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VASCULITIS

PEXIVAS challenges current ANCA-associated vasculitis therapy

The PEXIVAS clinical trial demonstrated that, in patients with anti-neutrophil cytoplasmic autoantibody-associated vasculitis (AAV), adjuvant plasma exchange did not reduce the risk of all-cause mortality or end-stage kidney disease and a reduced dose of glucocorticoids was not inferior to standard dosing. These findings might warrant a change in standard AAV therapy.

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Fig. 1: Key findings of PEXIVAS trial.

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Acknowledgements

D.G. is supported by a Cupid Discovery grant and Gorski funds.

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Correspondence to Duvuru Geetha.

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D.G. acts as a consultant for ChemoCentryx and Aurinia. A.M. declares no competing interests.

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Morris, A., Geetha, D. PEXIVAS challenges current ANCA-associated vasculitis therapy. Nat Rev Nephrol 16, 373–374 (2020). https://doi.org/10.1038/s41581-020-0269-6

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