Problem with Rituxan
 

I know someone who was in a Rituxan Study. I think this person is OK. It's been awhile, but I remember that this person felt better after the infusions.

This is another Med like Tysabri, so I'm not surprised about PML being a factor.:eek:

Would you believe the docs are trying to get my daughter to agree to treat her 3 year old son with Rituxan. He has ITP, idiopathic thrombocytopenia purpura. He's considered chronic and has not responded to steroids. She has consulted with several of the best pediatric hematologists and they all suggest Rituxan.

So far Kendra hasn't been willing to use the drug as it's not approved for ITP and the positive results with the drug are only about 30%.

She wants to use the wait and watch approach. Treat only when his platelets are really low. Her Dr wants him on continuous steroids. What a problem. Dr has threated her with protective services.

Worry, Worry, Worry. Betty

Read over on ThisIsMs that 23 PML cases were linked to cancer patients who were using Rituxan. There wasn't a reference as to where this info came from but if accurate, these monoclonal antibodies sure are scary meds to be taking.

Harry

Oh Betty, that is so scary. A sweet little 3 yr old, being abused by these Doctors.:mad: What is this disease that your dear grandchild has and what caused it? Can it be cured or will he outgrow it.

I'm going to go look it up right now, so I am more knowledgible. Be back later.

(((((((Betty)))))))

Below is what I found, Betty and eveywhere I read, it said the same thing. In children, unless chronic, usually goes away on it's own, without treatment. Acute attacks may be treated with short term steroids.

As far as I can see, your DD is right, a wait and see and treat as needed. These Docs are el-wrongo and, after what I read, childrens service should be called on them and not your Daughter.

How is ITP treated in children?

Because most children recover with no treatment, many doctors recommend just watching them carefully and taking care of the bleeding symptoms. Children don't have to go to the hospital if good care is available at home. However, some doctors recommend a short treatment with prednisone pills or intravenous infusions (given in a vein) of gamma globulin to increase the platelet count more quickly. Both medicines have some side effects.

Harry, you can find it in the link within the link that BBS posted:

http://www.fda.gov/cder/drug/InfoShe.../rituximab.pdf

You have to keep reading down for awhile to get the more detailed info. Let's see if this link gets you right to it.

Yes, monoclonal antibodies are a tough group. I'd say use them only if you are desperate. My very educated doc friend who's child has Chrohns said he would never try monoclonal antibodies: He considers them too risky; too much fooling around with the immune system.

Thanks for this info. Important to know.

Sal, Yes there is no effective treatment for ITP. Of course we have no idea how or why he developed this disorder. Our daughter is OK with treating as needed. However the docs have been really pushing hard for continuous steroids etc. They have practically threatened to report her to protective services for not following their directions.

Ben is relatively healthy except for his platelets and potential for bleeding which is also relartively rare.

The medical profession wants to be in charge of all aspects of his life, even if there is no definite research to support their plans.

Not much fun. Thanx for caring. Betty

Thanks Susan....I saw the reference to the 23 patients. You have to wonder why the docs are combining these monoclonal antibodies with other heavy duty immune system altering drugs. You would hope that they may just take a second look at this now that they know more.

Harry

Yes, well, they took a second look at Tysabri and brought it back to market. In lieu of this new news (if it is new:rolleyes: ), we should all take a third look and only use Tysabri and Rituxan in extreme circumstances.....certainly not for non fatal diseases, IMHO!