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Accelerated infusion rates of rituximab are well tolerated and safe in rheumatology practice: a single-centre experience

Overview of attention for article published in Clinical Rheumatology, October 2012
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Title
Accelerated infusion rates of rituximab are well tolerated and safe in rheumatology practice: a single-centre experience
Published in
Clinical Rheumatology, October 2012
DOI 10.1007/s10067-012-2094-1
Pubmed ID
Authors

Meryem Can, Fatma Alibaz-Öner, Sibel Yılmaz-Öner, Pamir Atagündüz, Nevsun İnanç, Haner Direskeneli

Abstract

Due to the possible risk of infusion reactions of rituximab (RTX), a slow infusion rate (total infusion time, 255 min) is suggested for rheumatological use. However, especially in oncology field, accelerated infusion of RTX is reported to be well tolerated and safe. The aim of our study was to evaluate whether accelerated infusion rates of RTX would similarly be safe and tolerable in rheumatoid arthritis (RA) patients and other off-label rheumatological indications. All patients treated with RTX for RA and other autoimmune diseases between May 2011 and January 2012 were recruited to the study. Each treatment course consisted of two RTX 1,000 mg infusions, 2 weeks apart. Total time of the infusion for the first cycle was 255 min. Second and subsequent infusions were administered over 120 min as follows: 0-30 min, 100 mg; 30-60 min, 200 mg; 60-90 min, 300 mg; and 90-120 min, 400 mg. The Clinical Trials Classification of Adverse Events (CTCAE) version 4.3 was used to categorise side effects. The study population comprised 68 patients [F/M, 59:9; mean age, 52.4 (10.6) years]: 60 with RA, 4 with systemic lupus erythematosus (SLE), 1 with non-Hodgkin's lymphoma with SLE and 3 with vasculitis. A total of 77 fast infusions were administered. Eleven patients (16.2 %) had taken a fast infusion at the first course. A total of nine patients experienced at least one AE. Seven patients had a reaction on the first infusion (infusion-related reaction (IRR)), two patients on the second infusion and one patient on both infusions. When graded from 1 to 5 according to CTCAE v. 4.3, grade 1 IRRs were observed in a total of seven patients and grade 2 IRR in three patients. In this study of fast infusions, adverse events after RTX were mostly mild and seem to be well tolerated. Faster rituximab infusion times seem to be safe and might be incorporated into routine practice.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 46 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Colombia 1 2%
Brazil 1 2%
Unknown 44 96%

Demographic breakdown

Readers by professional status Count As %
Student > Master 7 15%
Other 7 15%
Student > Ph. D. Student 7 15%
Researcher 5 11%
Student > Bachelor 4 9%
Other 10 22%
Unknown 6 13%
Readers by discipline Count As %
Medicine and Dentistry 25 54%
Pharmacology, Toxicology and Pharmaceutical Science 2 4%
Biochemistry, Genetics and Molecular Biology 2 4%
Engineering 2 4%
Social Sciences 2 4%
Other 5 11%
Unknown 8 17%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 October 2012.
All research outputs
#18,319,742
of 22,684,168 outputs
Outputs from Clinical Rheumatology
#2,302
of 2,981 outputs
Outputs of similar age
#130,809
of 172,684 outputs
Outputs of similar age from Clinical Rheumatology
#19
of 28 outputs
Altmetric has tracked 22,684,168 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
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We're also able to compare this research output to 28 others from the same source and published within six weeks on either side of this one. This one is in the 10th percentile – i.e., 10% of its contemporaries scored the same or lower than it.