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 |