Inflammatory myopathies

Low-dose rituximab is efficacious in refractory idiopathic inflammatory myopathies

Rheumatology (Oxford)Published Registry-based observational cohort study

Authors' conclusion

RTX improved IMACS core set measures and had steroid sparing efficacy at 6 and 12 months in patients with IIM in this registry-based study.

Study context

Population
Patients with refractory idiopathic inflammatory myopathy (IIM) receiving rituximab (RTX) between 2018 and 2021 (F:M 29:13; mean age 39.5 years)F:M, 29:13
Participants
42 patients
Exposure
RTX 1 g × two doses vs 500 mg × two doses; change from baseline
  • 1 gn = 28
  • 500 mgn = 14
Outcome
Short-term efficacy of RTX: total improvement score from IMACS core set measures
Follow-up
6 months and 12 months

Main finding

As reported in the abstract

Total improvement score, mean improvement · 6 and 12 months

Mean (SD) improvement in total improvement score at 6 months

44.5

16

Mean (SD) improvement in total improvement score at 12 months

48.7

19.2

Observational data: associations, not effects.

Further findings

Manual muscle testing (MMT-8), physician global assessment (PGA), patient global assessment (PtGA) and median steroid dosage vs baseline · 6 and 12 months

Improvement vs baseline in MMT-8, PGA, PtGA and median steroid dosage
P < 0.01 for all

Change in MMT-8, PGA and PtGA from baseline, 1 g vs 500 mg · 6 and 12 months

Comparable between the two dosage regimens

Safety

Severe lower respiratory tract infections requiring hospitalization

Patients of the cohort
3

Original publication

Low-dose rituximab is efficacious in refractory idiopathic inflammatory myopathies. Rheumatology (Oxford). Published 10 August 2022. doi:10.1093/rheumatology/keac438

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