Table 2

Univariate and multivariate analysis of risk factors for severe or life-threatening infection following rituximab treatment during 24 months of follow-up

Univariate analysisMultivariate analysis
HR95 % CIP valuesHR95 % CIP values
Demographics
 Age (years)1.021.00 to 1.040.0311.031.01 to 1.050.012
 Gender (male)0.880.50 to 1.550.647
Type of vasculitis
 GPAReference
 MPA1.590.78 to 3.230.203
 EGPA0.950.42 to 2.150.899
Symptoms/manifestations
 B-symptoms (night sweat, fever, unintentional weight loss)0.670.28 to 1.580.355
 Neuropathy0.890.46 to 1.700.72
 Sinusitis0.480.27 to 0.840.01
 Deafness/mastoiditis/otitis media0.690.35 to 1.350.275
 Arthralgia0.630.35 to 1.140.127
Organ involvement
 CNS1.120.35 to 3.630.85
 Subglottic/tracheal stenosis1.140.51 to 2.540.746
 Skin0.740.33 to 1.640.45
 Kidney1.270.72 to 2.210.411
 Eye0.520.23 to 1.170.113
 Others0.820.26 to 2.650.745
 ENT0.460.26 to 0.820.008
 Lung1.570.87 to 2.820.136
Imaging findings
 Pulmonary cavities1.110.56 to 2.210.765
 Endobronchial2.441.38 to 4.320.0022.211.14 to 4.260.018
 Severe bronchiectasis4.791.47 to 15.590.009
Disease activity measures
 BVAS1.010.95 to 1.070.811
 DEI0.980.84 to 1.150.840
Laboratory values
 Creatinine11.00 to 1.000.141
 eGFR (MDRD equation) mL/min/1.73 m20.990.98 to 1.000.011
 CRP1.011.00 to 1.010.061
 ESR1.011.00 to 1.020.014
 Neutrophils1.111.03 to 1.200.005
 WBC1.061.01 to 1.100.013
 Lymphocytes0.730.48 to 1.110.142
 CD191.170.11 to 12.510.896
 CD30.750.45 to 1.250.27
 CD40.740.34 to 1.610.44
  CD80.580.16 to 2.090.407
 CD562.750.34 to 22.100.341
 IgG1.020.93 to 1.120.663
 IgG decline ≥30 %1.881.04 to 3.390.036
 Hypogammaglobulinaemia1.220.54 to 2.740.633
 IgM0.720.38 to 1.350.304
 IgA1.110.80 to 1.540.535
 ANCA positive1.110.58 to 2.140.744
Comorbidities
 COPD16.074.41 to 58.49<0.0016.31.08 to 36.750.041
 Diabetes2.351.14 to 4.850.021
 Hypertension0.790.44 to 1.440.445
 Myocardial infarction/reduced LVEF2.211.07 to 4.560.032
Indication
 Minor relapse0.60.32 to 1.110.102
 Major relapse1.630.92 to 2.900.097
 Maintenance1.150.56 to 2.370.708
 Refractory disease0.80.42 to 1.510.491
 Steroid sparing1.370.70 to 2.680.36
 1st line1.950.77 to 4.910.159
Premedication (last 12 months)
 CYC (g)0.970.90 to 1.040.389
 MMF (g)11.00 to 1.000.273
 AZA (g)0.970.95 to 1.000.066
 MTX (mg)11.00 to 1.000.979
 IVIG (ever)2.40.94 to 6.120.067
 Anti-TNF (ever)1.410.34 to 5.840.636
 PLEX (ever)0.750.23 to 2.420.629
 ALM (ever)2.491.05 to 5.910.0393.971.50 to 10.540.006
Medication used concurrently with RTX
 Steroids (mg)1.021.01 to 1.040.006
 Trimethoprim–sulfamethoxazole0.450.23 to 0.880.020.30.13 to 0.690.005
 Other antibiotic prophylaxis1.630.76 to 3.470.209
  • Demographics of the respective patients, the form of ANCA-associated vasculitis, symptoms, laboratory values, comorbidities, indication for rituximab use, the premedication and the concomitant therapy are given. P values indicating significant changes are highlighted in bold font.

  • ALM, alemtuzumab; ANCA, antineutrophil cytoplasm antibody; AZA, azathioprine; BVAS, Birmingham Vasculitis Activity Score; CD, cluster of differentiation; CNS, central nervous system; COPD, chronic obstructive pulmonary disease; CRP, C reactive protein; CYC, cyclophosphamide; DEI, Disease Extent Index; eGFR, estimated glomerular filtration rate; EGPA, eosinophilic granulomatosis with polyangiitis; ENT, ear, nose and throat; ESR, erythrocyte sedimentation rate; GPA, granulomatosis with polyangiitis; IVIG, intravenous immunoglobulins; LVEF, left ventricular ejection fraction; MMF, mycophenolate mofetil; MPA, microscopic polyangiitis; MTX, methotrexate; PLEX, plasma exchange; RTX, rituximab; TNF, tumour necrosis factor; WBC, white blood count.