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Published on: October 27, 2014
Alemtuzumab following natalizumab in highly active paediatric-onset multiple sclerosis
Monica Margoni1,2, Francesca Rinaldi1, Silvia Miante1
1Multiple Sclerosis Centre of the Veneto Region (CeSMuV), University Hospital of Padua, Italy.
Insights
This study found that natalizumab followed by alemtuzumab is a safe and effective treatment for pediatric multiple sclerosis, maintaining no evidence of disease activity. Few mild reactions occurred, with no severe adverse events reported.
Area of Science:
- Neurology
- Immunology
Background:
- Pediatric-onset multiple sclerosis (MS) requires effective and safe treatment options.
- Disease-modifying therapies are crucial for managing pediatric MS progression.
Purpose of the Study:
- To evaluate the safety and efficacy of a natalizumab-to-alemtuzumab treatment switch in pediatric MS patients.
- To assess infusion-associated reactions, severe adverse events, and disease activity status.
Main Methods:
- A cohort of five pediatric MS patients (ages 16-17) was followed for a median of 3.9 years.
- Patients received natalizumab, then switched to alemtuzumab after a mean of 25.6 infusions.
- Safety and disease activity (no evidence of disease activity 3) were monitored.
Main Results:
- Few mild to moderate infusion-associated reactions were observed during alemtuzumab infusions.
- No severe adverse events were detected throughout the study period.
- All patients maintained their no evidence of disease activity 3 status during follow-up.
Conclusions:
- The therapeutic course of natalizumab followed by alemtuzumab is well-tolerated in pediatric MS.
- This treatment strategy effectively maintains disease control in young patients with multiple sclerosis.
Abstract:
We evaluated the occurrence of infusion-associated reactions, severe adverse events and no evidence of disease activity 3 status of a therapeutic course consisting of natalizumab followed by alemtuzumab in paediatric-onset multiple sclerosis. Five paediatric-onset multiple sclerosis (age range 16-17 years) were followed for a median of 3.9 years (interquartile range 3.1-5.0). At a natalizumab break (mean infusions 25.6 ± 1.3) patients were switched to alemtuzumab and completed the two therapy courses. Few mild/moderate infusion-associated reactions were observed during alemtuzumab infusion. No severe adverse events were detected. Natalizumab followed by alemtuzumab proved to be a well-tolerated therapeutic course in paediatric-onset multiple sclerosis. Moreover, paediatric-onset multiple sclerosis maintained the no evidence of disease activity 3 status throughout the follow-up.
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