Wearing-off at the end of natalizumab dosing interval and risk of MS disease activity : A prospective 1-year follow-up study

Copyright © 2020 The Authors. Published by Elsevier B.V. All rights reserved..

Natalizumab effectively prevents disease activity in relapsing-remitting multiple sclerosis by binding α4 integrin and inhibiting leukocyte migration to the central nervous system. We recently reported an association between low natalizumab receptor occupancy and subjective wearing-off symptoms at the end of the 4-week dosing interval. Here, we aimed to evaluate the short-term risk of disease activity in a 1-year prospective follow-up of the same patient cohort (n = 40). We found that all patients available for follow-up after one year (n = 35) fulfilled the criteria for no evidence of disease activity (NEDA). Thus, wearing-off symptoms were not associated with increased short-term risk of disease activity. Longer follow-up in a larger patient cohort is required to establish whether therapeutic efficacy is maintained in patients with wearing-off symptoms.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:415

Enthalten in:

Journal of the neurological sciences - 415(2020) vom: 15. Aug., Seite 116880

Sprache:

Englisch

Beteiligte Personen:

Bringeland, Gerd Haga [VerfasserIn]
Myhr, Kjell-Morten [VerfasserIn]
Vedeler, Christian Alexander [VerfasserIn]
Gavasso, Sonia [VerfasserIn]

Links:

Volltext

Themen:

Biomarkers
Immunologic Factors
Journal Article
Natalizumab
Receptor occupancy
Relapsing-remitting multiple sclerosis
Treatment response
Wearing-off

Anmerkungen:

Date Completed 14.05.2021

Date Revised 14.05.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jns.2020.116880

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM309964792