Literature DB >> 24417188

We know how to prescribe natalizumab for multiple sclerosis, but do we know how to withdraw it?

Yara D Fragoso1, Niedja M Arruda, Walter O Arruda, Joseph B B Brooks, Eber C Correa, Alfredo Damasceno, Carlos A Damasceno, Maria L B Ferreira, Maria C B Giacomo, Sidney Gomes, Marcus V M Gonçalves, Anderson K Grzesiuk, Damacio R Kaimen-Maciel, Josiane Lopes, Suzana C N Machado, Celso L S Oliveira, Carla R A V Stella.   

Abstract

Natalizumab is a potent immunosuppressive monoclonal antibody used for the treatment of multiple sclerosis (MS). While definite guidelines for the safety of natalizumab prescriptions are available in all countries, there are no specific recommendations on how to withdraw the drug if the need arises. There are reports describing MS complications after natalizumab infusions were stopped. Most neurologists seem to stop natalizumab treatment according to their idea on how to best carry out the withdrawal. The present study shows the very different manners in which expert neurologists from 14 MS units in Brazil stopped natalizumab in their patients. The authors concluded that pharmacovigilance on natalizumab must persist after the drug is withdrawn in order to have enough data for adequate recommendations.

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Year:  2014        PMID: 24417188     DOI: 10.1586/14737175.2014.874947

Source DB:  PubMed          Journal:  Expert Rev Neurother        ISSN: 1473-7175            Impact factor:   4.618


  1 in total

1.  Exit Strategies in Natalizumab-Treated RRMS at High Risk of Progressive Multifocal Leukoencephalopathy: a Multicentre Comparison Study.

Authors:  Aurora Zanghì; Antonio Gallo; Carlo Avolio; Rocco Capuano; Matteo Lucchini; Maria Petracca; Simona Bonavita; Roberta Lanzillo; Diana Ferraro; Erica Curti; Maria Buccafusca; Graziella Callari; Stefania Barone; Giuseppe Pontillo; Gianmarco Abbadessa; Valeria Di Francescantonio; Elisabetta Signoriello; Giacomo Lus; Patrizia Sola; Franco Granella; Paola Valentino; Massimiliano Mirabella; Francesco Patti; Emanuele D'Amico
Journal:  Neurotherapeutics       Date:  2021-04-12       Impact factor: 7.620

  1 in total

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