Efficacy of rituximab for glandular Sjö gren's disease according to international clinical trials

Sjögren's disease (SD) is a chronic autoimmune disease characterized by lymphoplasmacytic infiltration of the exocrine glands, leading to the development of their destruction and progressive functional failure. The prevalence of SD is about 5%, which makes it one of the most common autoimmune d...

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Main Author: A. V. Torgashina
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2020-03-01
Series:Современная ревматология
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Online Access:https://mrj.ima-press.net/mrj/article/view/998
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author A. V. Torgashina
author_facet A. V. Torgashina
author_sort A. V. Torgashina
collection DOAJ
description Sjögren's disease (SD) is a chronic autoimmune disease characterized by lymphoplasmacytic infiltration of the exocrine glands, leading to the development of their destruction and progressive functional failure. The prevalence of SD is about 5%, which makes it one of the most common autoimmune diseases. SD often has a chronic, slowly progressing course.The paper discusses the results of international clinical trials of the efficiency of anti-B-cell therapy with rituximab (RTM) for glandular SD. It considers the impact of this therapy on various immunological, histological indicators, subjective and objective parameters of glandular function, and disease activity. Possible reasons for the discrepancy between the results of open-label clinical trials and randomized clinical trials, as well as predictors for the efficiency of RTM therapy are discussed.It has been found that RTM used to treat SD effectively reduces B-cell activity, improves the morphological pattern in the salivary glands and some extraglandular manifestations of the disease, and diminishes dryness and weakness. Anti-B-cell drugs have a great potential to treat SD.
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spelling doaj-art-7f5162c3f91b4f8984e18d1d5a43c14c2025-08-20T03:20:59ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2020-03-01141859210.14412/1996-7012-2020-1-85-922241Efficacy of rituximab for glandular Sjö gren's disease according to international clinical trialsA. V. Torgashina0V.A. Nasonova Research Institute of RheumatologySjögren's disease (SD) is a chronic autoimmune disease characterized by lymphoplasmacytic infiltration of the exocrine glands, leading to the development of their destruction and progressive functional failure. The prevalence of SD is about 5%, which makes it one of the most common autoimmune diseases. SD often has a chronic, slowly progressing course.The paper discusses the results of international clinical trials of the efficiency of anti-B-cell therapy with rituximab (RTM) for glandular SD. It considers the impact of this therapy on various immunological, histological indicators, subjective and objective parameters of glandular function, and disease activity. Possible reasons for the discrepancy between the results of open-label clinical trials and randomized clinical trials, as well as predictors for the efficiency of RTM therapy are discussed.It has been found that RTM used to treat SD effectively reduces B-cell activity, improves the morphological pattern in the salivary glands and some extraglandular manifestations of the disease, and diminishes dryness and weakness. Anti-B-cell drugs have a great potential to treat SD.https://mrj.ima-press.net/mrj/article/view/998sialadenitisrituximabanti-b-cell therapysjögren's diseasedry syndrome
spellingShingle A. V. Torgashina
Efficacy of rituximab for glandular Sjö gren's disease according to international clinical trials
Современная ревматология
sialadenitis
rituximab
anti-b-cell therapy
sjögren's disease
dry syndrome
title Efficacy of rituximab for glandular Sjö gren's disease according to international clinical trials
title_full Efficacy of rituximab for glandular Sjö gren's disease according to international clinical trials
title_fullStr Efficacy of rituximab for glandular Sjö gren's disease according to international clinical trials
title_full_unstemmed Efficacy of rituximab for glandular Sjö gren's disease according to international clinical trials
title_short Efficacy of rituximab for glandular Sjö gren's disease according to international clinical trials
title_sort efficacy of rituximab for glandular sjo gren s disease according to international clinical trials
topic sialadenitis
rituximab
anti-b-cell therapy
sjögren's disease
dry syndrome
url https://mrj.ima-press.net/mrj/article/view/998
work_keys_str_mv AT avtorgashina efficacyofrituximabforglandularsjogrensdiseaseaccordingtointernationalclinicaltrials