在复发性缓解性多发性硬化症中从纳塔利祖马布转换为抗CD20单克隆抗体:系统性审查
Justin D Brown1, Benjamin T Muston2, Jennifer Massey3
1The University of Notre Dame, Sydney, Australia.
Multiple sclerosis and related disorders
|April 19, 2024
概括
从纳塔利祖马布 (NTZ) 转换为CD20单克隆抗体 (CD20mAb) 是患有多发性硬化症 (MS) 患者的安全策略,这些患者有逐渐多焦点白内障 (PML) 的风险. 这种方法显示复发率和PML率较低,确定CD20mAb作为一个有效的NTZ退出策略.
科学领域:
- 神经免疫学 神经免疫学
- 临床神经学 临床神经学
- 药理学 药理学是指药理学的学科.
背景情况:
- 纳塔利祖马布 (NTZ) 在多发性硬化症 (MS) 中的使用受到渐进的多焦点白内障 (PML) 风险的限制.
- 患者可能需要NTZ进行疾病控制,尽管存在PML风险或在治疗期间进行血清转化.
- 停止NTZ需要一个退出策略,以防止重症的疾病重新激活.
结论:
- CD20mAb代表了因PML风险而停止NTZ治疗的MS患者的合适过渡疗法.
- 这一策略表明,PML携带率和临床复发率非常低.
- 在切换到CD20mAb之前,最佳的洗期可能在4至12周之间.
关键词:
CD20 CD20 是一个CD20 CD20 是一个CD20.多发性硬化症是多发性硬化症.娜塔莉莎表示这就是Ocrelizumab.在PML中,PML是PML.里图西马布 (Rituximab) 是一种药物.更多相关视频
09:34Dynamic Imaging of Chimeric Antigen Receptor T Cells with [18F]Tetrafluoroborate Positron Emission Tomography/Computed Tomography
Published on: February 17, 2022
3.3K
09:38Determining Immune System Suppression versus CNS Protection for Pharmacological Interventions in Autoimmune Demyelination
Published on: September 12, 2016
12.2K
相关概念视频
Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF
136
Tumor Necrosis Factor (TNF), a proinflammatory cytokine, contributes significantly to the inflammation seen in Crohn's disease. It exists as soluble TNF and membrane-bound TNF, with actions mediated through TNF receptors (TNFR). TNFR activation leads to the release of proinflammatory cytokines, T-cell activation, collagen production, and leukocyte migration, all contributing to inflammation in Crohn's disease. Anti-TNF monoclonal antibodies, namely infliximab (Remicade), adalimumab...
136
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents
161
Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel...
161
