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. 2014 Dec 17;9(12):e115026. doi: 10.1371/journal.pone.0115026

Table 4. Summary of adverse effects in GCA/TAA pts treated with biological agents.

Type of LVV Biological agent Number of patients Number of Studies Number pts. (%) with AE Cessation rate* Adverse Effects
Infections Miscellaneous effects
GCA TCZ 19 5 11 (36.8%) ** 0 0 4 leukopenia, 5 transaminitis, 1 adrenal insufficiency and 1 post-op MI resulting in death
IFX 33 3 26 (78.9%) 3/33 (12.2%) 20/33 (60.6 %) 1 heart failure, 6 infusion reactions
ETN 8 1 8 (100 %) 3/8 (37.5 %) 4/8 (50 %) 1 heart failure, 1 N/V/weight loss, 2 transaminitis, 1 injection reaction
ADA 34 1 24 (70.59) 5/34 (14.7) 16/34 (47 %) 1 injection site reaction, 1 breast CA
TAA TCZ 11 4 0 N/A N/A N/A
IFX 85 12 23/85 (27%) 11/85 (15.2%) 11/23 (47.8%) steroid psychosis, breast CA transaminitis, allergic rash, allergy, serum sickness, pancreatic CA (all 1 pt) 4 infusion reactions
ETN 12 3 3/12 (25%) 1/4 2/4 N and HTN (1 pt in total)
ADA 3 2 NR NR NR NR
RXB 5 2 NR NR NR NR

Abbreviations: A/E (adverse effects), TCZ (tocilizumab), IFX (infliximab), ETN (etanercept), ADA (adalimumab), RXB (rituximab), N (nausea), V (vomiting), N/A (not applicable), NR (not reported), HTN (hypertension), MI (myocardial infarction).

* Cessation rate - discontinuation secondary to adverse effects;

** Likely an overestimation as one study did not specify which patients developed leukopenia and transaminitis