wip-publications
Many of the findings from research studies and projects that Penn Vasculitis Center providers have participated in are published in a variety of important scientific journals. We are only able to do these studies because of the patients who volunteer.
Search for publications by clicking on a disease in the drop down below.
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Vessel Wall MRI in GCA: Standardized Protocol and Scoring Approach Developed by an International Working Group
Protocol: Vessel Wall MRI in Giant Cell Arteritis: Standardized Protocol and Scoring Approach Developed by an International Working Group
Summary: pending
Participating Penn Investigator(s): Dr. Rennie Rhee, Dr. Peter Merkel
Journal: Rheumatology Oxford
Disease(s): Giant Cell Arteritis (GCA)
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Combined Orbital and Cranial Vessel Wall MRI for the Assessment of Disease Activity in GCA
Protocol: Combined Orbital and Cranial Vessel Wall Magnetic Resonance Imaging for the Assessment of Disease Activity in Giant Cell Arteritis
Summary: pending
Participating Penn Investigator(s): Dr. Rennie Rhee
Journal: ACR Open Rheumatology, 2024
Disease(s): Giant Cell Arteritis (GCA)
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Comparison of Aortitis vs Noninflammatory Aortic Aneurysms Among Patients Who Undergo Open Aortic Aneurysm Repair
Protocol: Comparison of Aortitis vs Noninflammatory Aortic Aneurysms Among Patients Who Undergo Open Aortic Aneurysm Repair
Summary: This study found that the following risk factors are associated with aortitis identified after surgery: Older age, female sex, other aortic or arterial wall thickening on imaging, and absence of a history of coronary artery disease. Patients with these characteristics may benefit from evaluation by a rheumatologist prior to surgery.
Participating Penn Investigator(s): Dr. Rennie Rhee
Journal: Arthritis & Rheumatology, 2020
Disease(s): Giant Cell Arteritis (GCA), Granulomatosis with Polyangiitis (GPA), Relapsing Polychondritis (RP), Takayasu’s Arteritis (TAK)
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Sequence-Based Screening of Patients with Idiopathic PAN, GPA, and MPA for Deleterious Genetic Variants in ADA2
Protocol: Sequence-Based Screening of Patients With Idiopathic Polyarteritis Nodosa, Granulomatosis With Polyangiitis, and Microscopic Polyangiitis for Deleterious Genetic Variants in ADA2
Summary: Deficiency of adenosine deaminase 2 is found in a subset of patients with idiopathic polyarteritis nodosa (PAN) but not in GPA or MPA. Identification of this genetic variant may lead to alternative therapies which are not typically used in PAN.
Participating Penn Investigator(s): Dr. Peter Merkel
Journal: Arthritis & Rheumatology, 2020
Disease(s): Granulomatosis with Polyangiitis (GPA), Microscopic Polyangiitis (MPA), Polyarteritis Nodosa (PAN)
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Randomized, Double-Blind Trial of Abatacept for the Treatment of Takayasu Arteritis
Protocol: A Randomized, Double-Blind Trial of Abatacept (CTLA-4Ig) for the Treatment of Takayasu Arteritis
Summary: This was the first clinical trial ever performed in Takayasu arteritis. The study found that the addition of abatacept to prednisone did not reduce relapse.
Participating Penn Investigator(s): Dr. Peter Merkel
Journal: Arthritis & Rheumatology, 2017
Disease(s): Takayasu’s Arteritis (TAK)
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Patient Perception of Disease-Related Symptoms and Complications in Relapsing Polychondritis
Protocol: Patient Perception of Disease-Related Symptoms and Complications in Relapsing Polychondritis
Summary: This international online study provided unique information about RP from the patient’s perspective. Patients reported a significant burden of disease. Certain patterns of organ involvement may lead to diagnostic delay and result in disease-related complications.
Participating Penn Investigator(s): Dr. Shubhasree Banerjee
Journal: Arthritis Care and Research, 2018
Disease(s): Relapsing Polychondritis (RP)
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Effect of Treatment on Imaging, Clinical, and Serologic Assessments of Disease Activity in Large-Vessel Vasculitis
Protocol: Effect of Treatment on Imaging, Clinical, and Serologic Assessments of Disease Activity in Large-Vessel Vasculitis
Summary: Vascular imaging with PET scans are a useful tool for monitoring disease activity in GCA and TAK.
