Research Article

No Early Effect of Intrathecal Rituximab in Progressive Multiple Sclerosis (EFFRITE Clinical Trial)

Table 2

Studies of intrathecal rituximab in progressive MS.

Ref.()
ratioa
EDSS baselineClinical/MRI activity (≤1year)Rituximab protocolBiomarkers

[8]23
1.5 : 1
6.5
2.5-7.0
YesIT LP 25 mg ×2
IV 200 mg ×2
IgG index, NFL, CXCL13, CCL19, sCD14: unchanged;
IL12p40 -42%, BAFF +8%, sCD21, sCD27: minimal changes.
[9]23
1 : 0
6.5
4.0-7.5
NoIT Om. 25 mg ×3NFL, GFAP, MBP, Gal-9, sCD27, CXCL14: unchanged;
CXCL13: minimal decrease.
[10]9
1 : 0
5.5
4.0-8.0
YesIT LP 5-10-15 mgλ FLC, CXCL13: unchanged;
κFLC: minimal increase; BAFF: decreased
[11]8
1 : 0
6.0NoIT LP 25 mg ×2NFL, sCD21, sCD27, sCD14, CCL19, CCL21: unchanged;
BAFF increased; CXCL13: decreased.
Our10
4 : 1
6.5
6.0-8.0
NoIT LP 20 mg
±IV 375 mg/m2 (1 : 1)
IgG index, OCB, NFL, OPN: unchanged.

IT: intrathecal; LP: lumbar puncture; Om.: Ommaya reservoir. aratio active : control.