Rheumatoid arthritis

Should complete B cell depletion be maintained in patients treated long-term with rituximab for rheumatoid arthritis?

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

Maintaining complete BC depletion does not appear to be a therapeutic target to achieve in RA patients in long-term maintenance therapy with RTX.

Study context

Population
Rheumatoid arthritis (RA) patients in long-term maintenance therapy with rituximab (RTX) admitted for a new infusion between 2019 and 2021in maintenance therapy with RTX
Participants
126 patients
Exposure
Persistent complete B cell depletion vs no persistent complete B cell depletion
  • Persistent complete B cell (BC) depletionn = 43
Outcome
Mean DAS28-CRP at each of the four last infusion visits
Follow-up
Each of the four last infusion visits

Main finding

As reported in the abstract

  • Did not significantly differ according to persistence or not of complete BC depletion; unchanged after adjusting for antibody status, number of previous therapies, number of RTX infusions and cumulative RTX dose

Observational data: associations, not effects.

Secondary outcomes

DAS28, pain/fatigue VAS, CRP, gammaglobulins, frequency of self-reported RA flares

All not significantly different between the two groups

Original publication

Should complete B cell depletion be maintained in patients treated long-term with rituximab for rheumatoid arthritis? Rheumatology (Oxford). Published 4 October 2023. doi:10.1093/rheumatology/kead528

Composed by AI from the published abstract and checked against it. How Briefs are made →

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