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Abstracts tagged "cyclophosphamide"

  • Abstract Number: 886 • 2015 ACR/ARHP Annual Meeting

    Rituximab As a Cyclophosphimide Sparing Agent for Patients with Multi-Relapsing Antineutrophil Cytoplasmic Antibody Associated Small Vessel Vasculitis

    Sophia Lionaki1, George Fragoulis2, Aliki Venetsanopoulou2, Panayiotis Vlachoyiannopoulos2, John Boletis1, Haralampos M. Moutsopoulos2 and Athanasios G. Tzioufas2, 1Nephrology, Laiko Hospital, Department of Nephrology, Athens, Greece, 2Pathophysiology, School of Medicine, National University of Athens, Athens, Greece

    Background/Purpose: To evaluate the long term outcomes, of patients with multi-relapsing Antineutrophil Cytoplasmic Antibody (ANCA) associated Vasculitis (AAV), who received induction therapy with a rituximab…
  • Abstract Number: 1075 • 2015 ACR/ARHP Annual Meeting

    The Scleroderma Lung Study II (SLS II) Shows That Both Oral Cyclophosphamide (CYC) and Mycophenolate Mofitil (MMF) Are Efficacious in Treating Progressive Interstitial Lung Disease (ILD) in Patients with Systemic Sclerosis (SSc)

    Philip J. Clements1, Donald Tashkin1, Michael Roth1, Dinesh Khanna2, Daniel E. Furst3, Chi-hong Tseng1, Elizabeth R. Volkmann1 and Robert Elashoff4, 1Medicine, University of California Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 2Medicine, University of Michigan, Ann Arbor, MI, 3Medicine, University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 4Biomath, University of California Los Angeles, David Geffen School Of Medicine, Los Angeles, CA

    Background/Purpose: Demonstrate that the course of forced vital capacity (FVC) over 2-years was better in SSc patients with symptomatic ILD treated with oral MMF for…
  • Abstract Number: 1076 • 2015 ACR/ARHP Annual Meeting

    Safety and Tolerability of Cyclophosphamide Versus Mycophenolate for Systemic Sclerosis-Related Interstitial Lung Disease

    Elizabeth R. Volkmann1, Michael Roth2, Robert Elashoff3, Philip J. Clements1, Daniel E. Furst2, Dinesh Khanna4, Jonathan Goldin5, Donald Tashkin1 and Scleroderma Lung Study II Group, 1Medicine, University of California Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 2Medicine, University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 3Biomathematics, University of California, Los Angeles, Los Angeles, CA, 4Medicine, University of Michigan, Ann Arbor, MI, 5David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA

    Background/Purpose: Interstitial lung disease (ILD) is the leading cause of death in patients with systemic sclerosis (SSc). Although cyclophosphamide (CYC) demonstrated beneficial treatment effects at…
  • Abstract Number: 1781 • 2015 ACR/ARHP Annual Meeting

    Comparative Efficacy and Safety of Tacrolimus, Mycophenolate Mofetil, and Cyclophosphamide As Induction Therapy for Lupus Nephritis: A Bayesian Network Meta-Analysis of Randomized Controlled Trials

    Young Ho Lee and Gwan Gyu Song, Rheumatology, Korea University Medical Center, Seoul, South Korea

    Background/Purpose: Cyclophosphamide (CYC) regimens improved renal outcomes, and have long been considered the gold standard for inducing renal remission and preventing renal flares in proliferative…
  • Abstract Number: 1799 • 2015 ACR/ARHP Annual Meeting

    IgG Levels Correlate Inversely with Proteinuria Among Participants in the Abatacept and Cyclophosphamide Combination Therapy for Lupus Nephritis Trial, but Hypogammaglobulinemia Was Not Associated with an Increased Risk of Serious Infection

