在多发性硬化症中用frexalimab抑制CD40L
Patrick Vermersch1, Cristina Granziera1, Yang Mao-Draayer1
1From the University of Lille, INSERM Unité 1172, Lille Neuroscience and Cognition, Lille University Hospital, University Hospital Federation Precise, Lille (P.V.), and Sanofi, Chilly-Mazarin (S.S., R.B., P.T.) - both in France; Translational Imaging in Neurology Basel, Department of Biomedical Engineering, Faculty of Medicine, and the Neurologic Clinic and Policlinic, MS Center and Research Center for Clinical Neuroimmunology and Neuroscience Basel, University Hospital Basel and University of Basel, Basel, Switzerland (C.G.); the Department of Neurology, Autoimmunity Center of Excellence, University of Michigan Medical Center, Ann Arbor, and the Michigan Institute for Neurological Disorders, Farmington Hills (Y.M.-D.); the Department of Biostatistics, University of Alabama at Birmingham School of Public Health, Birmingham (G.C.); the Department of Neurology, Dnipro State Medical University, Dnipro, Ukraine (O.K.); the Clinic of Neurology and Sleep Medicine, Acibadem City Clinic University Hospital Tokuda, Sofia, Bulgaria (I.S.); the First Department of Neurology, St. Anne's University Hospital, Brno, Czech Republic (M.D.); Sanofi, Cambridge, MA (B.D., E.W.); and Queen Mary University of London, London (G.G.).
与安慰剂相比,frexalimab是一种抗CD40L抗体,在多发性硬化症患者中显著减少了新的脑病变. 需要进一步的试验来确认这种多发性硬化症治疗的长期疗效和安全性.
科学领域:
- 神经免疫学 神经免疫学
- 免疫治疗是一种免疫疗法.
背景情况:
- CD40-CD40L通路对免疫反应至关重要,并与多发性硬化症 (MS) 病原发生有关.
- 弗雷克沙利马布 (Frexalimab) 是一种用于MS治疗的研究中的抗CD40L单克隆抗体.
研究的目的:
- 评估frexalimab在复发性多发性硬化症患者的疗效和安全性.
- 评估减少新的MRI病变作为主要终点.
主要方法:
- 第二阶段,双盲,随机试验,有129名参与者患有复发性MS.
- 参与者接受了静脉注射 (1200毫克) 或皮下注射 (300毫克) 的frexalimab或安慰剂,持续了12周.
- 主要终点:第12周出现新的加多增强T1病变.
主要成果:
- 与安慰剂相比,frexalimab显著减少了新的加多增强T1病变.
- 调整后的病变平均值:0.2 (1200 mg IV),0.3 (300 mg SC) 与1.4 (安慰剂) 相比.
- 二次成像终点支持初级发现;常见的不良事件包括COVID-19和头痛.
结论:
- 弗雷克沙利马布在12周内在MS患者中减少新的MRI病变的疗效被证明是有效的.
- 与安慰剂相比,抗CD40L疗法显示出良好的效果.
- 需要进行长期研究,以确定frexalimab在多发性硬化症的整体疗效和安全性.
相关概念视频
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents
Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF


