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Table 4 Summary of non-randomized clinical trial data according to author, country, sample characterization, RTX scheme and follow-up, adverse events and main results

From: Is rituximab effective for systemic sclerosis? A systematic review and meta-analysis

Author (year)

Country

Sample

(Total / RTX / Control)

Age

(Min-Max/ Mean +/− SD)

Female sex (%)

Follow-up

RTX scheme

AE

Outcomes

Tomographic analysis

Daoussis et al. 2017

Greece

51/ 33/ 18

CG: 52.11 ± 16.10

RTX: 54.3 ± 14.33

80.39

7 years

Two or more RTX cycles. Each cycle consisted of four infusions of 375 mg per m2 of body area, once a week, repeated every 6 months.

Yes

 

Skin - mRSS

Lung - FVC (%)

Yes

Time

Control group

RTX group

Control group

RTX group

Start

17.78 ± 9.48

14.72 ± 10.52

77.72 ± 18.29

80.6 ± 21.21

12 months

15.78 ± 9.89

8.83 ± 7.83 (+)

77.18 ± 19.25

83.02 ± 19.05

24 months

13.72 ± 9.67 (+)

5.93 ± 5.15 (+)

77.59 ± 19.45

86.9 ± 20.56 (+)

36 months

15.53 ± 9.53(+)

4.53 ± 5.29 (+)

 

*

48 months

13.64 ± 8.56(+)

5.37 ± 8.34 (+)

 

*

7 years

*

*

61.11 ± 15.73 (+)

91.69 ± 14.81

Bosello et al. 2015

Italy

20/20/0

RTX: 41.4 ± 13.1

85

86 months

1000 mg, two infusions, two weeks apart.

Yes

Time

Skin - mRSS

Lung - FVC (%)

Yes

Start

22.3 ± 9.5

87.4 ± 19.5

6 months

14.4 ± 8.4(+)

89.0 ± 17.

12 months

11.2 ± 7.5(+)

90.7 ± 17.9 (+)

24 months

9.95 ± 6.0(+)

89.9 ± 21.2

36 months

8.1 ± 5.2(+)

94.0 ± 16.1

48 months

9.8 ± 7.2(+)

95.6 ± 20.7

Lafyatis et al. 2009

USA

15/15/0

RTX: 32.0–57.0/ 45.8

86.66

1 year

1000 mg, two infusions, two weeks apart.

Yes

Time

Skin - mRSS

Lung - FVC (%)

Yes

Start

20.6 ± 4.4

89.2 ± 10.8

 

6 months

20.2 ± 5.5

92.7 ± 10.3

 

12 months

21.1 ± 5.2

*

 

Melsens et al. 2017

Belgium

17/17/0

RTX: 36.0–69.0/ 51.0

35,3

2 years

1000 mg, two infusions, two weeks apart and 1000 mg, two infusions, two weeks apart, after 6 months.

Yes

Time

Skin - mRSS

Lung - FVC (%)

Yes

Start

25.5 ± 6.0

93.5 ± 11.3

3 months

18.6 ± 6.5 (+)

90.7 ± 11.6

6 months

14.6 ± 6.2 (+)

93.3 ± 13.4

12 months

10.7 ± 3.5 (+)

95.6 ± 13.5

15 months

9.7 ± 3.5(+)

98.0 ± 13.7 (+)

18 months

9.8 ± 3.8(+)

95.0 ± 15.4

24 months

12.6 ± 5.1(+)

90.5 ± 16.3

Smith et al. 2010

Belgium

8/8/0

RTX: 49.0–57.0

37.5

24 weeks

1000 mg, two infusions, two weeks apart.

Yes

Time

Skin - mRSS

Lung - FVC (%)

Yes

Start

24.8 ± 3.4

83.9 ± 8.1

12 weeks

19.4 ± 5.4(+)

81.0 ± 17.7

24 weeks

14.3 ± 3.5(+)

77.0 ± 9.8

Smith et al. 2013

Belgium

8/8/0

RTX: 49.0–69.0/ 38.0

37,5

2 years

1000 mg, two infusions, two weeks apart and 1000 mg, two infusions, two weeks apart, after 6 months.

Yes

Time

Skin - mRSS

Lung - FVC (%)

Yes

Start

24.8 ± 3.4

92.8 ± 8.6

3 months

19.4 ± 5.4(+)

88.5 ± 12.9

6 months

14.3 ± 3.5(+)

88.3 ± 9.3

12 months

10.8 ± 4.6(+)

89.2 ± 13.7

15 months

10.0 ± 2.6(+)

94.4 ± 10.1

18 months

10.8 ± 2.6(+)

89.8 ± 12.0

24 months

13.6 ± 5.6(+)

84.7 ± 13.3 (+)

Bosello et al. 2010

Italy

9/9/0

RTX: 40.9 ± 11.1

88,9

3 years

1000 mg, two infusions, two weeks apart.

Yes

Time

Skin - mRSS

Lung - FVC (%)

Yes

Start

21.1 ± 9.0

91.6 ± 20.7

3 months

15.2 ± 6.0

*

6 months

12.0 ± 6.1(+)

*

12 months

7.0 ± 4.0

*

18 months

7.0 ± 3.5

*

24 months

5.0 ± 2.0

*

36 months

4.0 ± 1.4

96.8 ± 18.9

  1. * Data not reported in article; (+) statistically significant