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Microscopic polyangiitis (MPA) is an inflammatory, necrotizing, systemic vasculitis that affects predominantly small vessels (i.e. small arteries, arterioles, capillaries, venules) in multiple organs.
Biomarker and diagnostic research for microscopic polyangiitis has been reported in the published literature.
No approved treatments are currently available for microscopic polyangiitis. An additional 1 compound holds orphan drug designation.
While no drugs are FDA-approved specifically for microscopic 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 microscopic polyangiitis. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor |
|---|
Estimated prevalence: 1-9 in 100,000 (Uncommon).
11 clinical trials registered, 9 recruiting. Interventions under study include other interventions, drug therapy, and biologic therapy. Pipeline includes 2 PHASE4, 1 PHASE3, 2 PHASE1. Research is sponsored by a mix of industry and academic institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT01241305](https://clinicaltrials.gov/study/NCT01241305) |
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 3:00 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Designated
Exclusivity End |
|---|
Designation Status |
|---|
Tavneos | avacopan | ChemoCentryx, Inc. | 2014 | 2028 | Designated (drug approved for other indication) |
Tavneos is referenced in active clinical trials for microscopic polyangiitis (designated 2014).
Gene therapy approaches for microscopic polyangiitis have been reported in the published literature.
11 trials found
One-Time DNA Study for Vasculitis |
— |
University of Pennsylvania |
RECRUITING |
[NCT06350110](https://clinicaltrials.gov/study/NCT06350110) | Fourth-gen CAR T Cells Targeting BCMA/CD19 for Refractory Systemic Lupus Erythematosus (SLE) | PHASE1 | Essen Biotech | RECRUITING |
[NCT07087912](https://clinicaltrials.gov/study/NCT07087912) | Safety and Immunogenicity of the Live Attenuated Tetravalent Butantan-Dengue Vaccine in Autoimmune Rheumatic Diseases | PHASE4 | University of Sao Paulo General Hospital | RECRUITING |
[NCT06758271](https://clinicaltrials.gov/study/NCT06758271) | Special Drug Use-results Survey for Long-term Use(Avacopan) | — | Kissei Pharmaceutical Co., Ltd. | RECRUITING |
[NCT03004326](https://clinicaltrials.gov/study/NCT03004326) | Clinical Transcriptomics in Systemic Vasculitis (CUTIS) | — | Peter Merkel | RECRUITING |
291 publications have been identified in PubMed for microscopic polyangiitis. Research spans Epidemiology / Natural History (29%), Review / Meta-Analysis (27%), and Case Report / Case Series (22%).
Research Type | Count | % of Total |
|---|---|---|
Disease patterns and progression | 83 | 29% |
Research summaries | 79 | 27% |
Patient case studies | 65 | 22% |
Testing and diagnosis research | 24 | 8% |
Clinical study results | 17 | 6% |
Laboratory research | 15 | 5% |
New treatment approaches | 5 | 2% |
Other research | 3 | 1% |
Nakamoto N (2026). [PMID: 42247048](https://pubmed.ncbi.nlm.nih.gov/42247048/). *Rheumatol Int*. [Epidemiology / Natural History]
Shahrour H (2026). [PMID: 41562166](https://pubmed.ncbi.nlm.nih.gov/41562166/). *Ann Saudi Med*. [Review / Meta-Analysis]
Narváez J (2026). [PMID: 41871820](https://pubmed.ncbi.nlm.nih.gov/41871820/). *Autoimmun Rev*. [Review / Meta-Analysis]
Rivero-Otamendi E (2026). [PMID: 40815813](https://pubmed.ncbi.nlm.nih.gov/40815813/). *J Clin Rheumatol*. [Epidemiology / Natural History]
Junek M (2026). [PMID: 41722161](https://pubmed.ncbi.nlm.nih.gov/41722161/). *Semin Arthritis Rheum*. [Epidemiology / Natural History]
Takahashi H (2026). [PMID: 42131077](https://pubmed.ncbi.nlm.nih.gov/42131077/). *Respirol Case Rep*. [Case Report / Case Series]
Hellmich B (2026). [PMID: 41051263](https://pubmed.ncbi.nlm.nih.gov/41051263/). *Rheumatology (Oxford)*. [Review / Meta-Analysis]
Esa N (2026). [PMID: 42139088](https://pubmed.ncbi.nlm.nih.gov/42139088/). *Mod Rheumatol Case Rep*. [Case Report / Case Series]
Alba MA (2026). [PMID: 41717852](https://pubmed.ncbi.nlm.nih.gov/41717852/). *Curr Opin Nephrol Hypertens*. [Review / Meta-Analysis]
Li L (2026). [PMID: 42112355](https://pubmed.ncbi.nlm.nih.gov/42112355/). *Front Immunol*. [Epidemiology / Natural History]
AI-curated news mentioning microscopic polyangiitis
Updated Jul 28, 2026
A recent study highlights a case of microscopic polyangiitis associated with pituitary dysfunction and spontaneous renal aneurysm rupture. This research adds to the understanding of the complex manifestations of this rare disease.
A recent case report highlights the occurrence of microscopic polyangiitis following pulmonary nontuberculous mycobacterial disease. This literature review provides insights into the potential relationship between these conditions.