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. 2024 Mar 14;84(3):285–304. doi: 10.1007/s40265-024-02011-w

Table 2.

Pre-treatment testing and safety monitoring for anti-CD20 monoclonal antibody therapy

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
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

CD20 cluster of differentiation-20, CD19 cluster of differentiation–19, Ig immunoglobulin, MRI magnetic resonance imaging

aFor rituximab [16], ocrelizumab [18], ofatumumab [32], and ublituximab [74]

bFor rituximab [16], ocrelizumab [18], and ublituximab [74]