Retrospective Study
Copyright ©The Author(s) 2024.
World J Nephrol. Dec 25, 2024; 13(4): 98393
Published online Dec 25, 2024. doi: 10.5527/wjn.v13.i4.98393
Table 2 Characteristics of systemic lupus erythematosus patients with early and late rituximab administration at the end of the study
Parameter
ERA, n = 16
LRA, n = 19
P value
ANA positivity 10 (63)10 (53)0.557
ANA level, titer, Me (25%; 75%)320 (160; 3200)400 (80; 2560)0.620
Anti-dsDNA antibodies 1 (6)5 (26)0.112
Anti-dsDNA, mU/L, Me (25%; 75%)5.3 (0; 12)9 (0; 21)0.451
Low complement 2/10 (20.0)3/11 (27.3)0.696
Complement C3, g/L, Me (25%; 75%)0.91 (0.7; 1.2)1.22 (0.9; 1,3)0.185
Complement C4, g/L, Me (25%; 75%)0.18 (0.1; 0.3)0.19 (0.1; 0.3)0.961
Hemoglobin, g/L, Me (25%; 75%)133 (130; 139)130 (110; 134)0.092
Platelets, 109/L, Me (25%; 75%)294 (267; 319)232 (212; 260)0.004
WBC, 109/L, Me (25%; 75%)5.1 (4.5; 6.8)5.2 (3.9; 6.1)0.659
ESR, mm/h, Me (25%; 75%)3 (2; 20)7 (2; 16)0.535
SLEDAI, score, Me (25; 75%)2 (0; 4)2 (0; 6)1.0
SLEDAI score, grade0.571
0 grade 5 (31)7 (37)
I grade 9 (56)7 (37)
II grade 2 (13)4 (21)
III grade 0 (0)0 (0)
IV grade 0 (0)1 (5)
Damage index1 (0; 1)1 (0; 2)0.874
Patients with active lupus nephritis4/13 (31)2 (11)0.150
Proteinuria, g/24 h, Me (25%; 75%)0.3 (0; 0.4)0.07 (0;0.17)0.427
Urea, mmol/L, Me (25%; 75%)3.7 (3.0; 4.6)3.7 (3.2; 4.7)0.605
Creatinine, mmol/L, Me (25%; 75%)57 (54; 67)63 (58; 67)0.187
Corticosteroids, mg/kg, Me (25%; 75%)0.1 (0;08; 0.16)0.1 (0.06; 0.2)0.842
Patients with prednisolone ≤ 0.2 mg/kg14 (88)17 (90)0.855
Time to prednisolone ≤ 0.2 mg/kg, years, Me (25%; 75%)1.2 (0.9; 1.4)2.8 (2.3; 4.0)0.000001
Safety
Adverse events0.707
Not reported13 (82)16 (84)
Serious adverse events1 (6)2 (11)
Frequent respiratory infections1 (6)0 (0)
Focal infections1 (6)1 (5)
Co-trimoxasol prophylaxis9 (56)9 (47)0.716
Ig G level, g/L, Me (25%; 75%)9.3 (4.1; 9.7)8.3 (6.4;12.3)0.676
Low Immunoglobulin9/11 (82)7/10 (70)0.034
B-lymphocytes depletion10/10 (100)5/8 (63)0.034
Intravenous immunoglobulin8 (50)7 (37)0.433