keyword
https://read.qxmd.com/read/37006489/the-role-of-autoimmune-antibodies-to-predict-secondary-autoimmunity-in-patients-with-relapsing-remitting-multiple-sclerosis-treated-with-alemtuzumab-a-nationwide-prospective-survey
#1
JOURNAL ARTICLE
Sofia Sandgren, Lenka Novakova, Markus Axelsson, Firoozeh Amirbeagi, Ingrid Kockum, Tomas Olsson, Clas Malmestrom, Jan Lycke
BACKGROUND: Alemtuzumab (ALZ) is an immune reconstitution therapy for treating relapsing-remitting multiple sclerosis (RRMS). However, ALZ increases the risk of secondary autoimmune diseases (SADs). OBJECTIVE: We explored whether the detection of autoimmune antibodies (auto-Abs) could predict the development of SADs. METHODS: We included all patients with RRMS in Sweden who initiated ALZ treatment ( n = 124, 74 female subjects) from 2009 to 2019...
2023: Frontiers in Neurology
https://read.qxmd.com/read/36970763/real-world-cost-of-care-and-site-of-care-in-patients-with-multiple-sclerosis-initiating-infused-disease-modifying-therapies
#2
JOURNAL ARTICLE
Enrique Alvarez, Kavita V Nair, Hiangkiat Tan, Kapil Rathi, Nicole B Gabler, Eric M Maiese, Chinmay Deshpande, Qiujun Shao
AIM: Evaluate the real-world costs over 2 years and costs by site of care for ocrelizumab (OCR), natalizumab (NTZ), and alemtuzumab (ATZ) in patients with multiple sclerosis (MS). METHODS: This retrospective study used HealthCore Integrated Research Database and included continuously enrolled adults with MS initiating OCR, NTZ, and ATZ between April 2017 and July 2019 (i.e., patient identification period). Annual total cost of care (pharmacy and medical costs) was evaluated for the first- and second- year of follow-up, further stratified by site of care...
March 27, 2023: Journal of Medical Economics
https://read.qxmd.com/read/34777337/immune-regulatory-cell-bias-following-alemtuzumab-treatment-in-relapsing-remitting-multiple-sclerosis
#3
JOURNAL ARTICLE
Nicole Kashani, Eve E Kelland, Borna Vajdi, Lauren M Anderson, Wendy Gilmore, Brett T Lund
Alemtuzumab is a highly effective treatment for relapsing-remitting multiple sclerosis. It selectively targets the CD52 antigen to induce profound lymphocyte depletion, followed by recovery of T and B cells with regulatory phenotypes. We previously showed that regulatory T cell function is restored with cellular repletion, but little is known about the functional capacity of regulatory B-cells and peripheral blood monocytes during the repletion phase. In this study (ClinicalTrials.gov ID# NCT03647722) we simultaneously analyzed the change in composition and function of both regulatory lymphocyte populations and distinct monocyte subsets in cross-sectional cohorts of MS patients prior to or 6, 12, 18, 24 or 36 months after their first course of alemtuzumab treatment...
2021: Frontiers in Immunology
https://read.qxmd.com/read/34550110/ponesimod-ponvory-for-multiple-sclerosis
#4
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
August 9, 2021: Medical Letter on Drugs and Therapeutics
https://read.qxmd.com/read/33976089/drugs-for-multiple-sclerosis
#5
REVIEW
(no author information available yet)
No abstract text is available yet for this article.
March 22, 2021: Medical Letter on Drugs and Therapeutics
https://read.qxmd.com/read/33367970/alemtuzumab-a-review-in-relapsing-remitting-multiple-sclerosis
#6
REVIEW
Yahiya Y Syed
Alemtuzumab (Lemtrada® ) is an anti-CD52 monoclonal antibody approved in the EU for the treatment of highly active relapsing-remitting multiple sclerosis (RRMS). In phase 3 trials in patients with active RRMS, intravenous alemtuzumab was more effective than subcutaneous interferon β-1a in terms of decreasing relapse rates (in treatment-naïve or -experienced patients) and disability progression (treatment-experienced patients). Treatment benefits were maintained over up to 9 years of follow-up, with ≈ 50% of patients not requiring retreatment...
