After curative surgical treatment of the gastric cancer, corticosteroid therapy for progressively decreasing ...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2016.1245238

    authors: Horita S,Fujii H,Mizushima I,Fujisawa Y,Hara S,Yamada K,Inoue D,Nakajima K,Harada K,Kawano M

    更新日期:2019-05-01 00:00:00

  • Ultrasonography predicts achievement of Boolean remission after DAS28-based clinical remission of rheumatoid arthritis.

    abstract:OBJECTIVES:To determine whether ultrasonography (US) predicts Boolean remission in rheumatoid arthritis (RA) patients who had achieved disease activity score in 28 joints (DAS28)-based remission criteria. METHODS:Thirty-one RA patients in DAS28-based clinical remission were recruited. US semiquantitatively determined ...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2013.857800

    authors: Yoshimi R,Hama M,Minegishi K,Kishimoto D,Watanabe T,Kamiyama R,Kirino Y,Asami Y,Ihata A,Tsunoda S,Ueda A,Takeno M,Ishigatsubo Y

    更新日期:2014-07-01 00:00:00

  • Clinical and radiological results of non-cement impaction bone-graft method of total hip arthroplasty for rheumatoid arthritis.

    abstract::We performed total hip arthroplasty using the non-cement impaction auto-bone-grafting method with the resected femoral head for acetabular protrusion that is not combined with the destruction of acetabular rim or dysplasia of the hip joint. Ten patients (eight women and two men) with rheumatoid arthritis who showed ac...

    journal_title:Modern rheumatology

    pub_type: 临床试验,杂志文章

    doi:10.1007/s10165-007-0571-1

    authors: Mochida Y,Saito I,Akamatsu Y,Taki N,Mitsugi N,Saito T

    更新日期:2007-01-01 00:00:00

  • TAFRO syndrome: 2 cases and review of the literature.

    abstract::Recently, more than ten cases of thrombocytopenia, anasarca, fever, reticulin fibrosis, and organomegaly (TAFRO) syndrome or Castleman-Kojima disease exhibiting such symptoms as thrombocytopenia, anasarca, fever, reticulin fibrosis and organomegaly have been reported in Japan. We have found two cases of TAFRO syndrome...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,评审

    doi:10.3109/14397595.2015.1059982

    authors: Kawashima M,Usui T,Okada H,Mori I,Yamauchi M,Ikeda T,Kajita K,Kito Y,Miyazaki T,Fujioka K,Ishizuka T,Morita H

    更新日期:2017-11-01 00:00:00

  • Identification of clock as a mechanosensitive gene by large-scale DNA microarray analysis: downregulation in osteoarthritic cartilage.

    abstract::The chondrocytes of cartilage have so far been reported to include three mechanoresponsive genes: cartilage matrix protein (CMP, matrilin-1), type X collagen, and Indian hedgehog (Ihh). In fact, all of the genes identified in these chondrocytes are associated solely with mechanical stress. In this study we examined th...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-006-0469-3

    authors: Kanbe K,Inoue K,Xiang C,Chen Q

    更新日期:2006-01-01 00:00:00

  • SAA1 gene polymorphisms and the risk of AA amyloidosis in Japanese patients with rheumatoid arthritis.

    abstract::To investigate the precise modality of association between SAA1 gene polymorphisms and the development of AA amyloidosis in patients with rheumatoid arthritis (RA), Japanese patients with RA (n=153), among whom 29 were histologically diagnosed as having amyloidosis, were genotyped for three single nucleotide polymorph...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-006-0500-8

    authors: Ajiro J,Narita I,Sato F,Saga D,Hasegawa H,Kuroda T,Nakano M,Gejyo F

    更新日期:2006-01-01 00:00:00

  • Real-world practice of obstetricians in respect of assays for antiphospholipid antibodies.

    abstract:OBJECTIVE:The international classification criteria (CC) for definite antiphospholipid syndrome (APS) recommend confirmation of the sustained presence, for at least 12 weeks, of both lupus anticoagulant (LA), as determined by aPTT and RVVT, and anti β2glycoprotein I (β2GPI) or anticardiolipin (aCL) IgG and/or IgM. Howe...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2015.1023978

    authors: Sugiura-Ogasawara M,Atsumi T,Yamada H,Kitaori T,Ozaki Y,Katano K,Murashima A

