Table 1.
Patient no. | Age, yr | Sex | Ethnicity | Disease phenotype | ANCA type and titer at the time of booster, U/ml | eGFR at the time of booster, ml/min per 1.73 m2 | Proteinuria at the time of booster, mg | Induction IS | Maintenance IS | Cumulative RTX dose, g | Interval between last RTX and first vaccine dose, mo | CD19 count, cells/ml (%) | Time point of CD19 measurement | Vaccine types | SARS-CoV-2 spike protein IgG titer (immunoassay), AU |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 67 | Male | White | GPA | PR3 (30.8) | 68 | 91 | RTX + steroids | RTX | 8.2 | 4 | <20 (0) | 2 wk before second vaccine dose | JNJ and then Pfizer–BioNTech series | >12 |
2 | 80 | Female | White | MPA | MPO (<9) | 34 | 307 | RTX + steroids | RTX | 9 | 5 | <20 (0) | 1 wk before second vaccine dose | JNJ and then Moderna series | <12 (DiaSorin Liaison) |
3 | 70 | Female | White | MPA | MPO (NA) | 44 | 219 | Cyclophosphamide + steroids | RTX | 3 | 3 | <20 (0) | 1 mo after second vaccine dose | Pfizer–BioNTech and then JNJ | <1 (Roche Elecysys) |
ANCA, anti–neutrophil cytoplasmic antibody; AU, arbitrary unit; eGFR, estimated glomerular filtration rate; GPA, granulomatosis with polyangiitis; ID, identifier; IS, immunosuppression; JNJ, Johnson & Johnson; MPA, microscopic polyangiitis; MPO, myeloperoxidase; NA, not available; PR3, proteinase 3; RTX, rituximab; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.