Participating Penn Investigator(s): Dr. Shubhasree Banerjee
Journal: Journal of Rheumatology, 2020
Disease(s): Giant Cell Arteritis (GCA), Takayasu’s Arteritis (TAK)
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Randomized, Double-Blind Trial of Abatacept for the Treatment of Giant Cell Arteritis
Protocol: A Randomized, Double-Blind Trial of Abatacept (CTLA-4Ig) for the Treatment of Giant Cell Arteritis
Summary: Patients with GCA who received abatacept in addition to prednisone were less likely to relapse and had more months in remission.
Participating Penn Investigator(s): Dr. Peter Merkel
Journal: Arthritis & Rheumatology, 2017
Disease(s): Giant Cell Arteritis (GCA)
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Infections and the risk of Incident Giant Cell Arteritis: A Population-Based, Case-Control Study
Protocol: Infections and the risk of Incident Giant Cell Arteritis: a Population-Based, Case-Control Study
Summary: Prior infections and herpes zoster are modestly associated with the development of GCA.
Participating Penn Investigator(s): Dr. Rennie Rhee, Dr. Peter Merkel
Journal: Annals of the Rheumatic Diseases, 2017
Disease(s): Giant Cell Arteritis (GCA)
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Mepolizumab or Placebo for Eosinophilic Granulomatosis with Polyangiitis
Protocol: Mepolizumab or Placebo for Eosinophilic Granulomatosis With Polyangiitis
Summary: This was the first clinical trial exclusively performed in patients with EGPA. Compared to prednisone alone, patients with EGPA receiving mepolizumab had more weeks in remission and were able to taper prednisone to lower doses.
Participating Penn Investigator(s): Dr. Peter Merkel
Journal: New England Journal of Medicine, 2017
Disease(s): Eosinophilic Granulomatosis with Polyangiitis (EGPA/ Churg-Strauss)
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Identification of Functional and Expression Polymorphisms Associated With Risk for ANCA-Associated Vasculitis
Protocol: Identification of Functional and Expression Polymorphisms Associated With Risk for ANCA-Associated Vasculitis
Summary: This study identified gene variants which could influence clinical presentation and partially explain why disease develops.
Participating Penn Investigator(s): Dr. Peter Merkel
Journal: Arthritis & Rheumatology, 2017
Disease(s): Granulomatosis with Polyangiitis (GPA), Microscopic Polyangiitis (MPA)
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Validation of the ANCA-Associated Vasculitis Patient-Reported Outcomes (AAV-PRO) Questionnaire
Protocol: Validation of the ANCA-Associated Vasculitis Patient-Reported Outcomes (AAV-PRO) Questionnaire
Summary: This project developed a new disease-specific patient-reported outcome questionnaire for use in research.
Participating Penn Investigator(s): Dr. Peter Merkel
Journal: Annals of the Rheumatic Diseases, 2018
Disease(s): Eosinophilic Granulomatosis with Polyangiitis (EGPA/ Churg-Strauss), Granulomatosis with Polyangiitis (GPA), Microscopic Polyangiitis (MPA)
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Characterization of the Nasal Microbiota in Granulomatosis With Polyangiitis
Protocol: Characterization of the Nasal Microbiota in Granulomatosis With Polyangiitis
Summary: Compared to patients without GPA, those with GPA have different types of bacteria in the nasal cavity. The use of immunosuppression restores “healthy” bacteria.
Participating Penn Investigator(s): Dr. Rennie Rhee, Dr. Peter Merkel
Journal: Annals of the Rheumatic Diseases, 2018
Disease(s): Granulomatosis with Polyangiitis (GPA)
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Plasma Exchange and Glucocorticoids in Severe ANCA-Associated Vasculitis
Protocol: Plasma Exchange and Glucocorticoids in Severe ANCA-Associated Vasculitis
Summary: This was the largest international clinical trial performed in AAV (GPA and MPA). The study found that the use of plasma exchange does not improve survival or risk of end-stage renal disease. Compared to standard doses of prednisone, a more rapid taper of prednisone is just as effective and safer (fewer serious infections) than plasma exchange.
Participating Penn Investigator(s): Dr. Peter Merkel
Journal: New England Journal of Medicine, 2020
Disease(s): Granulomatosis with Polyangiitis (GPA), Microscopic Polyangiitis (MPA)
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Avacopan for the Treatment of ANCA-Associated Vasculitis
Protocol: Avacopan for the Treatment of ANCA-Associated Vasculitis
Summary: Patients who received avacopan were more likely to stay in remission versus those who were just taking prednisone.
Participating Penn Investigator(s): Dr. Peter Merkel
Journal: New England Journal of Medicine, 2021
Disease(s): Eosinophilic Granulomatosis with Polyangiitis (EGPA/ Churg-Strauss), Granulomatosis with Polyangiitis (GPA), Microscopic Polyangiitis (MPA)