Inflammatory myopathies

Effectiveness and safety of mycophenolate mofetil and rituximab combination therapy for immune idiopathic myopathies

Arthritis Res TherPublished Retrospective cohort study

Authors' conclusion

Our data show that combination of RTX and MMF is effective and safe in patients with severe and refractory IIM.

Study context

Population
Patients with idiopathic inflammatory myopathies (IIM) (anti-synthetase syndrome most prevalent, 60%) treated with rituximab (RTX)/mycophenolate mofetil (MMF) combination; median age 61 years; 70% female
Participants
20 patients
Outcome
Efficacy per 2016 ACR/EULAR response criteria for IIM
Follow-up
12 months (T12)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Moderate or major response (2016 ACR/EULAR criteria) · 12 months
  • Moderate or major response observed in all patients

Observational data: associations, not effects.

Further findings

Creatine kinase · 12 months

Significantly decreased
P = 0.012

Heart inflammation (cardiac imaging and enzymes)

Reduction of heart inflammation

Pulmonary function tests in patients with lung involvement

Improved

Safety

No severe side effects observed

Original publication

Effectiveness and safety of mycophenolate mofetil and rituximab combination therapy for immune idiopathic myopathies. Arthritis Res Ther. Published 3 April 2024. doi:10.1186/s13075-024-03310-z

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