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Published on: January 7, 2019
Novel emerging treatments for NMOSD
Krzysztof Selmaj1,2, Igor Selmaj3
1University of Warmia and Mazury, Warszawska 30, 10-082 Olsztyn, Poland. kselmaj@gmail.com.
New therapies targeting aquaporin-4 (AQP4) and B cells are highly effective for neuromyelitis optica spectrum disorders (NMOSD). These treatments show promising safety profiles and are expected to gain approval, offering new hope for NMOSD patients.
Area of Science:
- Neuroimmunology
- Central Nervous System (CNS) inflammatory diseases
Background:
- Neuromyelitis optica spectrum disorders (NMOSD) are CNS inflammatory demyelinating diseases.
- Discovery of aquaporin-4 (AQP4) autoantibodies significantly advanced NMOSD diagnosis.
- A subset of NMOSD patients may present with anti-myelin oligodendrocyte glycoprotein (MOG) antibodies.
Purpose of the Study:
- To review recent advancements in NMOSD treatment.
- To evaluate the efficacy and safety of novel therapeutic strategies.
Main Methods:
- Evaluation of monoclonal antibodies (mAbs) targeting complement, IL-6 receptor, and B cells.
- Review of clinical trial data on new NMOSD therapeutics.
Main Results:
- Novel mAbs demonstrate high efficacy in reducing NMOSD activity and preventing disability.
- These new treatments exhibit favorable safety and tolerability profiles.
- Eculizumab is the first approved therapy, with others anticipated.
Conclusions:
- Recent therapeutic developments offer effective and safe options for NMOSD management.
- Targeted therapies represent a significant breakthrough in treating NMOSD.
- Further approvals are expected, improving patient outcomes.
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