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Myths and Facts Quiz. Depletion and repletion dynamics of B cells: The impact on the practical use of selective B cell therapy in RA. Findings from Workshop 2 Professor Paul-Peter Tak Academic Medical Center (AMC)/University of Amsterdam, Amsterdam, the Netherlands.
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Depletion and repletion dynamics of B cells: The impact on the practical use of selective B cell therapy in RA Findings from Workshop 2 Professor Paul-Peter Tak Academic Medical Center (AMC)/University ofAmsterdam, Amsterdam, the Netherlands
Depletion and repletion dynamics of B cells: The impact on the practical use of selective B cell therapy in RA
Workshop 2: Key findings (1) • B cells appear to orchestrate local cellular infiltration • Kinetics of the tissue response suggest that rituximab exerts its effects, in part, by an indirect effect on B cell-derived plasma cells associated with autoantibody production • Highly sensitive flow cytometry reveals variable peripheral blood B cell depletion • Failure to respond to rituximab is explained by failure to deplete B lineage cells in blood and synovium
Workshop 2: Key findings (2) • Rituximab is well tolerated over multiple courses — AEs, SAEs and infections remain stable over time with no occurrence of tuberculosis • Rate and nature of SIEs following other biologics remain consistent with those observed during rituximab treatment • Ability to mount protective responses following active tetanus toxoid immunisation and DTH skin test remains intact with rituximab