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Rituximab, but not other biologics, impairs humoral immunity in patients with rheumatoid arthritis-a study using CoVariant protein arrays.

Wei-Hsun LinPin-Xian DuPei-Shan TsaiBatuhan Birol KeskinWen-Yu SuNan-Yao LeeWen-Chien KoPei-Chun LinHsi-Chang ShihMeng-Yu WengGuan-Da Syu
Published in: Rheumatology advances in practice (2023)
After receiving three doses of SARS-CoV-2 vaccination, RA patients who underwent rituximab treatment generated sufficient antibodies but exhibited lower neutralizing activities against wild-type and multiple variants, including current Omicron. Other biological DMARDs, e.g. TNF inhibitor, IL-6 inhibitor and CTLA4-Ig, did not show obvious inhibition.
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