Life-threatening autoimmune warm hemolytic anemia following treatment for multiple sclerosis with alemtuzumab

被引:14
作者
Meunier, Benoit [2 ]
Rico, Audrey [1 ]
Seguier, Julie [2 ]
Boutiere, Clemence [1 ]
Ebbo, Mikael [2 ]
Harle, Jean Robert [2 ]
Schleinitz, Nicolas [2 ]
Pelletier, Jean [1 ]
机构
[1] Hop La Timone, AP HM, Pole Neurosci Clin, Serv Neurol, F-13385 Marseille, France
[2] Hop La Timone, AP HM, Dept Med Interne, Marseille, France
关键词
Multiple sclerosis; alemtuzumab; hemolytic anemia; CONTROLLED PHASE-3 TRIAL;
D O I
10.1177/1352458517729766
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Alemtuzumab is a humanized monoclonal antibody directed at CD52 approved as a disease-modifying therapy for relapsing forms of multiple sclerosis (MS). Objective: To describe a case of a life-threatening autoimmune anemia occurring after a first course of alemtuzumab for relapsing-remitting MS in a 28-year-old male. Methods: Case report. Results: A 28-year-old male developed a life-threatening autoimmune anemia occurring 11months after first alemtuzumab course. Conclusion: We report the third case of autoimmune hemolytic anemia following treatment with alemtuzumab in a young MS patient. Due to the severity of this adverse event, neurologists using this treatment should be alert.
引用
收藏
页码:811 / 813
页数:3
相关论文
共 9 条
[1]   Predicting autoimmunity after alemtuzumab treatment of multiple sclerosis [J].
Azzopardi, Laura ;
Thompson, Sara A. J. ;
Harding, Katherine E. ;
Cossburn, Mark ;
Robertson, Neil ;
Compston, Alastair ;
Coles, Alasdair J. ;
Jones, Joanne L. .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2014, 85 (07) :795-798
[2]  
Cheung Winnie W, 2006, Haematologica, V91, pECR13
[3]   Alemtuzumab versus interferon beta 1a as first-line treatment for patients with relapsing-remitting multiple sclerosis: a randomised controlled phase 3 trial [J].
Cohen, Jeffrey A. ;
Coles, Alasdair J. ;
Arnold, Douglas L. ;
Confavreux, Christian ;
Fox, Edward J. ;
Hartung, Hans-Peter ;
Havrdova, Eva ;
Selmaj, Krzysztof W. ;
Weiner, Howard L. ;
Fisher, Elizabeth ;
Brinar, Vesna V. ;
Giovannoni, Gavin ;
Stojanovic, Miroslav ;
Ertik, Bella I. ;
Lake, Stephen L. ;
Margolin, David H. ;
Panzara, Michael A. ;
Compston, D. Alastair S. .
LANCET, 2012, 380 (9856) :1819-1828
[4]   Alemtuzumab for patients with relapsing multiple sclerosis after disease-modifying therapy: a randomised controlled phase 3 trial [J].
Coles, Alasdair J. ;
Twyman, Cary L. ;
Arnold, Douglas L. ;
Cohen, Jeffrey A. ;
Confavreux, Christian ;
Fox, Edward J. ;
Hartung, Hans-Peter ;
Havrdova, Eva ;
Selmaj, Krzysztof W. ;
Weiner, Howard L. ;
Miller, Tamara ;
Fisher, Elizabeth ;
Sandbrink, Rupert ;
Lake, Stephen L. ;
Margolin, David H. ;
Oyuela, Pedro ;
Panzara, Michael A. ;
Compston, D. Alastair S. .
LANCET, 2012, 380 (9856) :1829-1839
[5]   A distinctive form of immune thrombocytopenia in a phase 2 study of alemtuzumab for the treatment of relapsing-remitting multiple sclerosis [J].
Cuker, Adam ;
Coles, Alasdair J. ;
Sullivan, Herman ;
Fox, Edward ;
Goldberg, Mark ;
Oyuela, Pedro ;
Purvis, Annie ;
Beardsley, Diana S. ;
Margolin, David H. .
BLOOD, 2011, 118 (24) :6299-6305
[6]   Red cell aplasia and autoimmune hemolytic anemia following immunosuppression with alemtuzumab, mycophenolate, and daclizumab in pancreas transplant recipients [J].
Elimelakh, Milena ;
Dayton, Vanessa ;
Park, Katharine S. ;
Gruessner, Angelika C. ;
Sutherland, David ;
Howe, Robert B. ;
Reding, Mark T. ;
Eastlund, Ted ;
van Burik, Jo-Anne ;
Singleton, Timothy P. ;
Gruessner, Rainer W. ;
Key, Nigel S. .
HAEMATOLOGICA, 2007, 92 (08) :1029-1036
[7]   Guidelines for submitting adverse event reports for publication [J].
Kelly, William N. ;
Arellano, Felix M. ;
Barnes, Joanne ;
Bergman, Ulf ;
Edwards, I. Ralph ;
Fernandez, Alina M. ;
Freedman, Stephen B. ;
Goldsmith, David I. ;
Huang, Kui ;
Jones, Judith K. ;
McLeay, Rachel ;
Moore, Nicholas ;
Stather, Rosie H. ;
Trenque, Thierry ;
Troutman, William G. ;
van Puijenbroek, Eugene ;
Williams, Frank ;
Wise, Robert P. .
PHARMACOEPIDEMIOLOGY AND DRUG SAFETY, 2007, 16 (05) :581-587
[8]   CAMPATH-1H, A HUMANIZED MONOCLONAL-ANTIBODY, IN REFRACTORY RHEUMATOID-ARTHRITIS - AN INTRAVENOUS DOSE-ESCALATION STUDY [J].
WEINBLATT, ME ;
MADDISON, PJ ;
BULPITT, KJ ;
HAZLEMAN, BL ;
UROWITZ, MB ;
STURROCK, RD ;
COBLYN, JS ;
MAIER, AL ;
SPREEN, WR ;
MANNA, VK ;
JOHNSTON, JM .
ARTHRITIS AND RHEUMATISM, 1995, 38 (11) :1589-1594
[9]   Alemtuzumab for Multiple Sclerosis [J].
Willis, Mark D. ;
Robertson, Neil P. .
CURRENT NEUROLOGY AND NEUROSCIENCE REPORTS, 2016, 16 (09)