Rituximab vs. azathioprine: which drug better prevents EGPA flares?

NCT ID NCT03164473

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study tested whether rituximab (given as an infusion every 6 months) is better than azathioprine (daily pills) at keeping eosinophilic granulomatosis with polyangiitis (EGPA) in remission. 98 adults with newly diagnosed or relapsing EGPA who had already achieved remission took part. The goal was to see which drug helped them stay flare-free longer while reducing steroid use.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Rituximab (a biologic drug) and azathioprine (an immunosuppressant)
What this could lead to
If rituximab works better, it could offer a more effective way to keep EGPA in remission, reducing flares and the need for steroids.
What could go wrong
This is a completed Phase 3 trial with 98 participants, so results are limited in size. Rituximab may not prove superior, and both drugs carry risks like infections.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Hôpital Cochin

    Paris, Paris, 75014, France

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