Eculizumab monotherapy for NMOSD: Data from PREVENT and its open-label extension.


Journal

Multiple sclerosis (Houndmills, Basingstoke, England)
ISSN: 1477-0970
Titre abrégé: Mult Scler
Pays: England
ID NLM: 9509185

Informations de publication

Date de publication:
03 2022
Historique:
pubmed: 10 9 2021
medline: 17 3 2022
entrez: 9 9 2021
Statut: ppublish

Résumé

During PREVENT (a phase 3, randomized, double-blind, placebo-controlled, time-to-event study) and its open-label extension (interim analysis), 33 adults with aquaporin-4 immunoglobulin G-positive neuromyelitis optica spectrum disorder (AQP4-IgG + NMOSD) received eculizumab monotherapy for a median of 2.8 years (range, 14 weeks-5.2 years). At 192 weeks (~4 years), 96% of these patients were free from adjudicated relapses (Kaplan-Meier analysis; 95% confidence interval, 75.7-99.4). During PREVENT, 95% (20/21) of patients receiving eculizumab monotherapy had no disability worsening. Eculizumab monotherapy provides effective long-term relapse prevention, relieving the chronic immunosuppression burden in patients with AQP4-IgG + NMOSD. ClinicalTrials.gov; PREVENT: NCT01892345; open-label extension: NCT02003144.

Identifiants

pubmed: 34498507
doi: 10.1177/13524585211038291
pmc: PMC8894682
doi:

Substances chimiques

Antibodies, Monoclonal, Humanized 0
Aquaporin 4 0
Autoantibodies 0
Immunoglobulin G 0
eculizumab A3ULP0F556

Banques de données

ClinicalTrials.gov
['NCT01892345', 'NCT02003144']

Types de publication

Clinical Trial, Phase III Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

480-486

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Auteurs

Sean J Pittock (SJ)

Department of Neurology, Mayo Clinic, Rochester, MN, USA.

Kazuo Fujihara (K)

Department of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan/Department of Multiple Sclerosis Therapeutics, Fukushima Medical University, Fukushima City, Japan/Multiple Sclerosis and Neuromyelitis Optica Center, Southern TOHOKU Research Institute for Neuroscience (STRINS), Koriyama, Japan.

Jacqueline Palace (J)

Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, Oxford, UK.

Achim Berthele (A)

Department of Neurology, School of Medicine, Klinikum rechts der Isar of the Technical University of Munich, Munich, Germany.

Ho Jin Kim (HJ)

Department of Neurology, Research Institute and Hospital, National Cancer Center, Goyang, South Korea.

Celia Oreja-Guevara (C)

Department of Neurology, Hospital Clinico Universitario San Carlos, Madrid, Spain/Department of Medicine, Universidad Complutense de Madrid, Madrid, Spain/IdISSC, Madrid, Spain.

Ichiro Nakashima (I)

Department of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan/Division of Neurology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.

Michael Levy (M)

Department of Neurology, Johns Hopkins University, Baltimore, MD, USA/Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.

Shulian Shang (S)

Alexion Pharmaceuticals, Boston, MA, USA.

Marcus Yountz (M)

Alexion Pharmaceuticals, Boston, MA, USA.

Larisa Miller (L)

Alexion Pharmaceuticals, Boston, MA, USA.

Róisín Armstrong (R)

Alexion Pharmaceuticals, Boston, MA, USA/Rallybio, New Haven, CT, USA.

Dean M Wingerchuk (DM)

Department of Neurology, Mayo Clinic, Scottsdale, AZ, USA.

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Classifications MeSH