Table 1

Characteristics of 32 patients with SLE receiving rituximab biosimilar

Characteristicsn (%)
Female29 (90.62)
Age (at first RTX biosimilar infusion), mean±SD, years36.75±15.22
Disease duration, median (IQR), years9.50 (1.25–13.00)
2012 SLICC classification criteria
Clinical criteria
 Acute cutaneous lupus10 (31.25)
 Chronic cutaneous lupus8 (25.00)
 Oral ulcers5 (15.62)
 Non-scarring alopecia8 (25.00)
 Synovitis16 (50.00)
 Serositis3 (9.38)
 Renal16 (50.00)
 Neurological9 (28.13)
 Haemolytic anaemia6 (18.75)
 Leucopenia14 (43.75)
 Thrombocytopaenia15 (46.88)
Immunological criteria
 ANA level above laboratory reference range32 (100.00)
 Anti-dsDNA antibody level above laboratory reference range18 (56.25)
 Anti-Sm3 (9.38)
 Antiphospholipid antibody positivity8 (25.00)
 Low complement27 (84.38)
 Direct Coombs test in the absence of haemolytic anaemia0 (0.00)
Comorbidity and damage
 Chronic HBV infection2 (6.25)
 Hypertension8 (25.00)
 Dyslipidaemia8 (25.00)
 End-stage renal disease3 (9.38)
 SLICC Damage Index, median (IQR)0.50 (0.00–1.00)
RTX biosimilar administration
 1 g × 2 infusions per 2 weeks13 (40.63)
 500 mg × 2 infusions per 2 weeks10 (31.25)
 1 g × 1 infusion5 (15.63)
 500 mg × 1 infusion1 (3.13)
 Other regimen3 (9.38)
RTX biosimilar-associated treatment (prior/concurrent)
Glucocorticoids32 (100.00)
 Oral32 (100.00)
 Intravenous13 (40.63)
Immunosuppressive agents
 Intravenous cyclophosphamide12 (37.50)
 Oral cyclophosphamide2 (6.25)
 Mycophenolate mofetil21 (65.63)
 Azathioprine14 (43.75)
 Ciclosporin9 (28.13)
 Tacrolimus3 (9.38)
 Methotrexate6 (18.75)
 Hydroxychloroquine23 (71.88)
Number of immunosuppressive agents (excluding antimalarial drugs) before RTX biosimilar infusion, mean±SD1.72±0.13
Intravenous immunoglobulin4 (12.50)
Plasma exchange4 (12.50)
  • dsDNA, double-stranded DNA; HBV, viral hepatitis B; RTX, rituximab; SLICC, Systemic Lupus International Collaborating Clinics.