Faster B-cell repletion after anti-CD20 infusion in Black patients compared to white patients with neurologic diseases

Mult Scler Relat Disord. 2022 Jul:63:103830. doi: 10.1016/j.msard.2022.103830. Epub 2022 Apr 25.

Abstract

This retrospective, single-center study aimed to characterize and compare the kinetics of B-cell reemergence following anti-CD20 infusion (anti-CD20i) in African American (AA) and white patients with MS or NMOSD. In a logistic regression model that included race, time since anti-CD20i, body mass index, and diagnosis, only AA race (p=0.01) and time since anti-CD20i (p=0.0003) were significant predictors of B-cell repletion. However, B-cell subset composition was similar between AA and white patients with detectable CD19+ B-cell counts. These findings highlight the importance of including a diverse study population in future studies of anti-CD20 therapies.

Keywords: anti-CD20; b-cell repletion; multiple sclerosis; neuromyelitis optica; ocrelizumab; race; rituximab.

Publication types

  • Letter

MeSH terms

  • Antigens, CD20
  • B-Lymphocytes
  • Cell Count
  • Humans
  • Immunologic Factors
  • Multiple Sclerosis* / therapy
  • Nervous System Diseases*
  • Neuromyelitis Optica* / therapy
  • Retrospective Studies

Substances

  • Antigens, CD20
  • Immunologic Factors