Interaction between acetylsalicylic acid and a cationic amphiphile model: an experimental approach using surface techniques

Mechanical and morphological effects of monolayers of octadecylamine upon aspirin adsorption are monitored by Langmuir isotherms measurements and Brewster angle microscopy. Aspirin induced a notable expansion of the corresponding isotherms and a concentration-dependence of the mechanical stability of the films as a consequence of the subtle balance between the solubility of the amine and the monolayer stabilization induced by the ion-pairs, as corroborated by Brewster Angle Microscopy images. The incorporation of the aspirin into the interface was confirmed by UV–vis reflection spectroscopy. Some comments on the feasibility of using aliphatic amines for drug delivery of anionic species are presented.Depto. de Química FísicaFac. de Ciencias QuímicasTRUEpubAPC financiada por la UC

Assessment of Confirmed Clinical Hypersensitivity to Rituximab in Patients Affected with B-Cell Neoplasia

Rituximab hypersensitivity reactions are rare but are one of the main causes of rituximab elimination from antilymphoma immunochemotherapy treatments. While the clinical picture may be indistinguishable from other infusion-related reactions, hypersensitivity reactions (HSR) do not disappear and instead become more intense with subsequent administrations. Objective. To describe the use of the 12-step protocol for desensitization to intravenous rituximab in clinical practice and the complementary study of a possible IgE-mediated HSR in the context of B-cell lymphoma treatment. Methods. A 12-step rituximab desensitization protocol was performed prospectively within clinical practice in 10 patients with a history of severe infusion reactions or in patients who had a repeated reaction at subsequent doses despite taking more intense preventive measures. Skin prick tests were performed at the time of reaction and at a later time to eliminate false negatives due to possible drug interference. Results. Overall, with the desensitization protocol, 70% of patients were able to complete the scheduled immunochemotherapy. Two patients had to discontinue the therapy due to clinical persistence and the third due to lymphoma progression. Intradermal tests with 0.1% rituximab were positive in only 20% of cases, demonstrating a mechanism of hypersensitivity. Conclusions. The 12-step desensitization protocol is very effective and assumable within healthcare practice. There is a need to determine the mechanism underlying the infusion reaction in a large proportion of cases due to the risk of future drug exposure