1. Adverse drug reactions after intravenous rituximab infusion are more common in hematologic malignancies than in autoimmune disorders and can be predicted by the combination of few clinical and laboratory parameters: results from a retrospective, multicenter study of 374 patients
- Author
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Pellegrino Musto, Luca Laurenti, Angela Padula, Vittorio Simeon, Michele Gilio, Giovanni D'Arena, Marco Tucci, Giovanni Di Minno, Giacomo Loseto, Francesco Silvestris, Fiorella D'Auria, Sonya De Lorenzo, Anna Passarelli, Idanna Innocenti, Vincenzo De Feo, Matteo Nicola Dario Di Minno, Michele Cimminiello, Maria Luigia Vigliotti, D'Arena, Giovanni, Simeon, Vittorio, Laurenti, Luca, Cimminiello, Michele, Innocenti, Idanna, Gilio, Michele, Padula, Angela, Vigliotti, Maria Luigia, De Lorenzo, Sonya, Loseto, Giacomo, Passarelli, Anna, Di Minno, Matteo Nicola Dario, Tucci, Marco, De Feo, Vincenzo, D'Auria, Fiorella, Silvestris, Francesco, Di Minno, Giovanni, Musto, Pellegrino, DI MINNO, Matteo, and DI MINNO, Giovanni
- Subjects
Male ,rheumatoid arthritis ,Cancer Research ,Antineoplastic Agents, Immunological ,0302 clinical medicine ,Risk Factors ,hemic and lymphatic diseases ,Antineoplastic Combined Chemotherapy Protocols ,Infusions, Intravenous ,Aged, 80 and over ,CD20 ,biology ,Hematology ,Middle Aged ,Prognosis ,Oncology ,Hematologic Neoplasms ,030220 oncology & carcinogenesis ,Rheumatoid arthritis ,Female ,Rituximab ,medicine.drug ,Adult ,medicine.medical_specialty ,Drug-Related Side Effects and Adverse Reactions ,adverse drug reaction ,autoimmune disease ,lymphoma ,Young Adult ,03 medical and health sciences ,Internal medicine ,Pharmacovigilance ,medicine ,Humans ,autoimmune diseases ,pharmacovigilance ,Aged ,Retrospective Studies ,030203 arthritis & rheumatology ,business.industry ,Retrospective cohort study ,medicine.disease ,Discontinuation ,Lymphoma ,Settore MED/15 - MALATTIE DEL SANGUE ,Immunology ,biology.protein ,business ,Adverse drug reaction - Abstract
Rituximab is an effective treatment for CD20 + B-cell malignancies and autoimmune disorders. However, adverse drug reactions (ADRs) may occur after rituximab infusion, causing, in rare cases, its discontinuation. In this multicenter, retrospective study, among 374 patients treated with rituximab i.v., 23.5% experienced ADRs. Mean follow-up was 20.6 months (range 8-135). Overall, ADRs were significantly more frequent in non-Hodgkin lymphomas (NHL) and chronic lymphocytic leukemias (25-35.9%), than in autoimmune diseases (9.4-17.5%) (p
- Published
- 2017