Is It Time to Reconsider Rituximab Dosing Regimens for Pemphigus Vulgaris?

Rituximab is currently approved for patients affected by moderate-to-severe pemphigus vulgaris, a severe autoimmune blistering skin disease that can be life-threatening. The standard rituximab dosing regimens, originally established for B-cell non-Hodgkin’s lymphomas, have been recognized to exceed...

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Main Authors: Christian Ciolfi, Jacopo Tartaglia, Mauro Alaibac
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Antibodies
Subjects:
Online Access:https://www.mdpi.com/2073-4468/13/1/4
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author Christian Ciolfi
Jacopo Tartaglia
Mauro Alaibac
author_facet Christian Ciolfi
Jacopo Tartaglia
Mauro Alaibac
author_sort Christian Ciolfi
collection DOAJ
description Rituximab is currently approved for patients affected by moderate-to-severe pemphigus vulgaris, a severe autoimmune blistering skin disease that can be life-threatening. The standard rituximab dosing regimens, originally established for B-cell non-Hodgkin’s lymphomas, have been recognized to exceed the effective dose required for inducing B-cell depletion, considering that the B-cell burden in pemphigus vulgaris is considerably lower than in lymphoproliferative disorders. We herein report our experience with very ultra-low-dose rituximab in two patients affected by pemphigus vulgaris.
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spelling doaj.art-e7e7f435fcad46f1b60ae4f9514f12fd2024-03-27T13:18:17ZengMDPI AGAntibodies2073-44682024-01-01131410.3390/antib13010004Is It Time to Reconsider Rituximab Dosing Regimens for Pemphigus Vulgaris?Christian Ciolfi0Jacopo Tartaglia1Mauro Alaibac2Dermatology Unit, Department of Medicine (DIMED), University of Padua, 35121 Padua, ItalyDermatology Unit, Department of Medicine (DIMED), University of Padua, 35121 Padua, ItalyDermatology Unit, Department of Medicine (DIMED), University of Padua, 35121 Padua, ItalyRituximab is currently approved for patients affected by moderate-to-severe pemphigus vulgaris, a severe autoimmune blistering skin disease that can be life-threatening. The standard rituximab dosing regimens, originally established for B-cell non-Hodgkin’s lymphomas, have been recognized to exceed the effective dose required for inducing B-cell depletion, considering that the B-cell burden in pemphigus vulgaris is considerably lower than in lymphoproliferative disorders. We herein report our experience with very ultra-low-dose rituximab in two patients affected by pemphigus vulgaris.https://www.mdpi.com/2073-4468/13/1/4pemphigus vulgarisrituximabvery ultra-low doseinfusion reactionscost-effectiveness
spellingShingle Christian Ciolfi
Jacopo Tartaglia
Mauro Alaibac
Is It Time to Reconsider Rituximab Dosing Regimens for Pemphigus Vulgaris?
Antibodies
pemphigus vulgaris
rituximab
very ultra-low dose
infusion reactions
cost-effectiveness
title Is It Time to Reconsider Rituximab Dosing Regimens for Pemphigus Vulgaris?
title_full Is It Time to Reconsider Rituximab Dosing Regimens for Pemphigus Vulgaris?
title_fullStr Is It Time to Reconsider Rituximab Dosing Regimens for Pemphigus Vulgaris?
title_full_unstemmed Is It Time to Reconsider Rituximab Dosing Regimens for Pemphigus Vulgaris?
title_short Is It Time to Reconsider Rituximab Dosing Regimens for Pemphigus Vulgaris?
title_sort is it time to reconsider rituximab dosing regimens for pemphigus vulgaris
topic pemphigus vulgaris
rituximab
very ultra-low dose
infusion reactions
cost-effectiveness
url https://www.mdpi.com/2073-4468/13/1/4
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