Evaluation of the off-label usage of rituximab in a large teaching hospital in New South Wales.

Abstract:

:A retrospective review of patients receiving rituximab off label in a large teaching hospital was conducted between July 2002 and January 2006. The indication, dosing regimen, efficacy and cost of rituximab were evaluated. Rituximab was prescribed for three clinical indications; acute organ transplant rejection, post-transplant lymphoproliferative disease and autoimmune disease. On average, 600 mg of rituximab was prescribed weekly for 4 weeks, costing the hospital $108,739.37. We suggest an initial approval for a limited number of doses with subsequent approval dependent on improvement in predefined clinical or biochemical end-points. Furthermore, we suggest an Australia-wide central database be established to enable delineation of the optimal dosing schedule, as well as monitoring of clinical outcome.

journal_name

Intern Med J

authors

Sharma R,Koller L,Barclay P,Liddle C

doi

10.1111/j.1445-5994.2007.01406.x

subject

Has Abstract

pub_date

2007-08-01 00:00:00

pages

569-71

issue

8

eissn

1444-0903

issn

1445-5994

pii

IMJ1406

journal_volume

37

pub_type

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