January 2021: Drugs
https://read.qxmd.com/read/32973927/the-use-of-alemtuzumab-in-patients-with-relapsing-remitting-multiple-sclerosis-the-gulf-perspective
#7
REVIEW
Raed Alroughani, Bart Van Wijmeersch, Jabber Al Khaboori, Isa Ahmed Alsharoqi, Samar F Ahmed, Ali Hassan, Jihad Inshasi, Derk W Krieger, Mustafa Shakra, Ahmed Osman Shatila, Miklos Szolics, Mohamed Khallaf, Aly Ezzat
Over the past decade, the development of high-efficacy disease-modifying therapies (DMTs) has been responsible for more effective management of relapsing-remitting multiple sclerosis (RRMS). However, the gaps in optimal care for this complex disease remain. Alemtuzumab (Lemtrada®) is a highly efficacious DMT that shows better patient outcomes and therapeutic benefits, but its use is under-recognized in the Gulf region. Experts in the care of multiple sclerosis shared their opinions based on study data and daily clinical experience in identifying the appropriate patient profile suitable for alemtuzumab's therapeutic benefits...
2020: Therapeutic Advances in Neurological Disorders
https://read.qxmd.com/read/32879816/trends-of-industry-payments-in-neurology-subspecialties
#8
JOURNAL ARTICLE
Krishna Nalleballe, Karthika Durga Veerapaneni, Yohei Harada, Poornachand Veerapaneni, Narenraj Arulprakash, Jose R Lopez-Castellanos, Sen Sheng, Julia Rowen, Vasuki Dandu, Sanjeeva Onteddu, Suman Siddamreddy
Background Open Payments is a national disclosure program to promote transparency by the public disclosure of financial relationships between the pharmaceutical and medical device industries and physicians. Objective To explore payments from the industry to physicians in various neurology subspecialties. Methods Open Payments Program (OPP) data (https://openpaymentsdata.cms.gov) on industry-to-physician payments for the years 2014-2018 were extracted for general neurology, neuromuscular, neurophysiology, and vascular neurology...
July 31, 2020: Curēus
https://read.qxmd.com/read/32844634/-the-use-of-music-therapy-in-the-treatment-of-adverse-effects-in-patients-with-multiple-sclerosis-treated-with-alemtuzumab
#9
JOURNAL ARTICLE
S A Sivertseva, A A Belkin, L B Artem'eva, M E Guseva
Alemtuzumab (Lemtrada) is a recombinant humanized IgG1 kappa monoclonal antibody against cell surface glycoprotein CD 52. It is authorized in more than 65 countries worldwide including the Russian Federation. This is one of the most effective drugs for the treatment of the aggressive form of multiple sclerosis. Its safety profile includes different infusion reactions. Current publication demonstrates our experience of using music therapy during alemtuzumab infusion and its role in the adverse reactions management...
2020: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://read.qxmd.com/read/32323949/-updated-recommendations-of-the-council-of-experts-on-the-use-and-safety-of-alemtuzumab-lemtrada
#10
JOURNAL ARTICLE
N V Khachanova, K Z Bakhtiyarova, A N Boyko, Y V Vlasov, M V Davydovskaya, E P Evdoshenko, M N Zakharova, S V Kotov, E V Popova, S A Sivertseva, N A Totolyan, F A Khabirov
Alemtuzumab (Lemtrada) is a recombinant humanized IgG1 kappa monoclonal antibody to the surface cell glycoprotein, a CD52 differentiation cluster. The drug is approved for use in more than 65 countries, including the Russian Federation. The drug is one of the most effective methods of treating patients with aggressive multiple sclerosis, but the risk management plan should be followed. The safety profile of the drug includes infusion-associated reactions, thyroid dysfunction, immune cytopenia, acute cardiovascular events, infections, and other autoimmune diseases...
