Table 3.
References | Design/anti-TNF-α therapy | Number of patients | Main objectives | Follow-up | Main results | Side effects |
---|---|---|---|---|---|---|
Stone et al. [40] | Open label trial ETN | 20 GPA | BVAS at 6 months adverse events during 6 months | 6 months | 3 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 months | 69,7% 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 months | No difference between the two groups | Infections 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 months | IFX: 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.