Main characteristics of 16 patients with primary Sjögren’s syndrome, treated with rituximab (first treatment)
Patient | Sex/age/disease duration (years) | pSS status: anti-SSA/SSB antibodies/Chisolm–Mason score | Prior Immunosuppressive treatments | Clinical involvement at the beginning of RTX | Number of infusions × dose | Associated immunosuppressor treatments | Adverse event (Y/N) | Efficacy for lymphoma | Efficacy for systemic features | Efficacy for dryness ocular/oral (Y/N) | Follow-up(months) | Prednisone (mg/day) first/last | RF (IU/l)first/last | γ-globulinaemia (g/l) first/last | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Subjective | Objective | ||||||||||||||
AZA, azathioprine; CHOP, cyclophosphamide, doxorubicin, vincristine, prednisone; CPH, cyclophosphamide; d-peni, d penicillamine; ETA, etanercept; F, female; HQ, hydroxy-chloroquine; IFLX, infliximab; IRR, infusion-related reaction; iv, intravenous; Leflu, leflunomide; MALT, mucosa-associated lymphoid tissue; MMF, mycophenolate mofetil; MTX, methotrexate; N, no; NA, not available; NR, not relevant; pSS, primary Sjögren’s syndrome; RF, rheumatoid factor; RTX, rituximab; SSA, Sjögren’s syndrome antigen; SSB, Sjögren’s syndrome B; SSR, serum sickness-like reaction; SZP, salazopyrine; Y, yes. | |||||||||||||||
*Four patients had already been reported in a previous study.11 | |||||||||||||||
1 | F/59/25 | SSA SSB/IV | No | Polysynovitis and glandular swelling (cutaneous nodules) | 4×375 ms | No | Y(IRR) | NR | Y | N/N | N/N | 15 | 30/0 | 1040/415 | 35.4/26.7 |
Persitant keratitis | |||||||||||||||
Salivary flow = 0 | |||||||||||||||
2 | F/44/10 | SSA SSB/IV | HQ/MTX/ | Pulmonary, renal | 4×375 ms | No | N | NR | Y | N/N | N/N | 17 | 30/10 | 1250/499 | 87/38 |
Leflu/IFLX/ | involvements and | Stable Schirmer | |||||||||||||
ETA/MMF | polysynovitis | Salivary flow = 0 | |||||||||||||
3* | F/43/4 | SSA SSB/NA | No | Salivary lymphoma (MALT) | 4×375 ms | No | Y(SSR) | N | NR | N/N | NA/NA | 14 | 0/0 | 499/423 | 31/26 |
4 | F/71/10 | 0/III | MTX | Nodal marginal zone lymphoma | 4×375 ms | No | Y(IRR) | Y | NR | Y/N | Y/N | 13 | 0/0 | 31.5/0 | 15.8/13.6 |
Regression of keratitis | |||||||||||||||
Stable salivary flow | |||||||||||||||
5* | F/71/5 | SSA/IV | CPH/HQ/ | Cryoglobulinaemia | 4×375 ms | No | N | NR | Y | N/N | N/N | 27 | 30/7.5 | 109/113 | 8.8/4.6 |
AZA | Stable Schirmer | ||||||||||||||
Salivary flow = 0 | |||||||||||||||
6 | F/53/13 | SSA SSB/IV | CPH/AZA | Cryoglobulinaemia | 4×375 ms | No | N | NR | Y | N/N | N/N | 21 | 15/0 | 55/5 | 9.2/7 |
Stable Schirmer | |||||||||||||||
Salivary flow = 0 | |||||||||||||||
7 | F/67/18 | SSA/NA | CPH | Gastric, pulmonary lymphoma (MALT) | 6×375 ms | Mini-CHOP | N | Y | NR | N/N | NA/NA | 48 | 7.5/7.5 | 270/0 | 8.6/7.5 |
8* | F/58/15 | SSA/IV | HQ | Gastric lymphoma (MALT) | 4×375 ms | HQ | N | Y | NR | Y/N | Y/NA | 24 | 17.5/5 | 44/0 | 10.7/6.5 |
Regression of keratitis | |||||||||||||||
9 | F/54/4 | SSA SSB/IV | CPH/MMF | Mononeuritis multiplex | 4×375 ms | No | N | NR | Y | Y/Y | N/NA | 13 | 8/7 | 139/22 | 13.4/9.6 |
Stable Schirmer | |||||||||||||||
10 | F/69/12 | No/III | HQ/MTX/Leflu/D-peni/IL1RA | Polysynovitis | 4×375ms | Leflu | N | NR | Y | N/N | N/NA | 12 | 10/7.5 | 0/0 | 24.9/14 |
Stable Schirmer | |||||||||||||||
11 | F/63/6 | SSA SSB/IV | SZP/goldsalts | Immune mediated thrombocytopenia | 4×375 ms | No | N | NR | N | N/N | N/N | 8 | 5/5 | 44/22 | 37.5/26 |
Stable Schirmer | |||||||||||||||
Salivary flow = 0 | |||||||||||||||
12* | F/58/2 | SSA/NA | CPH | Cryoglobulinaemia | 4×375 ms | No | N | NR | Y | NA/NA | NA/NA | 25 | 10/0 | 170/0 | 4.8/4.6 |
13 | F/41/9 | No/IV | CHP/AZA/ | Diffuse large B cell lymphoma | 4×375 ms | CHOP | N | Y | NR | Y/N | N/N | 15 | 10/0 | NA/0 | 2.3/4.0 |
MTX/HCQ | Stable Schirmer | ||||||||||||||
Salivary flow = 0 | |||||||||||||||
14 | F/66/20 | No/IV | CPH/AZA/ | Cryoglobulinaemia | 4×375 ms | No | N | NR | Y | N/N | N/N | 12 | 30/10 | NA/NA | 4.5/5.3 |
MTX | Worsened Schirmer | ||||||||||||||
Salivary flow = 0 | |||||||||||||||
15 | F/66/0 | SSA/IV | No | Cryoglobulinaemia | 4×375 ms | No | N | NR | N | Y/NA | NA/NA | 14 | 0/0 | 512/NA | NA/NA |
16 | F/57/3 | SSA/II | HQ/MTX | Polysynovitis and pulmonary involvement | 2×1 g | No | N | NR | Y | NA/NA | NA/NA | 2 | 30/5 | 0/0 | 16.7/15.2 |