Evidence map›Paper›PMID 34549309›Full record

ArticleAnnals of hematology2021

Impact of rituximab on COVID-19 outcomes.

Hannah Levavi, Guido Lancman, Janice Gabrilove

Open access · hybridAbstract read
In one paragraph

Article in Annals of hematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  7. Prolonged viral pneumonia and high mortality in COVID-19 patients on anti-CD20 monoclonal antibody therapy.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
  8. Article
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  13. Commercial Immunoglobulin Products Contain Neutralizing Antibodies Against Severe Acute Respiratory Syndrome Coronavirus 2 Spike Protein.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
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  16. Article
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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

3 authors at 2 institutions in 1 country.

Hannah LevaviDivision of Hematology and Medical Oncology, Icahn School of Medicine, One Gustave L. Levy Place, Box 1079, New York, NY, 10029-6574, USA. hannah.levavi@mountsinai.org.ORCID http://orcid.org/0000-0003-4912-2992
Guido LancmanDivision of Hematology and Medical Oncology, Icahn School of Medicine, One Gustave L. Levy Place, Box 1079, New York, NY, 10029-6574, USA.ORCID http://orcid.org/0000-0002-9775-7127
Janice GabriloveTisch Cancer Institute, New York, NY, USA.ORCID http://orcid.org/0000-0002-2967-4493
Icahn School of Medicine at Mount Sinai · USTisch Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rituximab is associated with prolonged B-cell depletion and secondary hypogammaglobulinemia and is associated with a dampened humoral response and increased infectious complications. To describe the potential impact of prior rituximab therapy on clinical outcomes from SARS-CoV-2 infection and development of COVID-19 antibodies, we conducted a retrospective study of adults across the Mount Sinai Health System diagnosed with COVID-19 who received rituximab for any indication from February 2019 to October 2020. Patients' baseline characteristics, markers of disease severity, clinical outcomes, and antibody development were examined. Of the 49 patients included in the analysis, 63.2% required hospitalization for COVID-19, 24.5% required an ICU admission, and 32.7% died. Proximity of last rituximab infusion and COVID-19 diagnosis did not affect rates of hospitalization, admission to intensive care units or death. Over half (51.7%) of those whose antibodies were checked developed neutralizing anti-spike protein antibodies. The median time between rituximab administration and COVID-19 diagnosis was not significantly different between those who developed antibodies and those who did not (p = .323). Of the 14 patients with documented negative COVID-19 antibody titers, 11 of them survived SARS-CoV-2 infection, indicating that development of neutralizing antibodies may not be necessary for recovery from COVID-19.

Indexed as

AdultAgedAged, 80 and overAntibodies, NeutralizingAntibodies, ViralAntineoplastic AgentsComorbidityCOVID-19FemaleHospitalizationHumansImmunosuppressive AgentsIntensive Care UnitsMaleMiddle AgedRetrospective StudiesAntibodies, NeutralizingAntibodies, ViralAntineoplastic AgentsImmunosuppressive AgentsRituximabSpike Glycoprotein, Coronavirusspike glycoprotein, SARS-CoVB-lymphocytesCOVID-19Humoral immunityRituximabSARS-CoV-2T-cell immunity

Identifiers

PMID34549309
PMCPMC8455155
OpenAlexW3200610820

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.