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A complication of rheumatic disease that is caused by excessive activation and uncontrolled proliferation of T lymphocytes and well-differentiated macrophages. It is characterized by fever, pancytopenia, liver insufficiency, coagulopathy and neurologic symptoms.
Biomarker and diagnostic research for macrophage activation syndrome has been reported in the published literature.
No approved treatments are currently available for macrophage activation syndrome. An additional 1 compound holds orphan drug designation.
While no drugs are FDA-approved specifically for macrophage activation syndrome, 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 macrophage activation syndrome. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor |
|---|
Estimated prevalence: Unknown (Unknown prevalence).
5 clinical trials registered, 1 recruiting. Interventions under study include other interventions, drug therapy, and biologic therapy. Pipeline includes 1 PHASE2, 1 PHASE1. Research is primarily sponsored by academic and government institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT01966367](https://clinicaltrials.gov/study/NCT01966367) |
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 2:42 AM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Designated
Exclusivity End |
|---|
Designation Status |
|---|
dusquetide | dusquetide | Soligenix, Inc. | 2016 | — | Designated |
Gene therapy approaches for macrophage activation syndrome have been reported in the published literature.
5 trials found
CD34+ (Non-Malignant) Stem Cell Selection for Patients Receiving Allogeneic Stem Cell Transplantation |
PHASE1 |
Diane George |
ACTIVE_NOT_RECRUITING |
[NCT03827343](https://clinicaltrials.gov/study/NCT03827343) | Retrospective Study of Immunotherapy Related Toxicities and Factors Impacting Outcomes in Children and Adults With Cancer | — | National Cancer Institute (NCI) | UNKNOWN |
[NCT05611710](https://clinicaltrials.gov/study/NCT05611710) | Anakinra in Dengue With Hyperinflammation ( AnaDen ) | PHASE2 | Oxford University Clinical Research Unit, Vietnam | UNKNOWN |
[NCT06339177](https://clinicaltrials.gov/study/NCT06339177) | Hemophagocytic Lymphohistiocytosis (HLH) Evaluation and Research of Clinical, ImmUnoLogic and TranscriptomE Study | — | National Institute of Allergy and Infectious Diseases (NIAID) | RECRUITING |
[NCT07491926](https://clinicaltrials.gov/study/NCT07491926) | MASKd: a Study on Kawasaki Disease (KD) Complicated by Macrophage Activation Syndrome (MAS) | — | Meyer Children's Hospital IRCCS | UNKNOWN |
235 publications have been identified in PubMed for macrophage activation syndrome. Kisho has analyzed 159 by research type. Research spans Review / Meta-Analysis (28%), Case Report / Case Series (24%), and Basic Science / Preclinical (13%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 45 | 28% |
Patient case studies | 38 | 24% |
Laboratory research | 20 | 13% |
Disease patterns and progression | 19 | 12% |
Testing and diagnosis research | 13 | 8% |
Other research | 12 | 8% |
Clinical study results | 10 | 6% |
New treatment approaches | 2 | 1% |
Gozzi F (2026). [PMID: 41432122](https://pubmed.ncbi.nlm.nih.gov/41432122/). *Reumatismo*. [Case Report / Case Series]
Ritter P (2026). [PMID: 41979866](https://pubmed.ncbi.nlm.nih.gov/41979866/). *Med Klin Intensivmed Notfmed*. [Review / Meta-Analysis]
Giamarellos-Bourboulis EJ (2026). [PMID: 41359996](https://pubmed.ncbi.nlm.nih.gov/41359996/). *JAMA*. [Clinical Trial Publication]
Burul G (2026). [PMID: 41531145](https://pubmed.ncbi.nlm.nih.gov/41531145/). *Transpl Infect Dis*. [Other]
Ma Z (2026). [PMID: 40948068](https://pubmed.ncbi.nlm.nih.gov/40948068/). *Arthritis Rheumatol*. [Other]
Chen X (2026). [PMID: 41824219](https://pubmed.ncbi.nlm.nih.gov/41824219/). *Clin Rheumatol*. [Diagnostic / Biomarker]
Wang X (2026). [PMID: 42224149](https://pubmed.ncbi.nlm.nih.gov/42224149/). *J Vis Exp*. [Clinical Trial Publication]
Fujita Y (2026). [PMID: 40944419](https://pubmed.ncbi.nlm.nih.gov/40944419/). *Immunol Med*. [Case Report / Case Series]
Calabrese L (2026). [PMID: 41025504](https://pubmed.ncbi.nlm.nih.gov/41025504/). *Rheumatology (Oxford)*. [Epidemiology / Natural History]
Skoczynska M (2026). [PMID: 41526328](https://pubmed.ncbi.nlm.nih.gov/41526328/). *Lupus*. [Review / Meta-Analysis]
AI-curated news mentioning macrophage activation syndrome
Updated Sep 10, 2026
A systematic review highlights the complications of macrophage activation syndrome in juvenile dermatomyositis, providing insights into the disease's complexities. This research may inform future clinical approaches and management strategies.
A case report highlights the occurrence of Epstein-Barr virus (EBV) induced Evans syndrome in a patient with systemic lupus erythematosus (SLE) related macrophage activation syndrome (MAS). This finding contributes to the understanding of the interplay between viral infections and autoimmune conditions.
A 24-year study on adult-onset Still's disease reveals key treatment outcomes and predictors for macrophage activation syndrome. This research provides valuable insights for clinicians managing this rare condition.