Rituximab versus azathioprine for ANCA-associated vasculitis maintenance therapy: impact on global disability and health-related quality of life
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Titre | Rituximab versus azathioprine for ANCA-associated vasculitis maintenance therapy: impact on global disability and health-related quality of life |
Type de publication | Journal Article |
Year of Publication | 2016 |
Auteurs | Pugnet G., Pagnoux C., Terrier B., Perrodeau E., Puechal X., Karras A., Khouatra C., Aumaitre O., Cohen P., Maurier F., Decaux O., Ninet J., Gobert P., Quemeneur T., Blanchard-Delaunay C., Godmer P., Carron P.-L, Hatron P.-Y, Limal N., Hamidou M., Ducret M., Daugas E., Papo T., Bonnotte B., Mahr A., Ravaud P., Mouthon L., Guillevin L., Grp FVasculitis |
Journal | CLINICAL AND EXPERIMENTAL RHEUMATOLOGY |
Volume | 34 |
Pagination | S54-S59 |
Type of Article | Article |
ISSN | 0392-856X |
Mots-clés | ANCA-associated vasculitis, azathioprine, health-related quality of life, maintenance therapy, Rituximab |
Résumé | {Objective. To investigate the effects on health-related quality of life (HRQOL) and functional capability of rituximab vs azathioprine for ANCA-associated vasculitis (AAV) maintenance therapy. Methods. In a 24-month phase III randomised-controlled trial, 115 patients over time received rituximab or azathioprine for AAV maintenance therapy. Mean changes of 36-item Short-form Health Survey (SF-36) and Health Assessment Questionnaire (HAQ) scores from baseline were analysed. Results. Mean improvements of HAQ scores, from baseline to month 24 were significantly better for the rituximab (0.16 points lower) than the azathioprine group (p=0.038). As demonstrated by SF-36, study patients' baseline HRQOL was significantly impaired compared with age-and sex-matched US norms. At month 24, mean changes from baseline of SF-36 physical component score tended to be better for the rituximab group (+3.95 points |