Demographic characteristics at onset of treatment and outcome og 9 patients with JDM treated with rituximab (RTX).
Patient | Course/Sex | Age at onset of JDM/RTX, yrs | Symptoms | Ab | Previous Treatment (mo since last treatment) | RTX Regimen | Clinical Outcome/ Relapse | Duration of Followup Since First RTX infusion, yrs |
---|---|---|---|---|---|---|---|---|
1 | 1 F | 8/8.1 | Myositis*, rash* (d) | — | PRED* (1.5 mg/kg/day), MP*, PE*, IVIG (0.5) | 4 × 375 mg/m2 | CCR/No | 3 |
2 | 2a F | 10/12 | Myositis*, rash*, calcinosis*, GI disease* (d) | — | PRED*, MP*, CSA*, MTX (18) | 2 × 500 mg/m2 | NE | |
2b F | 10/13.3 | Myositis*, rash*, calcinosis*, GI disease* (d) | — | PRED* (0.2 mg/kg/day), MMF*, CYC (14), CSA (13), MTX (34) | 2 × 375 mg/m2 | CCR/No | 2.5 | |
3 | 3 F | 4/7.1 | Myositis*, rash*, calcinosis* (p) | ANA | PRED* (1.5 mg/kg/day), MTX* | 4 × 375 mg/m2 | CCR/No | 3.5 |
4 | 4 F | 7.6/16 | Myositis*, rash*, calcinosis*, GI disease* (d) | ANA | PRED** (0.5 mg/kg/day), PE*, MP, MMF (37), AZA (7), CSA (1), MTX (6) | 2 × 500 mg/m2 | NR | 2.2 |
5 | 5 F | 1.5/6.2 | Myositis*, rash*, calcinosis* (d) | — | PRED*, MTX (20), CSA (40) | 2 × 500 mg/m2 | NR | 2 (death) |
6 | 6 F | 8/9.6 | Myositis*, rash* (p) | ANA | PRED* (0.5 mg/kg/day), MMF* | NE | NE | |
7 | 7 F | 9.4/10.3 | Myositis*, rash (d) | Anti-Ku | PRED* (1 mg/kg/day), MTX*, PE (1), CSA (3), MP (12) | 4 × 375 mg/m2 | NR | 0.3 |
8 | 8 F | 7.5/11.5 | Myositis, rash, calcinosis* (d) | ANA | PRED* (0.5 mg/kg/day), MTX (14), CSA* | 4 × 375 mg/m2 | NR | 3.5 |
9 | 9 M | 2.5/9 | Myositis, rash, GI disease* (abnormal lipomatosis), calcinosis* (d) | ANA | PRED* (0.2 mg/kg/day), MTX (17), CSA (26), IVIG (14) | 4 × 375 mg/m2 | NR | 4 |
↵* Present at the time of starting rituximab; treatment was under way at time of starting rituximab, at a stable dosage for at least 3 months. PRED: prednisone; MP: methylprednisolone; PE: plasma exchange; IVIG: intravenous immunoglobulins; CSA: cyclosporine; MTX: methotrexate; MMF: mycophenolate mofetil; AZA: azathioprine; ANA: antinuclear antibodies; CCR: complete clinical response; NR: no response; NE: not evaluable; GI: gastrointestinal; (p): probable JDM according to Bohan and Peter criteria1; (d): definite JDM according to Bohan and Peter criteria; Ab: autoantibodies N: normal values.