Review Article

Efficacy and Safety of the Combination Treatment of Rituximab and Dexamethasone for Adults with Primary Immune Thrombocytopenia (ITP): A Meta-Analysis

Table 1

Study characteristics.

StudyMedian age (year)Gender (M/F)Follow-upDose of RTXDose of DXMOutcomes
RTX+DXMDXMRTX+DXMDXM

Chen Rongban et al. (2015)46.048.033/2732/284 weeks100mg, weekly, 28 d40mg, qd, 1~4d/cycle×2~4CR, PR, OR on month 3; AE
Chen Shengmei et al. (2015)46.746.913/2215/204 weeks100mg, weekly, 28 d40mg, qd, 1~4dCR, PR, OR on week 4; AE
Chen Yuji et al. (2015)39.939.916/1516/164 weeks100mg, weekly, 28 d40mg, qd, 1~4dCR, PR, OR on week 4; AE
Cui Yunxia et al. (2015)41.042.021/2719/286 months100mg, weekly, 28 d12.5~25mg, bid~qid, 1~4dCR, PR, OR on week 4; R; Treg cell count
Francesco Zaja et al. (2010)49.047.022/2719/336 months375mg/m2, weekly, 28d40mg, qd, 1~4dSR at month 12; R; AE; serious AE
Liu Kaige et al. (2012)40.040.017/2418/2712 months100mg, weekly, 28 d40mg, qd, 1~4dCR, PR, OR on week 4; SR at month 12; Treg cell count; AE
Meng Jingye et al. (2017)38.03518/1020/84 weeks100mg, weekly, 28 d40mg, qd, 1~4dCR, PR, OR on week 4; AE
Sif Gudbrandsdottir et al. (2013)51.058.026/3637/3424 months375mg/m2, weekly, 28d40mg, qd, 1~4dSR at month 6 and 12; R; AE; serious AE
Yang Huijuan et al. (2010)50.247.310/149/133 months375mg/m2 weekly, 28d40mg, qd, 1~4d/cycle×4CR, PR, OR on month 3; R; AE
Zhang Xiaojuan et al. (2015)38.020/324 weeks100mg, weekly, 28 d40mg, qd, 1~4dCR, PR, OR on month 3; SR at month 12; AE; serious AE
Zhenyu Li et al. (2011)26.024.013/1812/1912 months100mg, weekly, 28 d40mg, qd, 1~4dCR, PR, OR on week 4; SR at month 6; R; Treg cell count; AE

RTX: rituximab; DXM: dexamethasone; M: male; F: female; qid: once a day; bid: twice a day; qid four times a day; CR: complete response (platelet count100×109/L); PR: partial response (platelet count30×109/L); OR: overall response (OR=CR+PR); SR: sustained response (platelet count50×109/L at month 6); R: relapse (dropping in platelet count to⩽30×109/L following a CR or PR); AE: adverse effect.