Lupus & antiphospholipid syndrome

Effect of rituximab on long-term damage acquisition in patients with systemic lupus erythematosus

Rheumatology (Oxford)Published Matched cohort study

Authors' conclusion

While patients treated with rituximab initially had higher damage, their rate of damage progression was slower compared with those receiving standard therapies.

Study context

Population
Patients with SLE (94.1% female; 45.4% Caucasian)secondary analysis: 111 patients
Participants
380 patients
Exposure
Rituximab vs standard immunosuppressive therapies
  • Rituximabn = 190
  • Controln = 190reference
Outcome
Damage assessed by SLICC/ACR DI
Methodological detailsmatched on sex and age of onset
  • Matched on sex and age of onset

Main finding

As reported in the abstract

SLICC/ACR DI

Rituximab

1.3

Control

0.9

P = 0.02

Observational data: associations, not effects.

Further findings

Anti-dsDNA antibody titres

P = 0.012

DI progression (secondary analysis)

Mean

OutcomeRituximabControlP value
SLICC/ACR DI mean (secondary analysis, 111 patients)No statistical difference0.40.6P = 0.33

Damage Index (DI) progression (secondary analysis)

Statistically significant difference between the two groups in DI progression

Original publication

Effect of rituximab on long-term damage acquisition in patients with systemic lupus erythematosus. Rheumatology (Oxford). Published 15 May 2025. doi:10.1093/rheumatology/keaf248

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