    更新日期:2015-01-01 00:00:00

  • Aortitis in a patient with psoriatic arthritis.

    abstract::Aortitis, inflammation of the aortic tissue, is most commonly caused by vasculitic rheumatic conditions, and less frequently infectious organisms. Involvement of the aorta is well defined in HLA-B27-associated spondyloarthropathies such as long-standing ankylosing spondylitis and Reiter's syndrome. However, unlike oth...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-011-0566-9

    authors: Tufan A,Engin Tezcan M,Kaya A,Mercan R,Oner Y,Ozturk MA

    更新日期:2012-09-01 00:00:00

  • Effectiveness of abatacept for patients with Sjögren's syndrome associated with rheumatoid arthritis. An open label, multicenter, one-year, prospective study: ROSE (Rheumatoid Arthritis with Orencia Trial toward Sjögren's syndrome Endocrinopathy) trial.

    abstract:OBJECTIVE:To clarify the efficacy and safety of abatacept for secondary Sjögren's syndrome (SS) associated with rheumatoid arthritis (RA). METHODS:The primary endpoint of this open-labeled, prospective, observational multicenter study for secondary SS with RA was the remission rate of Simplified Disease Activity Index...

    journal_title:Modern rheumatology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.3109/14397595.2016.1158773

    authors: Tsuboi H,Matsumoto I,Hagiwara S,Hirota T,Takahashi H,Ebe H,Yokosawa M,Yagishita M,Takahashi H,Kurata I,Ohyama A,Honda F,Asashima H,Miki H,Umeda N,Kondo Y,Hirata S,Saito K,Tanaka Y,Horai Y,Nakamura H,Kawakami A,

    更新日期:2016-11-01 00:00:00

  • Increased incidence of pre-diabetes mellitus at a department of rheumatology: a retrospective study.

    abstract::We aimed to retrospectively review the incidence of pre-diabetes mellitus (preDM), one of the factors in metabolic syndrome screening, in patients with rheumatic diseases. We examined the levels of hemoglobin A1c (HbA1c) in a total of 498 patients with rheumatic diseases between April 2007 and March 2008 at the Depart...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-011-0433-8

    authors: Origuchi T,Yamaguchi S,Inoue A,Kazaura Y,Matsuo N,Abiru N,Kawakami A,Eguchi K

    更新日期:2011-10-01 00:00:00

  • Therapeutic angiogenesis in patients with systemic sclerosis by autologous transplantation of bone-marrow-derived cells.

    abstract::We examined the efficacy and safety of autologous transplantation of bone-marrow-derived cells in patients with intractable ulcers caused by systemic sclerosis. Eight patients with ulcers resistant to treatment were enrolled. Bone marrow cells were gathered from the bilateral iliac crests with multiple repositioning b...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-010-0274-x

    authors: Ishigatsubo Y,Ihata A,Kobayashi H,Hama M,Kirino Y,Ueda A,Takeno M,Shirai A,Ohno S

    更新日期:2010-06-01 00:00:00

  • Analysis of the factors which influence the measurement of synovial power Doppler signals with semi-quantitative and quantitative measures - a pilot multicenter exercise in Japan.

    abstract:OBJECTIVES:This pilot multicenter exercise aimed to evaluate the inter-observer reproducibility of synovial power Doppler (PD) signals in rheumatoid arthritis (RA) patients and to determine the factors influencing the measurements. METHODS:Two representative RA patients were assessed by four independent experienced so...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,多中心研究

    doi:10.3109/14397595.2013.843763

    authors: Ikeda K,Seto Y,Ohno S,Sakamoto F,Henmi M,Fukae J,Narita A,Nakagomi D,Nakajima H,Tanimura K,Koike T

    更新日期:2014-05-01 00:00:00

  • Myositis-specific autoantibodies in Japanese patients with juvenile idiopathic inflammatory myopathies.

    abstract:OBJECTIVES:The aim of our study is to clarify the association of myositis-specific autoantibodies (MSAs) with clinical and laboratory features in Japanese patients with juvenile idiopathic inflammatory myopathies (JIIMs). METHODS:We retrospectively analyzed the frequency of MSAs and their association with clinical or ...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2018.1452353

    authors: Ueki M,Kobayashi I,Takezaki S,Tozawa Y,Okura Y,Yamada M,Kuwana M,Ariga T

