Rituximab

Evidence-based neurology checklist on rituximab: Characteristics This is a genetically engineered monoclonal antibody It binds to CD20 antigen on pre-B and mature B lymphocytes B cell repletion begins within 6 months of treatment Repletion is complete in 9-12 months Neuroinflammatory indications…

Characteristics

  • This is a genetically engineered monoclonal antibody
  • It binds to CD20 antigen on pre-B and mature B lymphocytes
  • B cell repletion begins within 6 months of treatment
  • Repletion is complete in 9-12 months

Neuroinflammatory indications

Neuromuscular junction and muscle indications

Neuropathy indications

Other indications

Dosing

Pre-infusion precautions

Side effects: cytokine release syndrome

Side effects: others

References

  1. Sieb JP. Myasthenia gravis: an update for the clinician. Clin Exp Immunol 2014; 175:408-418.
  2. Kosmidis ML, Dalakas MC. Practical considerations on the use of rituximab in autoimmune neurological disorders. Ther Adv Neurol Disord 2010: 3 93-105.
  3. Castillo-Trivino T, Braithwaite D, Bacchetti P, Waubant E. Rituximab in relapsing and progressive forms of multiple sclerosis: a systematic review. PLoS One 2013; 8:e66308.
  4. Torkildsen Ø, Brustad HK, Høgestøl EA, et al. Rituximab versus ocrelizumab in newly diagnosed relapsing multiple sclerosis. N Engl J Med 2026; 395:44-53.
  5. Kim SH, Huh SY, Lee SJ, Joung A, Kim HJ. A 5-year follow-up of rituximab treatment in patients with neuromyelitis optica spectrum disorder. JAMA Neurol 2013; 70:1110-1117.
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