Table 2.
Patient no. | Age, yr | Sex | Ethnicity | Disease phenotype | ANCA type and titer at the time of second vaccine dose, U/ml | eGFR at the time of last RTX, ml/min per 1.73 m2 |
Proteinuria at the time of last RTX, mg | IS | Cumulative RTX dose, g | Vaccine type | Pre-RTX spike protein antibody titers, AU (negative, <1.24 AU) | Post-RTX spike protein antibody titers, AU (negative, <1.24 AU) | Duration elapsed between RTX and second antibody measurement, mo |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 57 | Male | White | MPA | MPO (>100) | 19 | 241 | Induction: RTX + steroids; CYC + PLEX for refractory vasculitis (new diagnosis) | 4 | Pfizer–BioNTech | 8.35 | 3.02 | 1 |
2 | 49 | Female | White | MPA | MPO (>100) | 39 | 1024 | Induction: CYC + steroids Maintenance: RTX Relapse (3 mo after vaccine): RTX, CYC, and steroids |
12 | Pfizer–BioNTech | 20 | 4.39 | 1 |
3 | 36 | Male | White | GPA | PR3 (4.4) | 96 | 190 | Induction: CYC + steroids Maintenance: RTX |
9 | Pfizer–BioNTech | 66 | 21.4 | 1 |
4 | 60 | Male | White | GPA | MPO (<3.2) | 50 | 130 | Induction: RTX + steroids Maintenance: AZA transitioned to RTX |
4.5 | Pfizer–BioNTech | 7.29 | 4.23 | 1 |
ANCA, anti–neutrophil cytoplasmic antibody; AU, arbitrary unit; AZA, azathioprine; CYC, cyclophosphamide; eGFR, estimated glomerular filtration rate; GPA, granulomatosis with polyangiitis; ID, identifier; IS, immunosuppression; MPA, microscopic polyangiitis; MPO, myeloperoxidase; PLEX, plasma exchange; PR3, proteinase 3; RTX, rituximab.