Rituximab is an immunosuppressive monoclonal antibody therapy that is used in some cases to help prevent relapses of neuromyelitis optica, an inflammatory CNS demyelinating disease. A new study provides evidence supporting efficacy and a strategy for optimizing the timing of repeated courses of treatment for the individual patient.
References
Wingerchuk, D. M., Lennon, V. A., Lucchinetti, C. F., Pittock, S. J. & Weinshenker, B. G. The spectrum of neuromyelitis optica. Lancet Neurol. 6, 805–815 (2007).
Lennon, V. A. et al. A serum autoantibody marker of neuromyelitis optica: distinction from multiple sclerosis. Lancet 364, 2106–2112 (2004).
Hinson, S. R. et al. Pathogenic potential of IgG binding to water channel extracellular domain in neuromyelitis optica. Neurology 69, 2221–2231 (2007).
Cree, B. A. et al. An open label study of the effects of rituximab in neuromyelitis optica. Neurology 64, 1270–1272 (2005).
Jacob, A. et al. Treatment of neuromyelitis optica with rituximab: retrospective analysis of 25 patients. Arch. Neurol. 65, 1443–1448 (2008).
Pellkofer, H. L. et al. Long-term follow-up of patients with neuromyelitis optica after repeated therapy with rituximab. Neurology 76, 1310–1315 (2011).
Kim, S. H., Kim, W., Li, X. F., Jung, I. J. & Kim, H. J. Repeated treatment with rituximab based on the assessment of peripheral circulating memory B cells in patients with relapsing neuromyelitis optica over 2 years. Arch. Neurol. http://dx.doi.org/10.1001/archneurol.2011.154.
Palace, J. et al. Interferon beta treatment in neuromyelitis optica: increase in relapses and aquaporin 4 antibody titers. Arch. Neurol. 67, 1016–1017 (2010).
Shimizu, J. et al. IFNβ-1b may severely exacerbate Japanese optic–spinal MS in neuromyelitis optica spectrum. Neurology 75, 1423–1427 (2010).
Hinson, S. R. et al. Prediction of neuromyelitis optica attack severity by quantitation of complement-mediated injury to aquaporin-4-expressing cells. Arch. Neurol. 66, 1164–1167 (2009).
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The authors receive research support from the Guthy–Jackson Charitable Foundation.
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D. M. Wingerchuk has received research support from Alexion, Genentech and Genzyme. B. G. Weinshenker serves as a member of data safety monitoring committees for clinical trials sponsored by Biogen-Idec and Novartis. He receives royalties related to a patent for a test for neuromyelitis optica that has been licensed to a third party, RSR.
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Wingerchuk, D., Weinshenker, B. Optimizing rituximab therapy for neuromyelitis optica. Nat Rev Neurol 7, 664–665 (2011). https://doi.org/10.1038/nrneurol.2011.154
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DOI: https://doi.org/10.1038/nrneurol.2011.154
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