Table 3.
Controls n = 10 |
Pre-RTX n = 8 |
Post-RTX n = 11 |
|
---|---|---|---|
Influenza vaccine, % increase | |||
IgM, median (95% CI) responder, n | 104 (96-130) 3 | 120 (98-139) 6 | 105 (88-132) 4 |
IgG, median (95% CI) responder, n | 115 (96-191) 6 | 143 (72-176) 5 | 109 (85-139)a 5 |
κ-Light chain median (95% CI) | 110 (101-145)a | 126 (98-163) | 105 (93-124) |
λ-Light chain median (95% CI) | 126 (98-175)a | 147 (94-154)a | 113 (93-199)a |
Pneumococci vaccine | |||
IgM, median (95% CI) responder, n | 148 (92-541)a 8 | 107 (93-198) 3 | 105 (77-322) 5 |
IgG, median (95% CI) responder, n | 126 (71-213)a 7 | 178 (102-335)a 6 | 107 (88-151)b 4 |
κ-Light chain median (95% CI) | 154 (85/218)a | 124 (97-211)a | 105 (94-171) |
λ-Light chain median (95% CI) | 164 (98/571)a | 227 (111-308)a | 138 (88-330)a |
Pre-RTX group, RA patients treated with RTX 6 days after vaccination; Post-RTX group, RA patients treated with RTX 6 months before vaccination; Controls, RA patients never treated with RTX. The levels of vaccine-specific antibodies at day 0 were taken as 100%. On day 21, the mean increase of antibody levels in the control group was 110%. This value indicated the cutoff for vaccination response in the RTX-treated patients. CI, Confidence interval.
aIncrease of Ig levels on day 21 compared with day 0, P < 0.05.
bIncrease of Ig levels in post-RTX group was lower as compared with pre-RTX group, P < 0.027.