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. Author manuscript; available in PMC: 2013 Feb 1.
Published in final edited form as: Int J Clin Rheumtol. 2012 Apr 1;7(2):159–166. doi: 10.2217/ijr.12.7

Table 2.

Safety of multiple rounds of B-cell depletion.

Study (year) Duration Number of patients Number of courses IR Serious IR Infections Serious infections Opportunistic/PML Low IgM Low IgG Ref.
>1 >2 >3 >4 >5
Popa et al. (2007) 7 years 37 37 28 15 7 2 Four (fevers; 10.8%) One (urticarial rash third cycle; 2.7%) 16 (all lower respiratory infections; 43.2%) None (0%) None (0%) 12 (32.4%) 7 (18.9%) [23]

Autoimmunity and Rituximab Registry (2010) Mean of 1.2 ± 0.8 years 712 712 466 176 45 25 Not reported Total not reported 82 (11.5%) 1 (fungal septic arthritis; 0.14%) Post-treatment not reported Post-treatment not reported [32]

van Vollenhoven et al. (2010) Pooled data 2578 2578 1890 1043 425 133 915 (25% during first course) 14 (0.5%) 1663 (65%) 170 (7%) 49 (2%) VZV 1 PML (but post-cancer treatment 18 months post-RTX) 602 (23%) 141 (5%) [29]

Serious IR: requiring withdrawal from study. Serious infection: requiring intravenous antibiotics.

IR: Infusion reaction; PML: Progressive multifocal leukoencephalopathy; RTX: Rituximab; VZV: Varicella zoster virus.