    Sara G. Murray1, Noha Lim2, Michael Stahly2, Dawn Smilek3 and David Wofsy4, 1Medicine, University of California, San Francisco, San Francisco, CA, 2Immune Tolerance Network, Bethesda, MD, 3Immune Tolerance Network, San Francisco, CA, 4University of California, San Francisco, San Francisco, CA

    Background/Purpose: Hypogammaglobulinemia has been associated with serious infectious adverse events (SIAE) and may occur during immunosuppressive therapy for lupus nephritis (LN). It is possible that…
  • Abstract Number: 1818 • 2015 ACR/ARHP Annual Meeting

    Cyclophosphamide and Cumulative Steroid Dose Associated with Higher Risk of Infections in Patients with Lupus Nephritis

    Shubhasree Dutta Choudhury1, Ann Biehl2, Maryam Ghaderi-yeganeh3, Zerai Manna4 and Sarfaraz Hasni4, 1National Institute of Arthritis, Musculoskeletal and Skin Diseases2, National Institutes of Health, Bethesda, MD, 2Department of Pharmacy, National Institutes of Health Clinical Center, Bethesda, MD, 3National Institutes of Health Clinical Center Department of Pharmacy, National Institutes of Health, Bethesa, MD, 4National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD

    Background/Purpose: Immune dysregulation associated with SLE leads to a substantially high background risk of infection. This risk of infection further increases with the use of…
  • Abstract Number: 2371 • 2015 ACR/ARHP Annual Meeting

    The Clinical Features of Recurrent Interstitial Lung Disease in Dermatomyositis Patients with Anti- Melanoma Differentiation-Associated Gene 5 Antibody

    Yuji Hosono1, Ran Nakashima1, Kosaku Murakami2, Yoshitaka Imura2, Naoichiro Yukawa2, Hajime Yoshifuji2, Koichiro Ohmura2 and Tsuneyo Mimori2, 1Department of Rheumatology and Clinical Immunology, Kyoto University Graduate School of Medicine, Kyoto, Japan, 2Department of Rheumatology and Clinical Immunology, Department of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University, Kyoto, Japan

    Background/Purpose: Interstitial lung disease (ILD) is the most common cause of mortality in polymyosytis (PM) and dermatomyositis (DM). It is well known that the DM…
  • Abstract Number: 2921 • 2015 ACR/ARHP Annual Meeting

    Lupus Nephritis: An Exploration of Management Style

    Abhishek Nandan1, Huzaefah Syed2, Christen Vagts1 and Jason Kidd1, 1Virginia Commonwealth University Medical Center, Richmond, VA, 2Rheumatology, Virginia Commonwealth University Medical Center, Richmond, VA

    Background/Purpose:  We aim to evaluate the differences and rationale behind the diagnostic and therapeutic approaches to proliferative lupus nephritis (LN) among nephrologists and rheumatologists. Methods:…
  • Abstract Number: 2941 • 2015 ACR/ARHP Annual Meeting

    Outcomes in Lupus Nephritis Patients Previously Randomized to Receive Either Low Dose Cyclophosphamide Versus Oral Mycophenolate Mofetil on Azathioprine Maintenance

    Manish Rathi1, Ajay Jaryal2, Ajay Goyal2, Aman Sharma3, Pramod Gupta4 and Krishan Gupta2, 1Department of Nephrology,, Postgraduate Institute of Medical Education and Research, Chandigarh, India, 2Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India, 3Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India, 4Biostatistics, Postgraduate Institute of Medical Education and Research, Chandigarh, India

    Background/Purpose: Management of SLE and lupus nephritis is challenging as it is always a trade off between remission, prevention of relapse and long term adverse…
  • Abstract Number: 2962 • 2015 ACR/ARHP Annual Meeting

    Efficacy of Mycophenolate As a Maintenance Therapy Following the Administration of Cyclophosphamide in the Treatment of Interstitial Lung Disease Associated with Systemic Sclerosis

