Research Article

Safety and Efficacy of Rituximab in Multiple Sclerosis: A Retrospective Observational Study

Table 1

Baseline characteristics.

Baseline characteristics ()

Age (mean, SD)40.5 ± 12.3 years
Sex (, %) (34.8%); male
(65.2%); female
Disease duration (mean, SD)7.9 ± 6.2 years
Type of MS (, %) (66.3%); RRMS
(33.7%); progressive MS
Time since onset of PMS (mean, SD)3.0 ± 2.1 years
Baseline EDSS score (mean, SD, range)2.25 ± 1.2 (0–6.5)
Number of relapses in previous two years (mean, SD, range)1.6 ± 1.6 (0–8)
Time between last relapse and RTX initiation (median, range)3 months (0–20)
Median number of RTX infusions (range)4 infusions (2–22)
Proportion of patients with 2000 mg initial loading dose ()76.4% ()
Baseline MRI findings (%, )28% (); stable
36% (); new T2 nonenhancing lesions
36% (); enhancing lesions

Proportion of patients with prior DMT use (%, )11.2% (); treatment naïve
34.8% (); one previous DMT
30.3% (); 2 previous DMTs
11.2% (); 3 previous DMTs
9.0% (); 4 previous DMTs
1.2% (); 5 previous DMTs
2.3% (); 6 previous DMTs

Last DMT prior to RTX55.7% (); IFN
17.7% (); fingolimod
11.4% (); natalizumab
5.1% (); mitoxantrone
10.1% (); others (AZA, mycophenolate, methotrexate, teriflunomide, cyclophosphamide)

Reasons for switching to RTX87.3% (); inefficacy
5.1% (); positive JCV
2.5% (); adverse events
2.5% (); nonavailability of other DMTs
2.5% (); personal decision
RTX treatment duration (mean, SD)22.2 ± 24.8 months

SD = standard deviation; MS = multiple sclerosis; RRMS = relapsing-remitting multiple sclerosis; PMS = progressive multiple sclerosis; EDSS = expanded disability status scale; RTX = rituximab; MRI = magnetic resonance imaging; DMT = disease-modifying therapy; IFN = interferon; AZA = azathioprine; JCV = John Cunningham virus.