2020: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://read.qxmd.com/read/32117274/the-irony-of-humanization-alemtuzumab-the-first-but-one-of-the-most-immunogenic-humanized-monoclonal-antibodies
#11
JOURNAL ARTICLE
David Baker, Liaqat Ali, Gauri Saxena, Gareth Pryce, Meleri Jones, Klaus Schmierer, Gavin Giovannoni, Sharmilee Gnanapavan, Kathleen C Munger, Lawrence Samkoff, Andrew Goodman, Angray S Kang
Alemtuzumab was designed to reduce the immunogenicity of the parent CD52-specific rat immunoglobulin. Although originally marketed for use in cancer (Mabcampath®), alemtuzumab is currently licensed and formulated for the treatment of relapsing multiple sclerosis (Lemtrada®). Perhaps due to its history as the first humanized antibody, the potential of immunogenicity of the molecule has been considered inconsequential, and anti-drug antibodies (ADA) responses were similarly reported as being clinically insignificant...
2020: Frontiers in Immunology
https://read.qxmd.com/read/31743846/pneumocystis-pneumonia-in-a-patient-treated-with-alemtuzumab-for-relapsing-multiple-sclerosis
#12
Alexander Y Lau, Grace C Y Lui, Ka-Pang Chan, Cheryl Au, Vincent C T Mok, Tjalf Ziemssen
Pneumocystis jirovecii pneumonia (PJP) is a known risk in patients with chronic lymphocytic leukemia treated with alemtuzumab (Campath®). However, no recommendation for PJP prophylaxis for alemtuzumab use in multiple sclerosis (Lemtrada®) and no known associated PJP has been reported to date. We report a patient who developed PJP two months after receiving the first course of Lemtrada, and fully recovered after receiving cotrimoxazole treatment. We should remain vigilant of opportunistic infections in patients who develop pneumonitis and evaluate the need for PJP prophylaxis during Lemtrada treatment...
February 2020: Multiple Sclerosis and related Disorders
https://read.qxmd.com/read/31405369/adverse-events-with-fatal-outcome-associated-with-alemtuzumab-treatment-in-multiple-sclerosis
#13
JOURNAL ARTICLE
Trygve Holmøy, Børre Fevang, David Benee Olsen, Olav Spigset, Lars Bø
OBJECTIVE: Sporadic fatal adverse events have been reported during treatment of multiple sclerosis with alemtuzumab. To provide a systematic overview, we searched the centralized European Medicines Agency database of suspected adverse reactions related to medicinal products (EudraVigilance) for fatal adverse events associated with treatment with alemtuzumab (Lemtrada®) for multiple sclerosis. Four independent reviewers with expertise on MS, clinical immunology, infectious diseases and clinical pharmacology reviewed the reports, and scored the likelihood for causality...
August 12, 2019: BMC Research Notes
https://read.qxmd.com/read/30919295/towards-a-more-user-friendly-medication-information-delivery-to-people-living-with-multiple-sclerosis-a-case-study-with-alemtuzumab
#14
JOURNAL ARTICLE
Amal Azman, Matthieu Poyade, James Overell
Multiple Sclerosis (MS) is an autoimmune disease of the central nervous system which leads to demyelination and neurodegeneration. The T and B cells, the body's immune cells, start attacking the brain and spinal cord, leading to a variety of symptoms. Alemtuzumab is a recently approved disease-modifying therapy that has been shown to have a very high impact on MS. However, it has many potentially life-threatening side effects which patients are often not aware of. For treatments as effective and risky as Alemtuzumab, patients who are considering it must be well-informed on the process and the potential side effects...
2019: Advances in Experimental Medicine and Biology
https://read.qxmd.com/read/29380254/management-of-immune-thrombocytopenia-in-multiple-sclerosis-patients-treated-with-alemtuzumab-a-belgian-consensus
#15
JOURNAL ARTICLE
Catherine Lambert, Benedicte Dubois, Dominique Dive, Andreas Lysandropoulos, Dominik Selleslag, Ludo Vanopdenbosch, Vincent Van Pesch, Bart Vanwijmeersch, Ann Janssens
Alemtuzumab (Lemtrada® ) is a humanized monoclonal antibody indicated for the treatment of adult patients with relapsing-remitting multiple sclerosis with active disease defined by clinical or imaging features. Alemtuzumab demonstrated superior efficacy over active comparator in both treatment naive patients and those with inadequate response to prior therapy. Alemtuzumab is associated with a consistent and manageable safety and tolerability profile. Treatment with alemtuzumab for multiple sclerosis increases the risk for autoimmune adverse events including immune thrombocytopenia (ITP)...