    Javier Narváez1, Helena Borrell Paños2, Ivan Castellvi3, Sergi Heredia2, Milena Millan3, Susana Herrera4, Eulalia Armengol2, Josep María LLobet3, Joan Miquel Nolla2, María Molina5 and Juan José Alegre6, 1Rheumatology, Hospital Universitario de Bellvitge, Barcelona, Spain, 2Department of Rheumatology, Hospital Universitario de Bellvitge, Barcelona, Spain, 3Rheumatology Unit. Hospital de la Santa Creu i Sant Pau, Barcelona, Spain, 4Deparment of Pneumology, Hospital Universitario Dr Peset, Valencia, Spain, 5Department of Pneumology, Hospital Universitario de Bellvitge, Barcelona, Spain, 6Rheumatology Department, Hospital Universitario Doctor Peset, Valencia, Spain

    Background/Purpose: Treatment with cyclophosphamide (CYC) for 12 months stabilizes lung function parameters and improves respiratory symptoms of patients with systemic sclerosis and diffuse interstitial lung…
  • Abstract Number: 1782 • 2014 ACR/ARHP Annual Meeting

    Long-Term Follow-up of Non-HBV Polyarteritis Nodosa and Microscopic Polyangiitis with Poor-Prognosis Factors

    Maxime Samson1, Xavier Puéchal2, Hervé Devilliers3, Pascal Cohen2, Boris Bienvenu4, Kim Heang Ly5, Alain Bruet6, Brigitte Gilson7, Marc Ruivard8, Edouard Pertuiset9, Mohamed Hamidou10, Benjamin Terrier2, Christian Pagnoux11, Luc Mouthon2, Loic Guillevin12 and The French Vasculitis Study Group (FVSG)12, 1Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France; Internal Medicine and Clinical Immunology, Dijon University Hospital, Dijon, France, 2National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, Paris, France, 3Dijon University Hospital, Department of internal medicine and systemic diseases, Dijon, France, 4Médecine interne, CHU Côte de Nacre, CAEN, France, 5CHU Dupuytren, Limoges, Limoges, France, 6Department of Nephrology and Internal Medicine, CH de Poissy Saint-Germain-en-Laye, Poissy, France, 7Department of Nephrology and Internal Medicine, CH de Verdun, Verdun, France, 8CHU Estaing, Clermont–Ferrand, Clermont–Ferrand, France, 9Rheumatology, René Dubos Hospital, Pontoise, France, 10CHU Hôtel Dieu, Nantes, Nantes, France, 11Division of Rheumatology, University of Toronto, Toronto, ON, Canada, 12Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France

    Background/Purpose To study the long-term outcomes of 65 patients with non-HBV polyarteritis nodosa (PAN) or microscopic polyangiitis (MPA) enrolled in a prospective, randomized, open-label trial,1…
  • Abstract Number: 1781 • 2014 ACR/ARHP Annual Meeting

    Long-Term Outcomes Among Patients with Renal Disease Secondary to ANCA-Associated Vasculitis: Temporal Trends over 25 Years

    Rennie L. Rhee1, Susan L Hogan2, Caroline J. Poulton2, Julie Anne G. McGregor2, J. Richard Landis3, Ronald Falk4 and Peter A. Merkel5, 1Rheumatology, University of Pennsylvania, Philadelphia, PA, 2UNC Kidney Center, Chapel Hill, NC, 3Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA, 4Dept of Nephrology and Hypertension, UNC Kidney Center, Chapel Hill, NC, 5University of Pennsylvania, Philadelphia, PA

    Background/Purpose Significant advances have been made in the diagnosis and treatment of patients with ANCA-associated vasculitis (AAV).  However, little is known about how these advances…
  • Abstract Number: 742 • 2013 ACR/ARHP Annual Meeting

    Safety Of Remission Induction With Rituximab Versus Cyclosphosphamide In Patients 65 and Older With Severe ANCA-Associated Vasculitis

