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A small-vessel necrotizing vasculitis characterized by the association of inflammation of the vessel wall and peri- and extravascular granulomatosis.
Features include very common findings: Cytoplasmic antineutrophil antibody positivity; and common findings: Nasal mucosa vasculitis. 32 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Lungs and breathing | 5 | Hemosiderin-laden macrophages in bronchoalveolar fluid, Elevated bronchoalveolar lavage fluid neutrophil proportion, Pulmonary infiltrates |
Biomarker and diagnostic research for granulomatosis with polyangiitis has been reported in the published literature.
No approved treatments are currently available for granulomatosis with polyangiitis. An additional 2 compounds hold orphan drug designation.
While no drugs are FDA-approved specifically for granulomatosis with polyangiitis, some of the following designated compounds may be used off-label in clinical practice. Treatment decisions should be made in consultation with a specialist familiar with this condition.
The following drugs have received orphan drug designation from the FDA for granulomatosis with polyangiitis. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor |
|---|
Phenotype severity distribution: 1 very common feature, 1 common feature.
Estimated prevalence: 1-9 in 100,000 (Uncommon).
27 clinical trials registered, 17 recruiting. Interventions under study include drug therapy, other interventions, biologic therapy, and procedural interventions. Pipeline includes 2 PHASE4, 7 PHASE3, 5 PHASE2. Research is sponsored by a mix of industry and academic institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT07087912](https://clinicaltrials.gov/study/NCT07087912) |
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 1:04 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Eyes |
4 |
Uveitis, Retinal hemorrhage, Keratitis |
Blood and immune system | 2 | Elevated bronchoalveolar lavage fluid neutrophil proportion, Nasal mucosa vasculitis |
Lab test results | 2 | Perinuclear antineutrophil antibody positivity, Cytoplasmic antineutrophil antibody positivity |
Metabolism | 1 | Fever |
Growth and development | 1 | Weight loss |
Skin | 1 | Skin ulcer |
Muscles | 1 | Myalgia |
Brain and nerves | 1 | Fatigue |
Ears | 1 | Chronic otitis media |
Designated
Exclusivity End |
|---|
Designation Status |
|---|
gusperimus trihydrochloride | gusperimus trihydrochloride | Nordic Group B.V. | 2011 | — | Designated |
Etanercept | Etanercept | Immunex Corporation | 1999 | — | Withdrawn |
Gene therapy approaches for granulomatosis with polyangiitis have been reported in the published literature.
27 trials found
Safety and Immunogenicity of the Live Attenuated Tetravalent Butantan-Dengue Vaccine in Autoimmune Rheumatic Diseases |
PHASE4 |
University of Sao Paulo General Hospital |
RECRUITING |
[NCT06581562](https://clinicaltrials.gov/study/NCT06581562) | Open-label Single-Center Study to Evaluate the Safety and Efficacy of Combining Rituximab and AB-101 in B-cell Associated Autoimmune Diseases. | PHASE1 | IRIS Research and Development, LLC | RECRUITING |
[NCT05979051](https://clinicaltrials.gov/study/NCT05979051) | A Study to Evaluate the Efficacy and Safety of SHR-1703 in Subjects With Eosinophilic Granulomatosis With Polyangiitis (EGPA) | PHASE2 | Guangdong Hengrui Pharmaceutical Co., Ltd | RECRUITING |
[NCT03004326](https://clinicaltrials.gov/study/NCT03004326) | Clinical Transcriptomics in Systemic Vasculitis (CUTIS) | — | Peter Merkel | RECRUITING |
[NCT06758271](https://clinicaltrials.gov/study/NCT06758271) | Special Drug Use-results Survey for Long-term Use(Avacopan) | — | Kissei Pharmaceutical Co., Ltd. | RECRUITING |
409 publications have been identified in PubMed for granulomatosis with polyangiitis. Kisho has analyzed 125 by research type. Research spans Review / Meta-Analysis (27%), Case Report / Case Series (26%), and Clinical Trial Publication (18%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 34 | 27% |
Patient case studies | 33 | 26% |
Clinical study results | 22 | 18% |
Disease patterns and progression | 15 | 12% |
Laboratory research | 11 | 9% |
Testing and diagnosis research | 6 | 5% |
Other research | 2 | 2% |
New treatment approaches | 2 | 2% |
Yuce Inel T (2026). [PMID: 41795747](https://pubmed.ncbi.nlm.nih.gov/41795747/). *Clinical rheumatology*. [Case Report / Case Series]
Brilland B (2026). [PMID: 40935134](https://pubmed.ncbi.nlm.nih.gov/40935134/). *Kidney Int*. [Basic Science / Preclinical]
Tamaki H (2026). [PMID: 41233277](https://pubmed.ncbi.nlm.nih.gov/41233277/). *Allergology international : official journal of the Japanese Society of Allergology*. [Case Report / Case Series]
Nanzer AM (2026). [PMID: 41616960](https://pubmed.ncbi.nlm.nih.gov/41616960/). *The journal of allergy and clinical immunology. In practice*. [Review / Meta-Analysis]
Dong C (2026). [PMID: 41501017](https://pubmed.ncbi.nlm.nih.gov/41501017/). *Nature communications*. [Basic Science / Preclinical]
Pallotti F (2026). [PMID: 41366827](https://pubmed.ncbi.nlm.nih.gov/41366827/). *Journal of internal medicine*. [Clinical Trial Publication]
Patil V (2026). [PMID: 41622276](https://pubmed.ncbi.nlm.nih.gov/41622276/). *Eur Arch Otorhinolaryngol*. [Review / Meta-Analysis]
Gramellini G (2026). [PMID: 41343954](https://pubmed.ncbi.nlm.nih.gov/41343954/). *Am J Otolaryngol*. [Case Report / Case Series]
Chiara E (2026). [PMID: 41717826](https://pubmed.ncbi.nlm.nih.gov/41717826/). *Curr Opin Rheumatol*. [Review / Meta-Analysis]
Miyamoto AT (2026). [PMID: 40866261](https://pubmed.ncbi.nlm.nih.gov/40866261/). *Intern Med*. [Review / Meta-Analysis]
AI-curated news mentioning granulomatosis with polyangiitis
Updated Sep 5, 2026
A case report details a rare instance of transethmoidal encephalocele linked to granulomatosis with polyangiitis. This finding contributes to the understanding of the disease's manifestations.
A recent case report details a patient with granulomatosis with polyangiitis who presented with chronic conjunctivitis. This highlights the diverse manifestations of the disease and may inform future clinical assessments.
A recent study explores the association between rhinocerebral mucormycosis and granulomatosis with polyangiitis, also known as Wegener's granulomatosis. This research may provide insights into the complex interactions between these rare diseases.