    更新日期:2019-03-01 00:00:00

  • Latent overproductive hyperuricemia increases in patients during the intermittent phase of gouty arthritis under long-term antihyperuricemic treatment.

    abstract::Abstract This work was undertaken to determine baseline urate metabolism in patients during the intermittent phase of gouty arthritis in order to decide on the best treatment for hyperuricemia. Parameters affecting serum urate levels, including uric acid clearance and urinary urate excretion, were re-evaluated in 30 p...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/s101650070003

    authors: Tsutani H,Kiriba C,Imamura S,Yoshio N,Nakamura T,Ueda T

    更新日期:2000-12-01 00:00:00

  • Intensive immunosuppressive therapy for endogenous lipoid pneumonia associated with rheumatoid arthritis.

    abstract::Endogenous lipoid pneumonia is an uncommon inflammatory pulmonary disease that is caused by lipids from an endogenous source, the treatment for which has not been established. We report the first case of endogenous lipoid pneumonia presenting as lung consolidation and which was associated with rheumatoid arthritis. Tr...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2016.1193270

    authors: Morita H,Arai S,Kurasawa K,Okada H,Tanaka A,Yamazaki R,Owada T,Maezawa R

    更新日期:2018-11-01 00:00:00

  • The clinical characteristics of juvenile-onset systemic sclerosis in Japanese patients.

    abstract:: ...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-013-0884-1

    authors: Hatta Y,Hasegawa M,Matsushita T,Hamaguchi Y,Fujimoto M,Takehara K

    更新日期:2013-04-27 00:00:00

  • Cutaneous polyarteritis nodosa in a patient with Crohn's disease.

    abstract::A 19-year-old Japanese woman with a 4-year history of Crohn's disease (CD) developed high fever, polyarthralgia, and painful subcutaneous nodules of the legs. A skin biopsy showed panarteritis with fibrinoid necrosis in the deep dermis. Endoscopic examination showed aphthous lesions in the entire colon. She was diagno...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-008-0110-8

    authors: Komatsuda A,Kinoshita K,Togashi M,Maki N,Masai R,Niitsu H,Ohtani S,Sageshima M,Sawada K,Wakui H

    更新日期:2008-01-01 00:00:00

  • Efficacy profile of bucillamine in rheumatoid arthritis patients in a large observational cohort study, IORRA.

    abstract::Bucillamine (Buc) is a disease-modifying antirheumatic drug (DMARD) developed in Japan, which has been used as one of the first-line DMARDs for the treatment of rheumatoid arthritis (RA) in Japan. However, direct comparison of this drug with standard DMARDs including sulfasalazine (SASP) and methotrexate (MTX) has bee...

    journal_title:Modern rheumatology

    pub_type: 临床试验,杂志文章

    doi:10.1007/s10165-006-0527-x

    authors: Iwatani M,Inoue E,Nakamura T,Nakajima A,Hara M,Tomatsu T,Kamatani N,Yamanaka H

    更新日期:2006-01-01 00:00:00

  • Grave aortic aneurysmal dilatation in DOCK8 deficiency.

    abstract::Hyperimmunoglobulin E syndrome (HIES) is a primary immunodeficiency disorder with multisystem abnormalities including the vascular system. We report a child with autosomal recessive (AR)-HIES secondary to dedicator of cytokinesis 8 (DOCK8) deficiency who developed critical aortic aneurysm involving the ascending aorta...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2013.874735

    authors: Al Mutairi M,Al-Mousa H,AlSaud B,Hawwari A,AlJoufan M,AlWesaibi A,AlHalees Z,Al-Mayouf SM

    更新日期:2014-07-01 00:00:00

  • Evaluation of the Central Sensitization Inventory Score in elderly adults with musculoskeletal examination.

    abstract:OBJECTIVES:The present study aimed to conduct an epidemiological survey of Central Sensitization Inventory (CSI) scores in an older adult population and to investigate the association between the CSI scores, age, sex, pain intensity, site of pain, and health-related quality of life (QOL). METHODS:Participants were 373...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2020.1822983

    authors: Ide K,Yasuda T,Hasegawa T,Yamato Y,Yoshida G,Banno T,Arima H,Oe S,Mihara Y,Ushirozako H,Yamada T,Watanabe Y,Nakai K,Hoshino H,Matsuyama Y

