Table 2.
Number of Patients with Infusion-Related Events According to Study Group.*
Event | Rituximab (N = 57) | Control (N = 30) | P Value† |
---|---|---|---|
number (percent) | |||
Patients receiving first infusion | 56 (98) | 30 (100) | |
Patients with one or more events | 52 (93) | 7 (23) | <0.001 |
Fever | 12 (21) | 1 (3) | 0.02 |
Cough | 3 (5) | 0 | 0.27 |
Shortness of breath | 4 (7)‡ | 1 (3) | 0.43 |
Hypotension | 13 (23) | 1 (3) | 0.01 |
Hypertension | 6 (11) | 0 | 0.07 |
Tachycardia | 12 (21) | 0 | 0.004 |
Rash | 21 (38)‡ | 0 | <0.001 |
Pruritus | 18 (32) | 0 | <0.001 |
Vomiting | 10 (18) | 0 | 0.01 |
Nausea | 18 (32) | 1 (3) | 0.001 |
Other | 22 (39) | 3 (10) | 0.003 |
Patients receiving more than one infusion | 51 (89) | 29 (97) | |
Patients with one or more events during second, third, or fourth infusion | 14 (27) | 8 (28) | 0.61 |
Fever | 1 (2) | 1 (3) | 0.88 |
Cough | 0 | 1 (3) | 1.00 |
Shortness of breath | 0 | 0 | NA |
Hypotension | 7 (14) | 5 (17) | 0.78 |
Hypertension | 0 | 0 | NA |
Tachycardia | 1 (2) | 0 | 0.64 |
Rash | 1 (2) | 0 | 0.64 |
Pruritus | 1 (2) | 0 | 0.64 |
Vomiting | 0 | 0 | NA |
Nausea | 0 | 0 | NA |
Other | 4 (8) | 4 (14) | 0.89 |
Rituximab or placebo was administered at a rate of 50 mg per hour. If infusion-related events did not occur, the infusion rate could be increased in increments of 50 mg per hour every 30 minutes to a maximum of 400 mg per hour. If an infusion rate of 400 mg per hour was tolerated, subsequent infusions started at a rate of 100 mg per hour and were increased by 100 mg per hour every 30 minutes until a rate of 400 mg per hour was reached. For mild infusion reactions, the rate of infusion was slowed or temporarily interrupted and was resumed at half the previous rate on alleviation of symptoms. For moderate or severe infusion reactions, the infusion was not restarted and subsequent infusions were not administered. One patient could have multiple events. NA denotes not applicable.
P values are one-sided and were calculated with the use of Fisher’s exact test.
One patient had a grade 3 infusion reaction consisting of shortness of breath and rash.