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Off-label use of rituximab in systemic lupus erythematosus: a systematic review

Off-label use of rituximab in systemic lupus erythematosus: a systematic review Considerable interest in the efficacy of rituximab (a monoclonal CD20 antibody) in patients with systemic lupus erythematosus (SLE) has been generated due to its unique mode of action, culminating in a series of randomized and open trials, and case reports. However, this use is off-license and two significant RCTs have reported negative findings, reopening the debate on clinical benefit. This review of the available data suggests that rituximab induces B-cell depletion in 95% of patients, and a significant reduction in disease activity is achieved with a relatively good safety profile in patients with SLE. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical Rheumatology Springer Journals

Off-label use of rituximab in systemic lupus erythematosus: a systematic review

Clinical Rheumatology , Volume 29 (7) – Feb 13, 2010

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References (72)

Publisher
Springer Journals
Copyright
Copyright © 2010 by Clinical Rheumatology
Subject
Medicine & Public Health; Rheumatology
ISSN
0770-3198
eISSN
1434-9949
DOI
10.1007/s10067-010-1387-5
pmid
20155295
Publisher site
See Article on Publisher Site

Abstract

Considerable interest in the efficacy of rituximab (a monoclonal CD20 antibody) in patients with systemic lupus erythematosus (SLE) has been generated due to its unique mode of action, culminating in a series of randomized and open trials, and case reports. However, this use is off-license and two significant RCTs have reported negative findings, reopening the debate on clinical benefit. This review of the available data suggests that rituximab induces B-cell depletion in 95% of patients, and a significant reduction in disease activity is achieved with a relatively good safety profile in patients with SLE.

Journal

Clinical RheumatologySpringer Journals

Published: Feb 13, 2010

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