Table 5

Possible predictors of response at 1 y after rituximab therapy for ITP

VariablesFailure at 1 y (N = 124)Response at 1 y (N = 89)OR (95% CI)P value
Age (y), mean ± SD 54 ± 20 49 ± 20 1.012 (0.998-1.026) .10 
Sex (M/F) 77/47 59/30 0.833 (0.471-1.473) .53 
ITP duration <1 y before rituximab infusion (n = 87/213) 44 (36%) 43 (49%) 1.715 (0.982-2.994) .06 
Bleeding at ITP diagnosis (n = 90) 51 (41%) 39 (44%) 1.116 (0.644-1.936) .69 
No. of previous treatment lines, median (Q1–3) 3 (2-4) 3 (2-4) 0.944 (0.774-1.151) .57 
Previous splenectomy before rituximab infusion (n = 22) 15 (12%) 7 (8%) 0.62 (0.242-1.591) .32 
Previous transient CR to steroids (n = 46) 23 (19%) 23 (26%) 2 (0.891-4.49) .09 
Previous transient response (R and CR) to IVIG (n = 110) 65 (71%) 45 (75%) 1.2 (0.572-2.516) .63 
Previous transient CR to IVIG (n = 33) 17 (19%) 16 (27%) 1.631 (0.642-4.146) .30 
Platelet count at ITP diagnosis (×109/L), median (Q1-3) 20 (7-44) 14 (5-36) 0.993 (0.981-1.005) .27 
Lower platelet count in the month preceding first rituximab infusion (×109/L), median (Q1-3) 17 (8-25) 14 (7-24) 1.005 (0.992-1.019) .43 
No. of patients with platelet count <10 × 109/L in the month preceding the first rituximab infusion 31/113* (27%) 32/82* (39%) 0.591 (0.322-1.083) .09 
Rituximab infusion regimen     
 4 infusions 89 (72%) 59 (66%) 0.805 (0.442-1465) .478 
 2 infusions 34 (28%) 28 (31%)   
VariablesFailure at 1 y (N = 124)Response at 1 y (N = 89)OR (95% CI)P value
Age (y), mean ± SD 54 ± 20 49 ± 20 1.012 (0.998-1.026) .10 
Sex (M/F) 77/47 59/30 0.833 (0.471-1.473) .53 
ITP duration <1 y before rituximab infusion (n = 87/213) 44 (36%) 43 (49%) 1.715 (0.982-2.994) .06 
Bleeding at ITP diagnosis (n = 90) 51 (41%) 39 (44%) 1.116 (0.644-1.936) .69 
No. of previous treatment lines, median (Q1–3) 3 (2-4) 3 (2-4) 0.944 (0.774-1.151) .57 
Previous splenectomy before rituximab infusion (n = 22) 15 (12%) 7 (8%) 0.62 (0.242-1.591) .32 
Previous transient CR to steroids (n = 46) 23 (19%) 23 (26%) 2 (0.891-4.49) .09 
Previous transient response (R and CR) to IVIG (n = 110) 65 (71%) 45 (75%) 1.2 (0.572-2.516) .63 
Previous transient CR to IVIG (n = 33) 17 (19%) 16 (27%) 1.631 (0.642-4.146) .30 
Platelet count at ITP diagnosis (×109/L), median (Q1-3) 20 (7-44) 14 (5-36) 0.993 (0.981-1.005) .27 
Lower platelet count in the month preceding first rituximab infusion (×109/L), median (Q1-3) 17 (8-25) 14 (7-24) 1.005 (0.992-1.019) .43 
No. of patients with platelet count <10 × 109/L in the month preceding the first rituximab infusion 31/113* (27%) 32/82* (39%) 0.591 (0.322-1.083) .09 
Rituximab infusion regimen     
 4 infusions 89 (72%) 59 (66%) 0.805 (0.442-1465) .478 
 2 infusions 34 (28%) 28 (31%)   

CR, complete response; R, response.

*

Data are missing for 11 of 124 patients with failure at 1 y and 7 of 89 patients with response at 1 y.

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