Copyright
©The Author(s) 2024.
World J Clin Pediatr. Mar 9, 2024; 13(1): 89049
Published online Mar 9, 2024. doi: 10.5409/wjcp.v13.i1.89049
Published online Mar 9, 2024. doi: 10.5409/wjcp.v13.i1.89049
Parameter | Rituximab (n = 19) | SOCT (n = 60) | P value |
Demography | |||
Sex, male | 4 (21) | 11 (18) | 0.829 |
Onset age, years, Me (25%; 75%) | 14 (12; 16) | 12 (10; 14) | 0.035 |
Clinical features | |||
Skin involvement | 18 (95) | 50 (83) | 0.257 |
Oral mucosa involvement | 8 (58) | 16 (27) | 0.203 |
Alopecia | 3 (16) | 16 (27) | 0.334 |
Arthritis | 15 (78) | 42 (70) | 0.449 |
Pleurisy | 6 (32) | 8 (12) | 0.070 |
Pericarditis | 5 (26) | 8 (12) | 0.184 |
Ascitis | 3 (16) | 3 (5) | 0.122 |
Myocarditis | 2 (11) | 7 (12) | 0.856 |
CNS involvement | 9 (47) | 13 (22) | 0.030 |
Splenomegaly | 5 (26) | 12 (20) | 0.560 |
Hepatomegaly | 9 (47) | 14 (23) | 0.045 |
Lymphadenopathy | 8 (42) | 10 (17) | 0.022 |
Lung involvement | 3 (16) | 3 (5) | 0.122 |
Palmar erythema | 5 (26) | 5 (8) | 0.040 |
Livedo | 3 (16) | 5 (8) | 0.348 |
Fever | 11 (58) | 32 (53) | 0.728 |
Trombosis | 1 (5) | 3 (5) | 0.964 |
MAS | 4 (21) | 1 (2) | 0.003 |
Renal involvement | |||
Nephritis | 8 (42) | 17 (28) | 0.081 |
Kidney biopsy | 3/8 (38) | 7/17 (42) | 0.670 |
Class of nephritis | |||
I | 0 (0) | 0 (0) | 0.700 |
II | 0 (0) | 0 (0) | |
III | 1/3 (33) | 3/7 (43) | |
IV | 2/3 (67) | 3/7 (43) | |
V | 0 (0) | 1/7 (14) | |
Hematuria | 8/8 (100) | 17/17 (100) | 0.124 |
Proteinuria | 8/8 (100) | 17/17 (100) | 0.487 |
Proteinuria, g/L, Me (25%; 75%) | 0,31 (0; 0,93) | 0,1 (0,0; 0,3) | 0.154 |
Proteinuria, g/24 h, Me (25%; 75%) | 0,49 (0,12; 1,2) | 0,17 (0,0; 0,3) | 0.046 |
Urea, mmol/L, Me (25%; 75%) | 5,8 (4,8; 9,6) | 4,2 (3,5; 5,5) | 0.003 |
Creatinine, mcmol/L, Me (25%; 75%) | 58 (52; 94) | 59 (54; 70) | 0.856 |
GFR, mL/1.73/m2 | 131 (72,0; 151) | 130 (115; 147) | 0.077 |
Decreased GFR | 3 (16) | 2 (3) | 0.052 |
Dialysis | 0 (0) | 1 (2) | 0.493 |
Laboratory features | |||
ANA-positivity | 19 (100) | 52 (87) | 0.094 |
ANA level, titer, Me (25%; 75%) | 1920 (1280; 5120) | 2560 (640; 10240) | 0.859 |
Anti-dsDNA antibodies | 15 (79) | 43 (72) | 0.532 |
Anti-dsDNA, U/L (25%; 75%) | 102 (12; 150) | 63 (14; 237) | 0.975 |
Positive Coombs | 11/16 (69) | 15/34 (44) | 0.104 |
Low complement | 11/14 (79) | 15/30 (50) | 0.073 |
Complement C3, g/L, Me (25%; 75%) | 0.64 (0.35; 1.0) | 0.84 (0.74; 0.94) | 0.170 |
Complement C4, g/L, Me (25%; 75%) | 0.1 (0,05; 0,17) | 0.12 (0,1; 0,24) | 0.610 |
Anaemia | 12 (63) | 31/59 (52,5) | 0.418 |
Hemoglobine, g/L, Me (25%; 75%) | 111 (98; 129) | 111 (100; 126) | 0,865 |
Thrombocytopenia | 9 (47) | 18 (30) | 0.118 |
Platelets, 109/L, Me (25%; 75%) | 232 (189; 285) | 269 (178; 328) | 0.454 |
Leucopenia | 11 (58) | 23 (38) | 0.134 |
WBC, 109/L, Me (25%; 75%) | 5.3 (4.2; 11.1) | 5.4 (4.2; 8.3) | 0.526 |
Lymphopenia | 6 (33) | 6 (10) | 0.023 |
ESR, mm/h, Me (25%; 75%) | 21 (8; 31) | 18 (5; 37) | 0.766 |
C-reactive protein (CRP), mg/L, Me (25%; 75%) | 0.7 (0; 2.0) | 1.0 (0.2; 3.7) | 0.841 |
SLE activity | |||
SLEDAI onset score, Me (25; 75%) | 22 (13; 26) | 12 (9; 17) | 0.002 |
SLEDAI onset, grade | 0.005 | ||
0 grade | 0 (0) | 0 (0) | |
I grade | 0 (0) | 5 (8) | |
II grade | 3 (16) | 20 (33) | |
III grade | 5 (26) | 25 (42) | |
IV grade | 11 (58) | 10 (17) | |
Treatment | |||
Intravenous corticosteroids | 15 (79) | 22 (37) | 0.002 |
Corticosteroids, mg/kg, Me (25%; 75%) | 1.0 (0.7; 1.0) | 1.0 (0.4; 1.0) | 0.854 |
Hydroxycholoquine | 9 (47.4) | 35/58 (60.3) | 0.321 |
Non-biologic DMARDs | 11 (58) | 58 (97) | 0.00001 |
Cyclophosphamide | 5 (26) | 23 (38) | 0.340 |
Other DMARDs | 6 (32) | 37 (63) | 0.054 |
Mycophenolate mofetil | 2 (11) | 20 (33) | 0.630 |
Azathioprine | 2 (11) | 6 (10) | |
Cyclosporinе | 0 (0) | 2 (3) | |
Methotrexat | 2 (11) | 9 (15) |
- Citation: Kalashnikova E, Isupova E, Gaidar E, Sorokina L, Kaneva M, Masalova V, Dubko M, Kornishina T, Lubimova N, Kuchinskaya E, Chikova I, Raupov R, Kalashnikova O, Kostik M. BCD020 rituximab bioanalog compared to standard treatment in juvenile systemic lupus erythematosus: The data of 12 months case-control study. World J Clin Pediatr 2024; 13(1): 89049
- URL: https://www.wjgnet.com/2219-2808/full/v13/i1/89049.htm
- DOI: https://dx.doi.org/10.5409/wjcp.v13.i1.89049