Contraindications |
Active hepatitis B infectiona
|
|
History of life-threatening infusion reaction to medicationb
|
Recommended pretreatment testinga
|
Complete blood count with differential |
|
Comprehensive metabolic panel |
|
Quantiferon/tuberculosis screen |
|
Hepatitis panel |
|
Varicella zoster virus IgG (to ensure immunity) |
|
Quantitative Ig levels |
|
Urine or serum beta human chorionic gonadotropin (where appropriate) |
|
Brain MRI |
|
All necessary vaccinations > 4 weeks prior to first dose |
Recommended monitoring schedulea
|
Complete blood count with differential (every 6 months) |
|
Comprehensive metabolic panel (every 6 months) |
|
CD19 count (every 6 months) |
|
Quantitative Ig levels (every 6 months) |
|
Monitor for recurrent or serious infection |
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Monitor for malignancy/ensure all age-appropriate cancer screening up to date |
Pregnancy and family planning |
Recommend contraception during treatment and for 6 months aftera
|