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Percentage of residual B cells after 2 weeks of rituximab treatment predicts the improvement of systemic sclerosis-associated interstitial lung disease

The Journal of Dermatology Oct 22, 2021

Ebata S, Yoshizaki A, Fukasawa T, et al. - In systemic sclerosis-associated interstitial lung disease (SSc-ILD) patients treated with rituximab (RTX), a valuable surrogate marker of subsequent improvement of the disease could be afforded by the removal rate of B cells after 2 weeks of RTX therapy.

  • A total of 10 SSc-ILD patients treated with RTX in an independent clinical trial were analyzed.

  • Compared with baseline, % of residual peripheral blood B cells at 2 weeks post-RTX was identified to be negatively correlated with the %FVC (percent-predicted forced vital capacity) improvement at 24-week evaluation.

  • Significant improvement in %FVC at the 24-week assessment, vs baseline, was evident in the subgroup with less than 5% B-cell persistence at week 2.

  • No significant difference was observed in %FVC at 24 weeks vs baseline, in another subgroup with more than 5% residual B cells.

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