Table 3 Efficacy of rituximab (RTX) treatment in each subgroup of Thai NMOSD patients (n = 39).

From: Efficacy and safety of rituximab in multiple sclerosis and neuromyelitis optica spectrum disorder

Outcomes

Pre RTX

Post RTX

p value*

NMOSD (n = 39)

 ARR, times/year; median (IQR)

0.92 (0.68–1.78)

0 (0–0.17)

 < 0.001

 EDSS scores; median (IQR)

4.5 (3.0–6.0)

4.0 (2.0–5.5)

 < 0.001

Classified by maintenance treatment regimens

A fixed 6-month time point regimen subgroup (n = 15)

 ARR, times/year; median (IQR)

0.95 (0.67–2.02)

0 (0–0.11)

0.005

 EDSS scores; median (IQR)

5.0 (3.0–6.5)

4.5 (2.5–5.5)

0.042

A CD19-based reinfusion regimen subgroup (n = 24)

 ARR, times/year; median (IQR)

0.92 (0.71–1.33)

0 (0–0.23)

 < 0.001

 EDSS scores; median (IQR)

4.3 (3.0–6.0)

3.3 (2.0–5.0)

0.002

Classified by history of previous DMTs or IS

Treatment-naive subgroup (n = 13)

 Number of relapses; median (IQR)

2 (1–2.5)

0 (0–0.5)

0.003

 ARR, times/year; median (IQR)

0 (0–0.22)

 EDSS scores; median (IQR)

5.0 (3.8–6.0)

4.0 (2.0–5.8)

0.027

Treatment-experienced subgroup (n = 26)

 Number of relapses; median (IQR)

4 (2–7)

0 (0–0.3)

 < 0.001

 ARR, times/year; median (IQR)

0.89 (0.69–1.20)

0 (0–0.22)

 < 0.001

 EDSS scores; median (IQR)

4.3 (2.9–6.1)

3.8 (2.0–5.5)

0.003

  1. AQP4 aquaporin 4, ARR annualized relapse rate, EDSS Expanded Disability Status Scale, NMOSD neuromyelitis optica spectrum disorder, RTX rituximab.
  2. *p value was calculated using the Wilcoxon signed-rank test.
  3. ARR was calculated only for NMOSD patients with a disease duration before RTX of more than 1 year. This comprised 28 NMOSD patients, with 10 in the fixed 6-month time point regimen subgroup, 18 in the CD19-based reinfusion regimen subgroup, 5 in the treatment-naive subgroup, and 23 in the treatment-experienced subgroup.