Evidence map›Paper›PMID 21378402›Full record

SynthesisAnnals of the rheumatic diseases2011

Updated consensus statement on the use of rituximab in patients with rheumatoid arthritis.

Maya H Buch, Josef S Smolen, Neil Betteridge, Ferdinand C Breedveld, Gerd Burmester, Thomas Dörner, Gianfranco Ferraccioli, Jacques-Eric Gottenberg, John Isaacs, Tore K Kvien and 8 more

Registry-linked trialOpen access · greenAbstract readConsensus StatementSystematic Review
In one paragraph

Synthesis in Annals of the rheumatic diseases, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02198248 (Low-dose Glucocorticoids Plus Rituximab Versus High-dose Glucocorticoids Plus Rituximab for Remission Induction in ANCA-associated Vasculitis; a Multicentre, Open Label, Randomised Control Trial), which is not on this map. Cited by 164 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
164citing papers in PubMed, 6 pooled it
27.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02198248 phase4unknown statusnot on this mapstarted 2014, after this paper: background citation

Low-dose Glucocorticoids Plus Rituximab Versus High-dose Glucocorticoids Plus Rituximab for Remission Induction in ANCA-associated Vasculitis; a Multicentre, Open Label, Randomised Control Trial

TypeinterventionalSponsorChiba UniversityRan2014 to 2021Enrolled140ConditionsAnti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis, Microscopic Polyangiitis, Wegener GranulomatosisArmsRituximab, Glucocorticoids
3 · Its place in the literature

Who cites it

164 citing papers in PubMed, 6 syntheses or guidelines pooled it, 445 citations in OpenAlex.

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  15. Quality and Safety Intervention: Improving Care of Patients Undergoing B Cell-Targeted Therapies.The journal of allergy and clinical immunology. In practice · 2026
    Article
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104 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 15 institutions in 10 countries.

Maya H BuchSection of Musculoskeletal Diseases, Leeds Institute of Molecular Medicine, University of Leeds, Leeds, UK.
Josef S Smolen
Neil Betteridge
Ferdinand C Breedveld
Gerd Burmester
Thomas Dörner
Gianfranco Ferraccioli
Jacques-Eric Gottenberg
John Isaacs
Tore K Kvien
Xavier Mariette
Emilio Martin-Mola
Karel Pavelka
Paul P Tak
Desiree van der Heijde
Ronald F van Vollenhoven
Paul Emery
Rituximab Consensus Expert Committee
Charité - Universitätsmedizin Berlin · DELeiden University Medical Center · NLAcademic Medical Center · NLCare UK (United Kingdom) · GBCharles University · CZDiakonhjemmet Hospital · NOHôpitaux Universitaires de Strasbourg · FRHospital Universitario La Paz · ESInserm · FRKarolinska Institutet · SELeeds Teaching Hospitals NHS Trust · GBMedical University of Vienna · ATNewcastle University · GBNIHR Leeds Musculoskeletal Biomedical Research Unit · GBUniversità Cattolica del Sacro Cuore · IT

Funding

Versus Arthritis 18475
6 · The paper itself

Abstract

backgroundSince initial approval for the treatment of rheumatoid arthritis (RA), rituximab has been evaluated in clinical trials involving various populations with RA. Information has also been gathered from registries. This report therefore updates the 2007 consensus document on the use of rituximab in the treatment of RA.

methodsPreparation of this new document involved many international experts experienced in the treatment of RA. Following a meeting to agree upon the core agenda, a systematic literature review was undertaken to identify all relevant data. Data were then interrogated by a drafting committee, with subsequent review and discussion by a wider expert committee leading to the formulation of an updated consensus statement. These committees also included patients with RA.

resultsThe new statement covers wide-ranging issues including the use of rituximab in earlier RA and impact on structural progression, and aspects particularly pertinent to rituximab such as co-medication, optimal dosage regimens, repeat treatment cycles and how to manage non-response. Biological therapy following rituximab usage is also addressed, and safety concerns including appropriate screening for hepatitis, immunoglobulin levels and infection risk. This consensus statement will support clinicians and inform patients when using B-cell depletion in the management of RA, providing up-to-date information and highlighting areas for further research.

conclusionNew therapeutic strategies and treatment options for RA, a chronic destructive and disabling disease, have expanded over recent years. These have been summarised in general strategic suggestions and specific management recommendations, emphasising the importance of expedient disease-modifying antirheumatic drug implementation and tight disease control. This consensus statement is in line with these fundamental principles of management.

Indexed as

Antibodies, Monoclonal, Murine-DerivedAntirheumatic AgentsArthritis, RheumatoidDrug Administration ScheduleDrug Therapy, CombinationEvidence-Based MedicineGlucocorticoidsHumansRandomized Controlled Trials as TopicRituximabTreatment OutcomeAntibodies, Monoclonal, Murine-DerivedAntirheumatic AgentsGlucocorticoidsRituximab

Identifiers

PMID21378402
PMCPMC3086093
OpenAlexW2411832526

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.