Rituximab prophylaxis to prevent thrombotic thrombocytopenic purpura relapse: outcome and evaluation of dosing regimens

Author:

Westwood John-Paul1,Thomas Mari1,Alwan Ferras1,McDonald Vickie2,Benjamin Sylvia3,Lester William A.4,Lowe Gillian C.4,Dutt Tina5,Hill Quentin A.6,Scully Marie1

Affiliation:

1. Department of Haematology, University College London Hospital, London, United Kingdom;

2. Centre for Haemostasis and Thrombosis, St. Thomas’ Hospital, London, United Kingdom;

3. National Health Service (NHS) Blood and Transplant Therapeutic Apheresis Services and Oxford University Hospitals Foundation Trust, Oxford, United Kingdom;

4. Comprehensive Care Haemophilia Centre, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom;

5. Roald Dahl Haemostasis and Thrombosis Centre, Royal Liverpool University Hospital, Liverpool, United Kingdom; and

6. Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom

Abstract

Key Points Rituximab is effective in preventing relapse in TTP patients in remission with low ADAMTS13 levels. Reduced-dose rituximab (200 mg) is associated with higher rates of re-treatment than the standard dose (375 mg/m2).

Publisher

American Society of Hematology

Subject

Hematology

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