Increased risk for severe COVID-19 in patients with inflammatory rheumatic diseases treated with rituximab.
Hendrik Schulze-Koops,Klaus Krueger,Inka Vallbracht Vallbracht,Rebecca Hasseli,Alla Skapenko +4 more
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TLDR
Accumulating data suggest that baseline use of bDMARDs is not associated with worse COVID-19 outcome and that some caution may have to be applied when employing rituximab (RTX), a B-cell depleting b DMARD, in patients with immune-mediated disease.Abstract:
It is currently unknown whether immunosuppressive and/or immunomodulating agents such as biological disease-modifying antirheumatic drugs (bDMARDs) affect the rate and the outcome of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections of patients with inflammatory rheumatic diseases (IRDs) While several national authorities have defined patients under immunosuppressive therapy as at risk for severe COVID-19,1 accumulating data from individual cases and also from case series, such as a series from Italy published in the Annals of the Rheumatic Diseases by Monti et al 2 and a report about patients with immune-mediated inflammatory diseases from New York,3 suggest that baseline use of bDMARDs is not associated with worse COVID-19 outcome Although the idea of a potentially protective effect of bDMRADs in COVID-19 is intriguing, we feel that extrapolation of these initial data is dangerous and potentially harmful In particular, some caution may have to be applied when employing rituximab (RTX), a B-cell depleting bDMARD, in patients with immune-mediated disease This notion may be illustrated by the following observations:
We recently lost two patients with rheumatoid arthritis (RA) treated with RTX to lethal COVID-19 The first patient, a 71-year-old man with rheumatoid factor positive, …read more
Citations
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COVID-19 vaccination in individuals with inflammatory rheumatic diseases
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COVID-19 course in granulomatosis with polyangiitis: single center experience with review of the literature.
Berkan Armagan,Mehmet Akif Eksin,Serdar Can Güven,Bahar Özdemir,Pınar Akyüz Dağlı,Orhan Küçükşahin,Ahmet Omma,Abdulsamet Erden +7 more
TL;DR: In this paper , the authors conducted a systematic literature review using different spelling combinations of COVID-19 and polyangiitis (GPA) in the PUBMED database.
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Plasma exchange with COVID-19 convalescent plasma in a patient with severe ANCA-associated vasculitis and COVID-19 pneumonia after rituximab therapy
Matthias Kochanek,Jorge Garcia Borrega,Laura Beckmann,Julia Neuhann,Birgit Gathof,Veronica Di Cristanziano,Henning Hagmann,Garcia Borrega +7 more
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Humoral and cellular immunity in patients with rare autoimmune rheumatic diseases following SARS-CoV-2 vaccination
Leher Gumber,Nancy Sanchez Gomez,Georgina V. Hopkins,Davis Tucis,Laura Bartlett,Kieran Ayling,Kavita Vedhara,Graham Steers,Mithun Chakravorty,Megan Rutter,Hannah J. Jackson,Patrick J. Tighe,Alastair J. Ferraro,Sheila Power,M. Pradère,David Onion,Peter Lanyon,Fiona A Pearce,Lucy C. Fairclough +18 more
TL;DR: Following two doses, most RAIRD patients have lower antibody levels than the lowest HC and lower anti-spike T cells, which are associated with reduced immunogenicity compared with a longer pre-vaccination period.
References
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Journal ArticleDOI
Clinical course of COVID-19 in a series of patients with chronic arthritis treated with immunosuppressive targeted therapies.
Sara Monti,Silvia Balduzzi,Paolo Delvino,E. Bellis,Verdiana Serena Quadrelli,Carlomaurizio Montecucco +5 more
TL;DR: The survey investigated the patients’ health conditions, the presence of contacts with subjects known to be affected by COVID-19 and management of patients with chronic arthritis treated with biological disease-modifying antirheumatic drugs followed up at the biological outpatient clinic in Pavia, Lombardy.
Journal ArticleDOI
Covid-19 in Immune-Mediated Inflammatory Diseases - Case Series from New York.
Rebecca H. Haberman,Jordan E. Axelrad,Alan Chen,Rochelle Castillo,Di Yan,Peter M. Izmirly,Andrea L. Neimann,Samrachana Adhikari,David Hudesman,Jose U. Scher +9 more
TL;DR: Patients in New York City with known immune-mediated inflammatory disease in whom Covid-19 developed while they were receiving treatment with the drug are described.
Journal ArticleDOI
A possible role for B cells in COVID-19? Lesson from patients with agammaglobulinemia.
Isabella Quinti,Vassilios Lougaris,Cinzia Milito,Francesco Cinetto,Antonio Pecoraro,Ivano Mezzaroma,Claudio Maria Mastroianni,Ombretta Turriziani,Maria Pia Bondioni,Matteo Filippini,Annarosa Soresina,Giuseppe Spadaro,Carlo Agostini,Rita Carsetti,Alessandro Plebani +14 more
TL;DR: In this paper, COVID-19 had a mild clinical course in patients with Agammaglobulinemia lacking B lymphocytes, whereas it developed aggressively in Common Variable Immune Deficiency.
Journal ArticleDOI
Rituximab for granulomatosis with polyangiitis in the pandemic of covid-19: lessons from a case with severe pneumonia.
Philippe Guilpain,Philippe Guilpain,Clément Le Bihan,Vincent Foulongne,Vincent Foulongne,Patrice Taourel,N. Pansu,Alexandre Thibault Jacques Maria,Alexandre Thibault Jacques Maria,Boris Jung,Romaric Larcher,Kada Klouche,Vincent Le Moing +12 more
TL;DR: The authors rightly recommend a continuous surveillance of patients under immunosuppressants, especially since data are lacking in many systemic autoimmune/inflammatory diseases.
Journal ArticleDOI
Subcutaneous tanezumab for osteoarthritis of the hip or knee: efficacy and safety results from a 24-week randomised phase III study with a 24-week follow-up period
Francis Berenbaum,Francisco J. Blanco,Ali Guermazi,Kenji Miki,Takaharu Yamabe,Lars Viktrup,Rod Junor,William Carey,Mark T. Brown,Christine R. West,Kenneth M. Verburg +10 more
TL;DR: Tanezumab 5 mg statistically significantly improved pain, physical function and PGA-OA, but tanezumsumab 2.5mg only achieved two co-primary end points, but there was a statistically significant improvement in WOMAC Pain and Physical Function, but not PGA -OA.
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