How safe is rituximab?
Noah Mitchell
Published Jan 19, 2026
Over 540,000 patients worldwide have now received rituximab and serious adverse reactions have occurred in a small minority of patients, but for the great majority of patients, rituximab is safe and well tolerated.
What is the success rate of rituximab?
Rituximab with bendamustine (Treanda, Cephalon) was studied in a phase 2 trial in patients with relapsed disease. This combination was found to be very effective, with an ORR of 92%.
What are the long term side effects of rituximab?
Does Rituxan cause any long-term side effects?
- heart problems, such as heart attack or ventricular fibrillation (a type of abnormal heart rhythm)
- blockage or tearing of your intestines.
- kidney failure or other serious kidney problems.
- serious infections, such as shingles.
- reactivation of the hepatitis B virus*
How long can you stay on rituximab?
Rituxan can provide up to 6 months of symptom improvement from 1 course of treatment (2 infusions given 2 weeks apart). Be sure to talk with your doctor to find out if starting and continuing treatment with Rituxan is right for you.
What are serious risks of Rituxan?
Rituxan can increase your risk of getting infections and can lower the ability of your immune system to fight infections. People with serious infections should not receive Rituxan. Heart Problems: Rituxan may cause chest pain, irregular heartbeats, and heart attack.
16 related questions foundIs rituximab an immunotherapy?
Rituximab was approved by the US Food and Drug Administration for use in DLBCL nearly 20 years ago. It was the first immunotherapy approved for specific use in cancer, and it quickly demonstrated a dramatic improvement in outcomes in patients with DLBCL when combined with chemotherapeutic agents.
Is rituximab a form of chemotherapy?
RITUXAN is not chemotherapy. RITUXAN is a type of antibody therapy that can be used alone or with chemotherapy. They work in different ways to find and attack the cells where cancer starts. RITUXAN targets and attaches to the CD20 protein found on the surface of blood cells with cancer and some healthy blood cells.
Is there an alternative to rituximab?
Ofatumumab is a feasible alternative anti-CD20 therapy in patients intolerant of rituximab.
Does rituximab lower immune system?
Rituximab suppresses the immune system. Therefore, serious fungal, bacterial, and new or reactivated viral infections (for example, hepatitis B or C, shingles) can occur during or after treatment with rituximab. Generally, rituximab is avoided in the presence of active, significant infections.
How many times can rituximab be given?
Administer RITUXAN as a single-agent every 8 weeks for 12 doses. Following completion of 6-8 cycles of CVP chemotherapy, administer once weekly for 4 doses at 6-month intervals to a maximum of 16 doses. Administer on Day 1 of each cycle of chemotherapy for up to 8 infusions.
How will I feel after rituximab infusion?
After a Rituxan (rituximab) infusion you may experience certain side effects or adverse reactions that make you feel unwell. Rituxan affects different people in different ways, but the more common side effects include: Fever (high temperature), muscle aches, headaches and chills, which are signs of infection.
What does rituximab do to your body?
Rituximab is used to treat certain types of cancer (such as non-Hodgkin's lymphoma, chronic lymphocytic leukemia). It works by slowing or stopping the growth of cancer cells. Some brands of rituximab are also used to treat rheumatoid arthritis and can decrease joint pain and swelling.
Can rituximab raise cholesterol?
Conclusion: Treatment with the biological agent rituximab in RA resulted in an increase in total cholesterol, paralleled by an increase in HDL cholesterol, LDL cholesterol, while triglyceride levels decreased.
Can rituximab cause death?
You may experience a serious reaction while you receive or within 24 hours after receiving a dose of a rituximab injection product. These reactions usually happen during the first dose of a rituximab injection product and may cause death.
How do you know if rituximab is working?
Rituximab works by lowering the number of these B-cells, to reduce inflammation, pain, swelling and joint damage. If rituximab works for you, you'll probably notice an improvement in your symptoms 8-16 weeks after you start treatment.
Is rituximab used for Covid?
Prior treatment with cancer drug likely renders COVID-19 vaccine ineffective, study finds. Rituximab, a drug widely used in patients with lymphoma, blunts or eliminates the antibody response to COVID-19 vaccines if it is administered before them, Stanford researchers say.
Is rituximab better than methotrexate?
The final results indicated that rituximab combined with MTX obtained better clinical outcomes than MTX alone. The clinical outcomes reflecting more ACR20, ACR50, and ACR70 are clinically significant.
Who should not take Rituxan?
lung disease or a breathing disorder; a weak immune system (caused by disease or by using certain medicines); heart disease, angina (chest pain), or heart rhythm disorder; or. if you have used rituximab in the past, or you have had a severe allergic reaction to rituximab.
Who should not take rituximab?
However, use of rituximab injection is not indicated in children younger than 2 years of age with GPA or MPA, in children younger than 6 months of age with mature B-cell NHL and B-AL, or in children with other conditions.
Is Rituxan and rituximab the same thing?
Rituxan is the trade name for rituximab. In some cases, health care professionals may use the trade name rituxan when referring to the generic drug name rituximab. Drug type: Rituximab is a monoclonal antibody.
How old is rituximab?
Rituximab, initially approved in 1997 by the US FDA for use in relapsed/refractory indolent non-Hodgkin lymphoma (NHL) and subsequently in other indications, was the first monoclonal antibody (mAb) utilized in oncology and remains widely used over two decades later [1].
What is the difference between Obinutuzumab and rituximab?
Obinutuzumab is a type II antibody, unlike rituximab, which is a type I antibody. These classifications are based on the way the antibodies bind to CD20.
What cancers are treated with rituximab?
Use in Cancer
Rituximab is approved to be used in alone or with other drugs to treat: Acute lymphoblastic leukemia or acute myeloid leukemia that is advanced and CD20 positive. Rituximab is used with chemotherapy in children aged 6 months and older whose cancer has not been treated.
Will I lose my hair with rituximab?
Hair loss. You could lose all your hair. This includes your eyelashes, eyebrows, underarm, leg and sometimes pubic hair. Your hair will usually grow back once treatment has finished but it is likely to be softer.
Is rituximab a steroid?
Rituximab is an efficient and safe treatment in adults with steroid-dependent minimal change disease. Development of steroid dependency in patients with nephrotic syndrome may require a long-term multi-drug therapy at risk of drug toxicity and renal failure.