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Targeted but not trouble-free: efalizumab and PML

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From Nature Reviews Rheumatology

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In April 2009, efalizumab was withdrawn from the market for the treatment of psoriasis after reports emerged of an association between long-term therapy and the development of progressive multifocal leukoencephalopathy (PML). This event highlights an urgent need for greater awareness and research into the screening, diagnosis and treatment of this potentially fatal disease in patients undergoing immunosuppressive therapy for chronic inflammatory disorders.

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References

  1. US Food and Drug Administration FDA public health advisory: updated safety information about Raptiva (efalizumab) [online] (2009).

  2. US Food and Drug Administration FDA approves updated labeling for psoriasis drug Raptiva: safety concerns drove labeling change [online] (2009).

  3. Calabrese, L. H., Molloy, E. S., Huang, D. & Ransohoff, R. M. Progressive multifocal leukoencephalopathy in rheumatic diseases: evolving clinical and pathologic patterns of disease. Arthritis Rheum. 56, 2116–2128 (2007).

    Article  PubMed  Google Scholar 

  4. Molloy, E. S. & Calabrese, L. H. Progressive multifocal leukoencephalopathy in patients with rheumatic diseases: are patients with systemic lupus erythematosus at particular risk? Autoimmun. Rev. 8, 144–146 (2008).

    Article  CAS  PubMed  Google Scholar 

  5. Calabrese, L. H. & Molloy, E. S. Progressive multifocal leucoencephalopathy in the rheumatic diseases: assessing the risks of biological immunosuppressive therapies. Ann. Rheum. Dis. 67 (Suppl. 3), iii64–iii65 (2008).

    PubMed  Google Scholar 

  6. Molloy, E. S. & Calabrese, L. H. Progressive multifocal leukoencephalopathy—a national estimate of frequency in SLE and other rheumatic diseases. Arthritis Rheum. 58, S637 (2008).

    Article  Google Scholar 

  7. Ransohoff, R. M. Natalizumab and PML. Nat. Neurosci. 8, 1275 (2005).

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Eamonn S. Molloy.

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Competing interests

E. S. Molloy declares no competing interests. L. H. Calabrese has acted as a consultant for the following companies: Genentech, Wyeth, Biogen and Roche.

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Molloy, E., Calabrese, L. Targeted but not trouble-free: efalizumab and PML. Nat Rev Rheumatol 5, 418–419 (2009). https://doi.org/10.1038/nrrheum.2009.142

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