A 58-year-old man with a 6-month history of constitutional symptoms, palpable purpura on lower extremities, and glomerulonephritis is found to have elevated inflammatory markers and positive ANCA (c-ANCA with anti-PR3 antibodies). A diagnosis of granulomatosis with polyangiitis (GPA) is made. What is the drug of choice for induction therapy in this patient?
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