Rituximab in the treatment of autoimmune haemolytic anaemia.

Abstract:

:Rituximab is a B-cell depleting monoclonal antibody that is gaining popularity as an effective therapy for many autoimmune cytopenias. This article systematically evaluates its therapeutic efficacy in the treatment of different types of autoimmune haemolytic anaemia. We conclude that there is sufficient evidence to recommend it as a second line therapy for warm autoimmune haemolytic anaemia (wAIHA) either as monotherapy or combined therapy. Evidence from a single randomized controlled trial suggests that it may also be more efficacious as first line therapy in combination with steroids than steroids alone. A fewer number of studies have assessed its role in cold autoimmune haemolytic anaemia (cAIHA) and cold agglutinin disease (CAD) with success rates varying from 45-66%. In the absence of alternative definitive therapy, rituximab should be considered for patients with symptomatic CAD and significant haemolysis. Case reports of its efficacy in mixed autoimmune haemolytic anaemias are available but evidence from case series or larger cohorts are nonexistent.

journal_name

Br J Clin Pharmacol

authors

Rodrigo C,Rajapakse S,Gooneratne L

doi

10.1111/bcp.12498

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

709-19

issue

5

eissn

0306-5251

issn

1365-2125

journal_volume

79

pub_type

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