Emerging treatments
Rituximab
In one phase 2 exploratory trial, young people (aged 12-20 years) with Graves’ disease were given a single dose of rituximab, a monoclonal antibody directed against the CD20 antigen on the surface of B-lymphocytes, as an adjunct to 12 months of antithyroid drug treatment. At 24 months, 48% (13 out of 27) of patients were in remission. No serious adverse events were linked to the treatment regimen.[149] A randomised controlled trial of rituximab in a larger group of young patients with Graves’ disease is required to determine safety and efficacy in this population.
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