Satralizumab : an interleukin-6 (IL-6) receptor antagonist for the treatment of neuromyelitis optica spectrum disorders

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Neuromyelitis optica spectrum disorders (NMOSD) consist of a rare autoimmune disorder in which patients suffer from relapses that affect the optic nerve, spinal cord or brainstem. Few have a full recovery. NMOSD is more common in women, the age of onset being around 30-40 years of age depending on race. The prevalence of the condition varies from 0.5-4.4 per 100,000 population. About 80% of patients have antibodies directed against the aquaporin-4 (AQP4) protein that form membrane-bound water transporters in the central nervous system (CNS). This protein is highly expressed in those areas of the CNS often targeted in NMOSD relapses. Satralizumab is a humanized monoclonal antibody that binds to the interleukin-6 (IL-6) receptor and thus inhibits IL-6 signaling. Two recent phase III studies have demonstrated that satralizumab significantly reduced the relapse rate in NMOSD by 76-79%. This beneficial effect was apparently confined to patients who have anti-AQP4 antibodies and satralizumab did not reduce the rate of pain or fatigue in NMOSD patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:57

Enthalten in:

Drugs of today (Barcelona, Spain : 1998) - 57(2021), 3 vom: 01. März, Seite 209-218

Sprache:

Englisch

Beteiligte Personen:

Paton, D M [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Monoclonal, Humanized
Aquaporin 4
Interleukin-6
Interleukin-6 (IL-6) receptor antagonists
Journal Article
Monoclonal antibodies
Neurological disorders
Neuromyelitis optica spectrum disorders
Satralizumab
YB18NF020M

Anmerkungen:

Date Completed 19.03.2021

Date Revised 19.03.2021

published: Print

Citation Status MEDLINE

doi:

10.1358/dot.2021.57.3.3251715

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM322858410