Mediators of Inflammation / 2014 / Article / Tab 3

Review Article

Biological Treatments in Behçet’s Disease: Beyond Anti-TNF Therapy

Table 3

Studies reporting on patients with Behçet’s disease treated with anti-CD20 monoclonal antibody (rituximab).

First author (reference, year) ptsMain BD clinical and laboratory featuresHLA-B51Previous biologic agents and causes of withdrawalDosage and eventual cotherapiesFollowupOutcome

Sadreddini (2008) [58]1Mucosal involvement, arthritis, posterior uveitis, retinal vasculitis, and chronic renal failure (of unknown origin)NRETN: ADR (fever, urticaria, macular rushes, angioedema, transient new lymphopenia, and positive antinuclear antibody test)RTX 1 g every two weeks for two doses + PDN 1 mg/kg/day24 monthsCR of retinal vasculitis within few months and PDN was tapered to 5 g/day

Davatchi (2010) [59]10Mucosal, ocular, and articular involvement; skin manifestationsNRNoneRTX 1 g every two weeks for two doses + PDN 0.5 mg/kg/day + MTX 15 mg/week6 monthsImprovement of ocular manifestations after 6 months. TADAI significant improvement on RTX. VA improved in two patients, remained unchanged in 1, and worsened in 7. Significant improvement of retinal, disc, and macular oedema in all patients

Zhao (2014) [60]1Fever, mucosal involvement, arthritis, EN, leukocytoclastic vasculitis, increase of CRPNRIFX: inefficacy;
ETN: acute mononeuritis multiplex
RTX 1 g every two weeks for two doses + PDN 15 mg/day + MTX 20 mg/week + colchicine12 monthsCR after the 3rd infusion; improved clinical control of disease activity and reduction in steroids requirements (PDN tapered to 8 mg/day)

ADR: adverse reactions; BD: Behçet’s disease; CR: complete remission; CRP: C-reactive protein; EN: erythema nodosum; ETN: etanercept; HLA: human leukocyte antigen; IFX: infliximab; MTX: methotrexate; : number; NR: not reported; pts: patients; PDN: prednisone; RTX: rituximab; TADAI: total adjusted disease activity index; VA: visual acuity.

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