Unexpected and persistent depletion of B lymphocytes CD20 following a minimum dose of anti-CD20 antibody (Rituximab)

被引:11
作者
Bruzzese, V.
Pepe, J.
机构
[1] Nuovo Regina Margherita Hosp, Rome, Italy
[2] CHU Internal Med, ASL RM A, Dept Med, Sect Rheumatol, Rome, Italy
关键词
Allergic reaction; minimum dose of Rituximab; depletion CD20;
D O I
10.4081/reumatismo.2009.306
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This study describes a woman patient suffering from rheumatoid arthritis which was resistant to treatment with the most commonly used DMARDs and anti-TNF alfa drugs, however following the administration of a minimum dose of Rituximab the patient showed a persistent and complete depletion of CD 20 lymphocytes. The dose of Rituximab administered to the patient was halted at 50 mg due to the onset of an allergic reaction. Based on these observations, a number of important speculations are possible, which however would require a larger number of case histories for their confirmation.
引用
收藏
页码:306 / 308
页数:3
相关论文
共 4 条
[1]   Rituximab for rheumatoid arthritis refractory to anti-tumor necrosis factor therapy - Results of a multicenter, randomized, double-blind, placebo-controlled, phase III trial evaluating primary efficacy and safety at twenty-four weeks [J].
Cohen, Stanley B. ;
Emery, Paul ;
Greenwald, Maria W. ;
Dougados, Maxime ;
Furie, Richard A. ;
Genovese, Mark C. ;
Keystone, Edward C. ;
Loveless, James E. ;
Burmester, Gerd-Ruediger ;
Cravets, Matthew W. ;
Hessey, Eva W. ;
Shaw, Timothy ;
Totoritis, Mark C. .
ARTHRITIS AND RHEUMATISM, 2006, 54 (09) :2793-2806
[2]   Safety and efficacy of additional courses of rituximab in patients with active rheumatoid arthritis [J].
Keystone, Edward ;
Fleischmann, Roy ;
Emery, Paul ;
Furst, Daniel E. ;
van Vollenhoven, Ronald ;
Bathon, Joan ;
Dougados, Maxime ;
Baldassare, Andrew ;
Ferraccioli, Gianfranco ;
Chubick, Andrew ;
Udell, James ;
Cravets, Matthew W. ;
Agarwal, Sunil ;
Cooper, Simon ;
Magrini, Fabio .
ARTHRITIS AND RHEUMATISM, 2007, 56 (12) :3896-3908
[3]   Reconstitution of peripheral blood B cells after depletion with rituximab in patients with rheumatoid arthritis [J].
Leandro, MJ ;
Cambridge, G ;
Ehrenstein, MR ;
Edwards, JCW .
ARTHRITIS AND RHEUMATISM, 2006, 54 (02) :613-620
[4]   Cytokine-release syndrome in patients with B-cell chronic lymphocytic leukemia and high lymphocyte counts after treatment with an Anti-CD20 monoclonal antibody (Rituximab, IDEC-C2B8) [J].
Winkler, U ;
Jensen, M ;
Manzke, O ;
Schulz, H ;
Diehl, V ;
Engert, A .
BLOOD, 1999, 94 (07) :2217-2224