    Eli Miloslavsky1, Ulrich Specks2, Peter A Merkel3, Philip Seo4, Robert F. Spiera5, Carol A. Langford6, Gary S. Hoffman7, Cees G.M. Kallenberg8, E. William St. Clair9, Nadia Tchao10, Linna Ding11, David Ikle12, Brett Jepson12, Paul Brunetta13 and John H. Stone14, 1Division of Rheumatology, Massachusetts General Hopsital, Boston, MA, 2Mayo Clinic, Rochester, MN, 3Division of Rheumatology, University of Pennsylvania and VA Medical Center, Philadelphia, PA, 4Rheumatology Division, Johns Hopkins Vasculitis Center, Johns Hopkins University, Baltimore, MD, 5Rheumatology, Hospital for Special Surgery, New York, NY, 6Center for Vasculitis Care and Research, Cleveland Clinic, Cleveland, OH, 7Center for Vasculitis Care and Research, Cleveland Clinic Foundation, Cleveland, OH, 8Rheumatology and Clinical Immunology, University Medical Center Groningen, Groningen, Netherlands, 9Medicine, Duke University Medical Center, Durham, NC, 10Immune Tolerance Network, Bethesda, MD, 11NIAID, Bethesda, MD, 12Rho, Chapel Hill, NC, 13Biotherapeutics, Genentech, So San Francisco, CA, 14Rheumatology, Massachusetts General Hospital, Boston, MA

    Background/Purpose: Retrospective studies have demonstrated that patients of advanced age with systemic vasculitis experience a higher mortality and adverse events than their younger counterparts. However,…
  • Abstract Number: 617 • 2013 ACR/ARHP Annual Meeting

    The Potentiality Of Multi-Target Therapy With Cyclophosphamide and Tacrolimus For Lupus Nephritis

    Ryota Sakai, Akiko Shibata, Kentaro Chino, Tsuneo Kondo, Ayumi Okuyama, Eiko Nishi, Hirofumi Takei, Hayato Nagasawa and Koichi Amano, Rheumatology and Clinical Immunology, Saitama Medical Center, Saitama Medical University, Kawagoe, Japan

    Background/Purpose: Multi-target therapy for lupus nephritis (LN) had first reported by Bao et al. 2008 regarding the treatment of mixed diffuse proliferative and membranous LN using…
  • Abstract Number: 596 • 2013 ACR/ARHP Annual Meeting

    Extended Follow-Up Of a Investigator-Initiated  trial Comparing Two Sequential Induction and Maintenance Treatment Regimens For Proliferative Lupus Nephritis Based Either On Cyclophosphamide Or Cyclosporine A

    Jakub Zavada1, Satu Pesickova2, Romana Rysava3, Pavel Horak4, Zbynek Hrncir5, Jozef Rovensky6, Jozef Lukac7, Jirina Vitova8, Jana Böhmova9, Marta Olejarova10, Dana Tegzova11 and Vladimir Tesar12, 1Charles University, Prague, Czech Republic, 2Nephrology, General University Hospital and First Faculty of Medicine, Charles University, Prague, Czech Republic, 3General University Hospital and First Faculty of Medicine, Charles University, Prague, Czech Republic, 43rd Department of Internal Medicine, 3rd Department of Internal Medicine University Hospital Olomouc, Olomouc, Czech Republic, 52nd Department of Medicine, Faculty of Medicine and University Hospital, Hradec Kralove, Czech Republic, 6PRINTO, Genoa, Italy, 7National Institute of Rheumatology, Piestany, Slovakia, 8Hospital, Ceske Budejovice, Czech Republic, 9Faculty Hospital St. Anna, Brno, Czech Republic, 10Institute of Rheumatology, Prague, Prague, Czech Republic, 11Institute of Rheumatology, Prague, Czech Republic, 12Department of Nephrology, General University Hospital and First Faculty of Medicine, Charles University, Prague, Czech Republic

    Background/Purpose: In the investigator-initiated CYLOFA-LUNE trial we tested the hypothesis that immunosuppressive regimen based on Cyclosporine A (CYA) may have similar efficacy but greater safety than…
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