TOTAL | NMDAR-AE | LGI1-AE | CASPR2-AE | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
RTX (n = 18) | Ctrl (n = 41) | p value | RTX (n = 14) | Ctrl (n = 27) | p value | RTX (n = 3) | Ctrl (n = 9) | p value | RTX (n = 1) | Ctrl (n = 5) | p value | |
Gender; female/male | 8/10 | 18/23 | 0.595 | 7/7 | 11/16 | 0.406 | 1/2 | 5/4 | 0.100 | 0/1 | 2/3 | – |
Age at onset, years; mean (95% Cl) | 41.88 (33–50) | 37.61 (32–42) | 0.356 | 35.28 (27–42) | 34.22 (28–40) | 0.823 | 63.33 (48–78) | 52.88 (43–62) | 0.190 | 70 (/) | 28.40 (19–37) | – |
From onset to diagnosis, days; median (IQR) | 20 (78) | 24 (52) | 0.863 | 14.5 (23.75) | 16 (51) | 0.185 | 35 (/) | 60 (63) | 0.864 | 190 (/) | 31 (41) | – |
Follow-up duration, days; mean (95% Cl) | 1058 (768–1349) | 1362 (1136–1587) | 0.120 | 1084 (802–1376) | 1488 (1215–1556) | 0.059 | 1086 (/) | 1640 (1278) | 0.926 | 244 (/) | 561 (640) | – |
Symptoms; n (%) | ||||||||||||
Seizures | 66.7% | 61.0% | 0.455 | 71.4% | 66.7% | 0.100 | 66.7% | 55.6% | 0.100 | 0.00% | 40% | – |
Cognitive impairment | 94.4% | 85.4% | 0.422 | 92.9% | 85.2% | 0.645 | 100% | 100% | – | 100% | 60% | – |
Psychiatric symptoms | 83.3% | 87.8% | 0.690 | 78.6% | 88.9% | 0.393 | 100% | 88.9% | 0.100 | 100% | 80% | – |
Decreased consciousness | 44.4% | 29.3% | 0.201 | 57.1% | 33.3% | 0.189 | 0.0% | 11.1% | 0.100 | 0.0% | 40% | – |
Autonomic dysfunction | 27.8% | 22.0% | 0.742 | 28.6% | 25.9% | .0.100 | 33.3% | 0.0% | 0.250 | 0.0% | 40% | – |
Movement disorder | 44.4% | 26.8% | 0.151 | 50% | 22.2% | 0.089 | 33.3% | 33.3% | 0.100 | 0.0% | 40% | – |
Fever | 44.4% | 39.0% | 0.457 | 57.1% | 51.9% | 0.504 | 0.0% | 11.1% | 0.100 | 0.0% | 20% | – |
CSF/MRI/EEG profiles | ||||||||||||
CSF cc; median, (IQR) | 7 (67) | 8 (23) | 0.613 | 8.5 (90.5) | 12 (26) | 0.264 | 4 (/) | 2 (4) | 0.282 | 2 (/) | 1 (62) | |
CSF protein; mean, (95% Cl) | 404.45 (318–490) | 353.82 (288–419) | 0.370 | 372.05 (274–469) | 405.57 (313–497) | 0.637 | 470.28 (93–847) | 247.21 (179–314) | 0.009 | 660.7 (/) | 266.32 (144–387) | – |
CSF pressure; mean, (95% Cl) | 174.72 (146–203) | 161.46 (140–182) | 0.463 | 182.85 (147–218) | 170.18 (140–199) | 0.587 | 145.00 (46–243) | 131.66 (100–162) | 0.632 | 150 (/) | 168.00 (121–214) | – |
MRI abnormalities; n (%) | 50.0% | 56.1% | 0.440 | 64.3% | 51.9% | 0.336 | 0.0% | 77.8% | 0.045 | 0.0% | 40% | – |
EEG abnormalities; n (%) | 61.1% | 43.9% | 0.175 | 71.4% | 48.1% | 0.137 | 33.3% | 33.3% | 0.100 | 0.0% | 40% | – |
CSF/Serum Ab profiles | ||||||||||||
CSF Ab positive | 94.4% | 80.5% | 0.252 | 100% | 88.9% | 0.539 | 100% | 77.8% | 0.100 | 0.0% | 40% | – |
Serum Ab positive | 38.9% | 61.0% | 0.100 | 28.6% | 48.1% | 0.321 | 66.7% | 77.8% | 0.100 | 100% | 100% | – |
Both Ab positive | 33.3% | 41.5% | 0.386 | 28.6% | 37.0% | 0.734 | 66.7% | 55.6% | 0.100 | 0.0% | 40% | – |
Prior 1st-line immunotherapy; n (%) | 100% | 100% | – | 100% | 100% | – | 100% | 100% | – | 100% | 100% | – |
1st-line therapy, n (%) | – | |||||||||||
MPPT | 72.2% | 97.6% | 0.008 | 85.7% | 93.3% | 0.265 | 33.3% | 100% | 0.045 | 0 | 100% | – |
IVIG | 94.4% | 46.3% | < .0001 | 92.9% | 55.6% | 0.031 | 100% | 33.3% | 0.182 | 100% | 20% | – |
Both | 66.7% | 43.9% | 0.092 | 78.6% | 51.9% | 0.176 | 33.3% | 33.3% | 0.100 | 0 | 20% | – |
RTX therapy | ||||||||||||
Time from RTX therapy, days; median (IQR) | 74.5 (410) | – | – | 128.5 (405) | – | – | 6 (/) | – | – | 5 (/) | – | – |
No. of RTX infusions, n; median (IQR) | 5 (4) | – | – | 5 (3) | – | – | 3 (/) | – | – | 3 (/) | – | – |
Cumulative RTX dose, g; median (IQR) | 500 (400) | – | – | 500 (300) | – | – | 300 (/) | – | – | 300 (/) | – | – |
1st to last infusion, days; median (IQR) | 389 (864) | – | – | 457.5 (863) | – | – | 15 (/) | – | – | 214 (/) | – | – |
Averaged dose of prednisone, mg/day; median (IQR) | 4.375 (7.67) | 27.13 (21.67) | < .0001 | 5.563 (4.011) | 28.89 (21.67) | < .0001 | 0 | 10.83 (19.52) | 0.009 | 0 | 25.71 (20.057) | – |
Relapses; n (%) | ||||||||||||
After 1st-line therapy | 33.3% | 12.2% | 0.074 | 42.9% | 18.5% | 0.140 | 33.3% | 0.0% | 0.250 | 0 | 0 | – |
After RTX therapy | 0 | – | – | 0 | – | – | 0 | – | – | 0 | – | – |