Recent randomized, controlled trials suggest that B-cell-depletion therapy with rituximab effectively induces remission in anti-neutrophil-cytoplasmic-antibody-associated vasculitis but is ineffective in patients with lupus nephritis or nonrenal systemic lupus erythematosus with moderate-to-severe disease activity.
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References
Furie, R. et al. Efficacy and safety of rituximab in subjects with active proliferative lupus nephritis (LN): results from the randomized, double-blind phase III LUNAR study. Arthritis Rheum. [online], (2009).
Furie, R. et al. Effect of rituximab (RTX) on anti-dsDNA and C3 levels and relationship to response: results from the LUNAR trial. Arthritis Rheum. [online], (2009).
Merrill, J. T. et al. Flare assessment in systemic lupus erythematosus (SLE) patients treated with rituximab in the phase II/III EXPLORER trial. Arthritis Rheum. [online], (2009).
Merrill, J. T. et al. Treatment of systemic lupus erythematosus (SLE) with rituximab: 78-week safety data from the phase II/II EXPLORER trial. Arthritis Rheum. [online], (2009).
Stone, J. H. et al. Rituximab versus cyclophosphamide for induction of remission in ANCA-associated vasculitis: a randomized controlled trial (RAVE). Arthritis Rheum. [online], (2009).
Bosch, X., Guilabert, A., Espinosa, G. & Mirapeix, E. Immunotherapy for antineutrophil cytoplasmic antibody-associated vasculitis: challenging the therapeutic status quo? Trends Immunol. 29, 280–289 (2008).
Walsh, M. & Jayne, D. Rituximab in the treatment of anti-neutrophil cytoplasm antibody associated vasculitis and systemic lupus erythematosus: past, present and future. Kidney Int. 72, 676–682 (2007).
Ng, K. P. et al. B cell depletion therapy in systemic lupus erythematosus: long-term follow-up and predictors of response. Ann. Rheum. Dis. 66, 1259–1262 (2007).
Favas, C. & Isenberg, D. A. B-cell-depletion therapy in SLE—what are the current prospects for its acceptance? Nat. Rev. Rheumatol. 5, 711–716 (2009).
John Looney, R., Anolik, J. & Sanz, I. A perspective on B-cell-targeting therapy for SLE. Mod. Rheumatol. doi: 10.1007/s10165-009-0213-x.
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Bosch, X. Rituximab in ANCA vasculitis and lupus: bittersweet results. Nat Rev Nephrol 6, 137–139 (2010). https://doi.org/10.1038/nrneph.2010.13
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DOI: https://doi.org/10.1038/nrneph.2010.13
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