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Scooped by Gilbert C FAURE from Multiple sclerosis New Drugs Review
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Alemtuzumab for the treatment of relapsing-remitting multiple sclerosis: a review of its clinic pharmacology, efficacy and safety, Expert Review of Clinical Immunology, Informa Healthcare

Alemtuzumab for the treatment of relapsing-remitting multiple sclerosis: a review of its clinic pharmacology, efficacy and safety, Expert Review of Clinical Immunology, Informa Healthcare | NeuroImmunology | Scoop.it
Alemtuzumab for the treatment of relapsing-remitting multiple sclerosis: a review of its clinic pharmacology, ... http://t.co/GmAivJZDRp

 

Multiple sclerosis (MS) is an inflammatory condition of the CNS presumably induced by an environmental trigger(s) in a genetically susceptible individual. Inflammation is prominent and most susceptible to intervention early in MS, so early treatment with disease-modifying therapies is recommended to reduce relapses and new MRI activity (both markers of inflammation) with the goal of delaying disability progression. Unfortunately, the response to the disease-modifying therapies is variable and often falls short of stopping observable disease activity, so the search for more effective agents continues. Alemtuzumab is a monoclonal antibody against CD52 that has exhibited significant efficacy throughout its clinical trial program in MS; uniquely, some of the studies have demonstrated a sustained reduction in disability in MS patients. Countering this impressive efficacy is an associated high risk of autoimmune events (especially thyroid) and concerns for infection or malignancy given prolonged immunosuppression after treatment with alemtuzumab.


Read More: http://informahealthcare.com/doi/abs/10.1586/1744666X.2014.951332


Via Krishan Maggon
Krishan Maggon 's curator insight, August 23, 2014 8:58 PM
Alemtuzumab for the treatment of relapsing-remitting multiple sclerosis: a review of its clinic pharmacology, efficacy and safety Expert Review of Clinical Immunology

 

Posted online on August 22, 2014. (doi:10.1586/1744666X.2014.951332)David E Jones and Myla D Goldman *Department of Neurology, James Q. Miller MS Clinic, University of Virginia Health System, 500 Ray C. Hunt Drive, Charlottesville, VA 22908, USA*Author for correspondence: mdg3n@virginia.edu




Read More: http://informahealthcare.com/doi/abs/10.1586/1744666X.2014.951332

Scooped by Gilbert C FAURE from Multiple sclerosis New Drugs Review
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Multiple Sclerosis Research: Secondary autoimmunity post-alemtuzumab MS therapy

Multiple Sclerosis Research:  Secondary autoimmunity post-alemtuzumab MS therapy | NeuroImmunology | Scoop.it
Secondary autoimmunity occurs in ~50% of MSers treated with alemtuzumab. #ClinicSpeak #MSBlog #MSResearch http://t.co/QNUpF0gUx0

Via Krishan Maggon
Krishan Maggon 's curator insight, August 17, 2014 11:08 AM

Tuohy et al. Alemtuzumab treatment of multiple sclerosis: long-term safety and efficacy. J Neurol Neurosurg Psychiatry. 2014 May 21. pii: jnnp-2014-307721. doi: 10.1136/jnnp-2014-307721.


Over a median 7-year follow-up (range 33-144 months), most MSers (52%) required just two cycles of alemtuzumab. In the remaining MSers, relapses triggered re-treatment to a total of three cycles (36%), four cycles (8%) or five cycles (1%). Using a 6-month sustained accumulation of disability definition, 59/87 (67.8%) of MSers had an improved or unchanged disability compared with baseline. By an area under the curve analysis, 52/87 (59.8%) MSers had an overall improvement or stabilisation of disability. Higher baseline relapse rate was associated with worse long-term disability outcomes, with trends for longer disease duration and older age at first treatment. Secondary autoimmunity was the most frequent adverse event occurring in 41/86 (47.7%) MSers, most commonly involving the thyroid gland.

CONCLUSIONS: Alemtuzumab is associated with disease stabilisation in the majority of MSers with highly active RRMS over an average seven-year follow-up. No new safety concerns arose over this extended follow-up.