Univariate analysis | Multivariate analysis | |||||
HR | 95 % CI | P values | HR | 95 % CI | P values | |
Demographics | ||||||
Age (years) | 1.02 | 1.00 to 1.04 | 0.031 | 1.03 | 1.01 to 1.05 | 0.012 |
Gender (male) | 0.88 | 0.50 to 1.55 | 0.647 | |||
Type of vasculitis | ||||||
GPA | Reference | – | – | |||
MPA | 1.59 | 0.78 to 3.23 | 0.203 | |||
EGPA | 0.95 | 0.42 to 2.15 | 0.899 | |||
Symptoms/manifestations | ||||||
B-symptoms (night sweat, fever, unintentional weight loss) | 0.67 | 0.28 to 1.58 | 0.355 | |||
Neuropathy | 0.89 | 0.46 to 1.70 | 0.72 | |||
Sinusitis | 0.48 | 0.27 to 0.84 | 0.01 | |||
Deafness/mastoiditis/otitis media | 0.69 | 0.35 to 1.35 | 0.275 | |||
Arthralgia | 0.63 | 0.35 to 1.14 | 0.127 | |||
Organ involvement | ||||||
CNS | 1.12 | 0.35 to 3.63 | 0.85 | |||
Subglottic/tracheal stenosis | 1.14 | 0.51 to 2.54 | 0.746 | |||
Skin | 0.74 | 0.33 to 1.64 | 0.45 | |||
Kidney | 1.27 | 0.72 to 2.21 | 0.411 | |||
Eye | 0.52 | 0.23 to 1.17 | 0.113 | |||
Others | 0.82 | 0.26 to 2.65 | 0.745 | |||
ENT | 0.46 | 0.26 to 0.82 | 0.008 | |||
Lung | 1.57 | 0.87 to 2.82 | 0.136 | |||
Imaging findings | ||||||
Pulmonary cavities | 1.11 | 0.56 to 2.21 | 0.765 | |||
Endobronchial | 2.44 | 1.38 to 4.32 | 0.002 | 2.21 | 1.14 to 4.26 | 0.018 |
Severe bronchiectasis | 4.79 | 1.47 to 15.59 | 0.009 | |||
Disease activity measures | ||||||
BVAS | 1.01 | 0.95 to 1.07 | 0.811 | |||
DEI | 0.98 | 0.84 to 1.15 | 0.840 | |||
Laboratory values | ||||||
Creatinine | 1 | 1.00 to 1.00 | 0.141 | |||
eGFR (MDRD equation) mL/min/1.73 m2 | 0.99 | 0.98 to 1.00 | 0.011 | |||
CRP | 1.01 | 1.00 to 1.01 | 0.061 | |||
ESR | 1.01 | 1.00 to 1.02 | 0.014 | |||
Neutrophils | 1.11 | 1.03 to 1.20 | 0.005 | |||
WBC | 1.06 | 1.01 to 1.10 | 0.013 | |||
Lymphocytes | 0.73 | 0.48 to 1.11 | 0.142 | |||
CD19 | 1.17 | 0.11 to 12.51 | 0.896 | |||
CD3 | 0.75 | 0.45 to 1.25 | 0.27 | |||
CD4 | 0.74 | 0.34 to 1.61 | 0.44 | |||
CD8 | 0.58 | 0.16 to 2.09 | 0.407 | |||
CD56 | 2.75 | 0.34 to 22.10 | 0.341 | |||
IgG | 1.02 | 0.93 to 1.12 | 0.663 | |||
IgG decline ≥30 % | 1.88 | 1.04 to 3.39 | 0.036 | |||
Hypogammaglobulinaemia | 1.22 | 0.54 to 2.74 | 0.633 | |||
IgM | 0.72 | 0.38 to 1.35 | 0.304 | |||
IgA | 1.11 | 0.80 to 1.54 | 0.535 | |||
ANCA positive | 1.11 | 0.58 to 2.14 | 0.744 | |||
Comorbidities | ||||||
COPD | 16.07 | 4.41 to 58.49 | <0.001 | 6.3 | 1.08 to 36.75 | 0.041 |
Diabetes | 2.35 | 1.14 to 4.85 | 0.021 | |||
Hypertension | 0.79 | 0.44 to 1.44 | 0.445 | |||
Myocardial infarction/reduced LVEF | 2.21 | 1.07 to 4.56 | 0.032 | |||
Indication | ||||||
Minor relapse | 0.6 | 0.32 to 1.11 | 0.102 | |||
Major relapse | 1.63 | 0.92 to 2.90 | 0.097 | |||
Maintenance | 1.15 | 0.56 to 2.37 | 0.708 | |||
Refractory disease | 0.8 | 0.42 to 1.51 | 0.491 | |||
Steroid sparing | 1.37 | 0.70 to 2.68 | 0.36 | |||
1st line | 1.95 | 0.77 to 4.91 | 0.159 | |||
Premedication (last 12 months) | ||||||
CYC (g) | 0.97 | 0.90 to 1.04 | 0.389 | |||
MMF (g) | 1 | 1.00 to 1.00 | 0.273 | |||
AZA (g) | 0.97 | 0.95 to 1.00 | 0.066 | |||
MTX (mg) | 1 | 1.00 to 1.00 | 0.979 | |||
IVIG (ever) | 2.4 | 0.94 to 6.12 | 0.067 | |||
Anti-TNF (ever) | 1.41 | 0.34 to 5.84 | 0.636 | |||
PLEX (ever) | 0.75 | 0.23 to 2.42 | 0.629 | |||
ALM (ever) | 2.49 | 1.05 to 5.91 | 0.039 | 3.97 | 1.50 to 10.54 | 0.006 |
Medication used concurrently with RTX | ||||||
Steroids (mg) | 1.02 | 1.01 to 1.04 | 0.006 | |||
Trimethoprim–sulfamethoxazole | 0.45 | 0.23 to 0.88 | 0.02 | 0.3 | 0.13 to 0.69 | 0.005 |
Other antibiotic prophylaxis | 1.63 | 0.76 to 3.47 | 0.209 |
Demographics of the respective patients, the form of ANCA-associated vasculitis, symptoms, laboratory values, comorbidities, indication for rituximab use, the premedication and the concomitant therapy are given. P values indicating significant changes are highlighted in bold font.
ALM, alemtuzumab; ANCA, antineutrophil cytoplasm antibody; AZA, azathioprine; BVAS, Birmingham Vasculitis Activity Score; CD, cluster of differentiation; CNS, central nervous system; COPD, chronic obstructive pulmonary disease; CRP, C reactive protein; CYC, cyclophosphamide; DEI, Disease Extent Index; eGFR, estimated glomerular filtration rate; EGPA, eosinophilic granulomatosis with polyangiitis; ENT, ear, nose and throat; ESR, erythrocyte sedimentation rate; GPA, granulomatosis with polyangiitis; IVIG, intravenous immunoglobulins; LVEF, left ventricular ejection fraction; MMF, mycophenolate mofetil; MPA, microscopic polyangiitis; MTX, methotrexate; PLEX, plasma exchange; RTX, rituximab; TNF, tumour necrosis factor; WBC, white blood count.