March 2018: Acta Neurologica Belgica
https://read.qxmd.com/read/28617370/-clinical-recommendations-on-the-use-of-alemtuzumab-lemtrada
#16
JOURNAL ARTICLE
V M Alifirova, G N Bisaga, A N Boyko, V V Bryukhov, M V Davydovskay, M N Zakharova, E V Zakharova, N A Malkova, E V Popova, G N Salogub, S A Sivertseva, E A Troshina, N V Khachanova, T E Schmidt
No abstract text is available yet for this article.
2017: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://read.qxmd.com/read/27882532/alemtuzumab-use-in-clinical-practice-recommendations-from-european-multiple-sclerosis-experts
#17
REVIEW
Thomas Berger, Irina Elovaara, Sten Fredrikson, Chris McGuigan, Lucia Moiola, Kjell-Morten Myhr, Celia Oreja-Guevara, Igor Stoliarov, Uwe K Zettl
Alemtuzumab (Lemtrada™) is a humanized monoclonal antibody approved in more than 50 countries. Within the European Union, alemtuzumab is indicated for the treatment of adult patients with relapsing-remitting multiple sclerosis (RRMS) with active disease defined by clinical or imaging features; in the USA, the indication states that alemtuzumab should generally be reserved for the treatment of patients with relapsing forms of multiple sclerosis who have had an inadequate response to two or more disease-modifying therapies (DMTs)...
January 2017: CNS Drugs
https://read.qxmd.com/read/26966029/alain01-alemtuzumab-in-autoimmune-inflammatory-neurodegeneration-mechanisms-of-action-and-neuroprotective-potential
#18
JOURNAL ARTICLE
Tobias Ruck, Ali Maisam Afzali, Karl-Friedrich Lukat, Maria Eveslage, Catharina C Gross, Steffen Pfeuffer, Stefan Bittner, Luisa Klotz, Nico Melzer, Heinz Wiendl, Sven G Meuth
BACKGROUND: Alemtuzumab (Lemtrada®) is a newly approved therapeutic agent for relapsing-remitting multiple sclerosis (RRMS). In previous phase II and III clinical trials, alemtuzumab has proven superior efficacy to subcutaneous interferon beta-1a concerning relapse rate and disability progression with unprecedented durability and long-lasting freedom of disease activity. The humanized monoclonal antibody targets CD52, leading to a rapid and long-lasting depletion, especially of B and T cells...
March 10, 2016: BMC Neurology
https://read.qxmd.com/read/25897458/alemtuzumab-lemtrada-and-multiple-sclerosis-biased-evaluation-evidence-of-serious-risks
#19
JOURNAL ARTICLE
(no author information available yet)
As of late 2014, interferon beta injection was the standard "disease-modifying" treatment for patients with relapsing-remitting multiple sclerosis, in the absence of a better alternative. Alemtuzumab (Lemtrada degree, Genzyme Therapeutics), an antilymphocyte monoclonal antibody first used in some types of leukaemia, is authorised in the European Union, at a different dosage, for patients with multiple sclerosis. Clinical evaluation in multiple sclerosis is based on three unblinded trials comparing alemtuzumab with interferon beta-1a...
March 2015: Prescrire International
https://read.qxmd.com/read/25520780/using-twitter-to-investigate-opinions-about-multiple-sclerosis-treatments-a-descriptive-exploratory-study
#20
JOURNAL ARTICLE
Sreeram Ramagopalan, Radek Wasiak, Andrew P Cox
BACKGROUND: Multiple sclerosis (MS) is a common complex disorder, with new treatment options emerging each year. Social media is being increasingly used to investigate opinions about drugs, diseases and procedures. In this descriptive exploratory study, we sought to investigate opinions about currently available MS treatments. METHODS: The Twitter resource Topsy was searched for tweets mentioning the following MS treatments: Aubagio, Avonex, Betaferon or Betaseron, Copaxone, Extavia, Gilenya, Lemtrada, Novantrone, Rebif, Tysabri and Tecfidera between 1 Jan 2006 to 31 Jul 2014...
2014: F1000Research
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