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. 2019 Apr 27;58(10):1812–1817. doi: 10.1093/rheumatology/kez157

Table 2.

Primary outcome: adverse events and the concomitant treatments per patient

Episodes (months) −3–0 0–3 3–6 6–9 9–12 Monthly Incidence Pre-MSC Monthly Incidence Post-MSC Incidence /person/month Pre-MSC Incidence /person/month Post-MSC P-value
Serious Adverse Events
Pt 1 Hematemesis faecal impaction Fecal impaction - Fecal impaction - 0.67 0.17 0.111 0.055 0.60
Pt 2 - - - Bilateral pneumonia 0 0.08
Pt 3 - - - - - 0 0
Pt 4 - - - - - 0 0
Pt 5 - - - - - 0 0
Pt 6 - - Evolving MAS - - 0 0.08
Total 2 1 1 1 1 0.67 0.33
Adverse Events
Pt 1 - - - - - 0 0 0.055 0.014 0.36
Pt 2 - - - - - 0 0
Pt 3 Flu-like illness - URTI - 0.33 0.08
Pt 4 - - - - 0 0
Pt 5 - - - - - 0 0
Pt 6 - - - - - 0 0
Total 1 0 1 0 0 0.33 0.08
Anti-rheumatic therapy
Pt 1
  • (Wk -5 Toclilizumab)

  • MTX 25mg/wk sc

  • Wk 0 & 11: MSC

  • MTX 25mg/wk po

MTX 25mg/wk po MTX 25mg/wk po MTX 25mg/wk po
Pt 2 Pred. 10 mg/d
  • Wk 0: MSC

  • Pred. 10 mg/d

Pred. 10 mg/d
  • Wk 28 & 30 Rituximab

  • Pred. 10 mg/d

Pred. 10 mg/d
Pt 3
  • (Wk -10 Tocilizumaba)

  • Pred. 12.5 mg/d

  • Wk 0: MSC

  • Pred. 12.5 mg/d

Pred. 12.5 mg/d Pred. 12.5 mg/d Pred. 12.5 mg/d
Pt 4
  • (Wk -5 Abatacept)

  • Pred. 5mg/d

  • MTX 7.5 mg/wk po

  • Wk 0 & 10: MSC

  • Pred. 5mg/d

  • MTX 7.5 mg/wk

  • Wk 23: Sirolimus 2mg/d

  • Pred. 7.5mg/d

  • Wk 22: MMF 1500mg/d

  • Wk 38: IA steroids (4)

  • Wk 38: Etanercept

  • Pred. 10mg/d

  • MMF 1500mg/d

  • Etanercept 50mg/10d

  • Pred. 7.5mg/d

  • MMF 1500mg/d

Pt 5 Pred. 14 mg/d
  • Wk 0 & 8: MSC

  • Pred. 14 mg/d

  • Wk 13: IA steroidsb

  • Wk 16: Adalimumab

  • Pred. 10 mg/d

  • Wk 13: MTX 15mg/wk sc

  • Wk 32: MMF 1000mg/d

  • Adalimumab 40mg/wk

  • Pred. 5 mg/d

  • MTX 20 mg/wk sc

  • MMF 1500mg/d

  • Adalimumab 40mg/wk

  • Pred. 2.5 mg/d

  • MTX 20 mg/wk sc

Pt 6
  • (Wk-2 Tocilizumab)

  • Pred 2 mg/d

  • MTX 25 mg/wk po

  • Wk 0: MSC

  • Wk 9: MP 3x pulse

  • Wk 9: Tocilizumab /e.o.w.

  • Wk 9: Pred. 60->30 mg/d

  • MTX 25 mg/wk po

  • Tocilizumab / e.o.w.

  • Pred. 30->10 mg/d

  • MTX 25mg/wk po

  • Tocilizumab / e.o.w.

  • Pred. 10->5 mg/d

  • MTX 25mg/wk po

  • Wk 39: MMF 1440mg/d

  • Tocilizumab / e.o.w.

  • Pred. 2 mg/d

  • MTX 25mg/wk po

Serious and moderate-severe adverse events are shown for 3-month periods before and 12 months after the first MSC-infusion. Also, the anti-rheumatic medication given during the study is shown per patient; therapy changes are in bold. The biologics used prior to week 0 are between brackets with their last administrations displayed. Incidences are displayed per patient/month. The two-sided χ2 test (Fisher’s exact) for related samples was used for statistical analysis of the incidences of events per person per month comparing the Pre-MSC with the Post-MSC episode.

a

subcutaneous.

b

5 joints injected.

e.o.w: every other week; MP: methylprednisolone; MSC: mesenchymal stromal cells; po: per os; Pred: prednisolone; URTI: upper respiratory tract infection; Wk: week.