Eculizumab in the treatment of neuromyelitis optica spectrum disorder

被引:4
作者
Giglhuber, Katrin [1 ]
Berthele, Achim [1 ]
机构
[1] Tech Univ Munich, Sch Med, Dept Neurol, Klinikum Rechts Isar, Ismaninger Str 22, D-81675 Munich, Germany
关键词
antibody therapeutics; autoimmunity; complement system; immunotherapy; neuromyelitis optica; PAROXYSMAL-NOCTURNAL HEMOGLOBINURIA; DIAGNOSTIC-CRITERIA; DOUBLE-BLIND; PHASE-3; EFFICACY; SAFETY; SATRALIZUMAB; MULTICENTER; BINDING; MARKER;
D O I
10.2217/imt-2020-0163
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Neuromyelitis optica spectrum disorder (NMOSD) is a rare autoimmune disease of the CNS which is distinct from multiple sclerosis and typically presents with a relapsing course of optic neuritis, myelitis and midline brain inflammatory lesions. In at least two-thirds of cases, antibodies against the water channel AQP4 can be found, which lead to an antibody-mediated activation of the complement system with consecutive damage to neuronal structures. Eculizumab, a humanized monoclonal antibody against the terminal complement component 5, was shown to significantly reduce the risk of NMOSD relapse in a Phase III placebo-controlled trial. Based on this, eculizumab (Soliris(R)) was the first drug to be formally approved for the treatment of anti-AQP4-antibody positive NMOSD in 2019.
引用
收藏
页码:1053 / 1066
页数:14
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