Table.
Patients With CIPO Treated With Rituximab or Vedolizumab
| First author (ref) | Age/sex | Additional neurological symptoms | Antibody | Intestinal pathologic examination | Cancer | Failed immunotherapies | Second-line drug and response |
| Coret12 | 60/F | Sensory neuronopathy | Hu | Not done | None | Corticosteroids, IVIG, PLEX | Rituximab. CIPO: complete response; sensory neuronopathy: partial response |
| Badari13 | 61/M | No | Hu | Diffuse lymphoplasmacytic infiltration of myenteric plexus | SCLC | IVIG, octreotide | Rituximab. Complete response (concomitant treatment with cyclophosphamide) |
| Drukker14 | 4/M | Sensory neuropathy | Hu | Lack of ganglion cells in myenteric plexus | Neuroblastoma | Prednisone | Rituximab. No responsea |
| Schamphelaere15 | 58/M | Brainstem and limbic encephalitis | Hu | T-cell infiltration of myenteric plexus | None | Prednisone and PLEX | Rituximab. No response (concomitant treatment with cyclophosphamide) |
| Vilaseca (patient 1) | 45/M | Myasthenia gravis | None | CD8+ T cells myenteric ganglionitis, reduction of ganglionic neurons | Thymoma | Prednisone and azathioprine | Vedolizumab and low-dose prednisone. Clinical and radiologic response after 12 mo of follow-up |
| Vilaseca (patient 2) | 7/M | Sensory neuropathy and dysautonomia | Hu | — | None | IVIg | Vedolizumab. No response |
| Vilaseca (patient 3) | 19/F | No | Hu | CD8+ T cells myenteric ganglionitis, reduction of ganglionic neurons | None | Prednisone, adalimumab | Methylprednisolone, IVIg, rituximab. Clinical and radiologic response after 12 mo of follow-up |
| Vilaseca (patient 4) | 66/F | No | None | T-cell infiltration myenteric ganglionitis | None | Prednisone | Vedolizumab. Clinical and radiologic response after 12 mo of follow-up |
Abbreviations: CIPO = Chronic Intestinal Pseudo-obstruction; IVIg = IV immunoglobulins; PLEX = plasma exchange; SCLC = small cell lung cancer.
PLEX induced a CIPO remission that was initially maintained by rituximab. Despite this treatment there were 4 relapses over the ensuing 17 months.