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. Author manuscript; available in PMC: 2020 Nov 1.
Published in final edited form as: Eur J Endocrinol. 2019 Nov;181(5):D27–D43. doi: 10.1530/EJE-19-0389

Table 2.

General available information of therapy with high-dose glucocorticoids, rituximab, tocilizumab, and teprotumumab for moderate-to-severe and TAO, as resulting from randomized clinical trials.

Intravenous Glucocorticoids Rituximab Tocilizumab Teprotumumab
Proof-of-principle study More effective than placebo Not different from placebo* More effective than placebo More effective than placebo
Short-term side effects Known Known Known Known
Long-term side effects Known Unknown Unknown Unknown
Durability Known Unknown Unknown Unknown
Comparison with intravenous glucocorticoids ------------------ Yes* No No
*

One small, monocentric randomized clinical trial (71) showed no difference between placebo and rituximab; another small, monocentric randomized clinical trial (72) showed similar effectiveness of intravenous glucocorticoids and rituximab in inactivating TAO and a low relapse rate with rituximab after treatment withdrawal