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. 2020 Sep 8;11:572863. doi: 10.3389/fphar.2020.572863

Table 2.

Prevalence and severity of HSRs to rituximab.

References Types, clinical features, and severity
Brennan et al., 2009
n = 14 patients
Clinical presentations Approximately 57% cutaneous, 50% cardiovascular, 50% respiratory, 30% fever, 30% throat, 20% gastrointestinal, and 30% neurological reactions
Severity Grade I: 25%, Grade II: 50%, Grade III: 30%
van Vollenhoven et al., 2013
n = 3194 patients
-Acute infusion related reactions: 77% of patients
Levin et al., 2017
n = 67 patients
Incidence of reactions in relation to the number of infusions 63% of reactions during 1st infusion, 9% during 2nd infusion, 15% during cycles 3–10, 7% during cycles 11–20, 6% during cycles 20–53
Clinical presentations 63% cutaneous reactions, 45% generalized pruritis, 21% flushing, 16% hives
Severity Grade 1A: 18%, Grade 1B: 9%, Grade 2: 61%, Grade 3: 10%, Grade 4: Less than 1%
Isabwe et al., 2018
n = 52
patients
Reactions Acute infusion reactions: 20-50%
Type I reactions: 63%
Cytokine-release reactions: 13%
Mixed reactions: 21%
Delayed reactions: 3%
Severity Grade I: 13%, Grade II: 60%, Grade III: 29%
Görgülü et al., 2019
n = 24 patients
Reactions
(Based on Isabwe et al., 2018)
Type I (IgE/non-IgE): 46%
Cytokine-release reaction: 12.5%
Mixed reactions: 41.5%
Clinical presentations Cutaneous symptoms 92%, Respiratory symptoms 88%, Cardiovascular symptoms 67%, Gastrointestinal symptoms 55%, Neurologic/muscular symptoms 29%, Fever (≥38.3°C) 46%
Severity Grade I: 0%, Grade II: 63%, Grade III: 37%