Tocilizumab versus Rituximab in Patients with Moderate to Severe Steroid-resistant Graves' Orbitopathy
| Autor: | Sébastien Rivière, M. Gatfosse, Olivier Fain, Marie-Hélène Errera, Vincent Borderie, Emmanuel Heron, Laurence Dupasquier-Fediaevsky, Azeddine Dellal, Arsène Mekinian, Quentin Hennocq, Nacim Bouheraoua, Amin Bennedjaï, Michel Tazartes |
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| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
Moderate to severe medicine.medical_specialty Visual acuity Antibodies Monoclonal Humanized Gastroenterology chemistry.chemical_compound Tocilizumab hemic and lymphatic diseases Internal medicine medicine Immunology and Allergy Humans Immunologic Factors In patient skin and connective tissue diseases Diplopia business.industry Steroid resistant Graves Ophthalmopathy Ophthalmology chemistry Rituximab Steroids medicine.symptom business medicine.drug |
| Zdroj: | Ocular immunology and inflammation. 30(2) |
| ISSN: | 1744-5078 |
| Popis: | Introduction: To describe the efficacy of tocilizumab in patients with Graves' orbitopathy resistant or dependent to steroids and compare to rituximab treated patients.Patients and Methods: Graves's orbitopathy response was considered as decrease of at least 2 points of the CAS.Results: Twenty-one patients were included, 7 patients were treated with tocilizumab and 14 with rituximab. The primary was achieved in all 7 patients (100%) on tocilizumab and 9 out of 14 patients on (64%) rituximab (p = .17). Mean change in CAS was consistent with a decrease of 3.3 ± 0.5 points in patients on tocilizumab versus 2.5 ± 1.9 in patients on rituximab (p = .07). One patient on tocilizumab (14%) and 4 patients (29%) on rituximab experienced significant relapse during the follow-up. The difference in relapse-free survival was not significant in patients on tocilizumab (10.8 ± 4 months) compared with rituximab (17.88 ± 3.66).Conclusion: We showed a significant improvement in the CAS, visual acuity, diplopia, and proptosis with both tocilizumab and rituximab. |
| Databáze: | OpenAIRE |
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