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 |