    更新日期:2020-10-02 00:00:00

  • Two cases of reactive hemophagocytic syndrome: a patient with adult-onset Still's disease and a patient with herpes zoster and autoimmune abnormalities.

    abstract::Abstract We report two cases of bone marrow hemophagocytosis. One patient had adult-onset Still's disease, and the other had herpes zoster associated with potential autoimmune abnormalities. Our findings suggested a pos-sible role of cytokines and/or antibodies in the induction of hemophagocytosis in patients with con...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/s10165-001-8066-y

    authors: Susuki J,Nawata M,Koike M,Wada R,Sekigawa I,Iida N,Hashimoto H

    更新日期:2001-12-01 00:00:00

  • Absence of a relationship between joint space narrowing and osteophyte formation in early knee osteoarthritis among Japanese community-dwelling elderly individuals: A cross-sectional study.

    abstract:OBJECTIVES:Joint space narrowing and osteophyte formation, radiographic features of knee osteoarthritis (OA), are not necessarily synchronous processes. We evaluated the relationship between medial minimum joint space width (mJSW) and osteophyte formation. METHODS:We conducted a retrospective study of 1050 individuals...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2016.1232775

    authors: Komatsu D,Hasegawa Y,Kojima T,Seki T,Higuchi Y,Ishiguro N

    更新日期:2017-07-01 00:00:00

  • The epigenetic alteration of synovial cell gene expression in rheumatoid arthritis and the roles of nuclear factor kappaB and Notch signaling pathways.

    abstract::Rheumatoid arthritis (RA) is a complex process of chronic and progressive inflammation associated with activation of numerous signaling molecules and transcription factors and hyperproliferation of synoviocytes of the affected joints, although the greater part of its pathophysiological process is explained by activati...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-004-0372-8

    authors: Okamoto T

    更新日期:2005-01-01 00:00:00

  • Vasculitis following implantation of a ventriculoperitoneal shunt tube made of silicone.

    abstract::Abstract A 56-year-old man presented with hyperproteinemia and renal dysfunction associated with antineutrophil cytoplasmic antibodies (ANCA). He had had a ventriculoperitoneal shunt tube made of silicone implanted 4 years earlier. In his renal biopsy, necrotizing crescentic glomerulonephritis was identified: tests fo...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/s101650300011

    authors: Bohgaki M,Mukai M,Notoya A,Kohno M,Takada A

    更新日期:2003-03-01 00:00:00

  • Peripheral neuropathies during biologic therapies.

    abstract::Peripheral neuropathies should be recognized as the adverse effects of biological agents, especially anti-TNF agents. However, no solid clinical databases for biological agent-associated peripheral neuropathies (BAPN) have been established in Japan. Here we report two cases of peripheral neuropathy associated with ant...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2013.859770

    authors: Yagita M,Hamano T,Hatachi S,Fujita M

    更新日期:2016-01-01 00:00:00

  • A case of an SLE patient with febrile neutropenia who experienced exacerbation of cutaneous manifestations after the administration of G-CSF.

    abstract::Systemic lupus erythematosus (SLE) is a chronic inflammatory autoimmune disease. Although hematological anomalies are commonly found in SLE, severe polymorphonuclear leukocyte depletion is rare. Most episodes of severe granulocytopenia in SLE patients tend to occur as part of drug toxicity-induced medullar hypoplasia,...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-012-0740-8

    authors: Sakai T,Hatano Y,Abe I,Ishii K,Fujiwara S

    更新日期:2013-11-01 00:00:00

  • Plasma acrolein level in rheumatoid arthritis increases independently of the disease characteristics.

    abstract::Objective: This study aimed to clarify whether plasma acrolein level actually increases in rheumatoid arthritis (RA) patients, and to elucidate whether any relationship exists between the levels and the RA background variables.Methods: Plasma levels of protein-conjugated acrolein (PC-Acro) in 84 patients (RA group) an...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2020.1775921

    authors: Kawabata C,Nagasawa T,Ono M,Tarumoto N,Katoh N,Hotta Y,Kawano H,Igarashi K,Shiokawa K,Nishimura K

    更新日期:2020-06-16 00:00:00