Department of Neurology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Department of Neurology, Hanamaki General Hospital, Hanamaki, Japan.
Expert Opin Biol Ther. 2023 Mar;23(3):253-260. doi: 10.1080/14712598.2023.2184257. Epub 2023 Feb 28.
Recently, treatments for myasthenia gravis (MG) have progressed significantly. Symptoms of some patients with refractory MG are not relieved by conventional therapies, and such patients might benefit from novel biological treatments that are being developed.
We review several novel biological therapies for MG, such as complement inhibitors, neonatal Fc receptor inhibitors, anti-B cell drugs, and IL-6 receptor inhibitors. We also report the modes of action, efficacy, safety, and tolerability of these drugs.
Several biological therapies have been developed for MG, and these biologics are promising agents for treating refractory MG. Establishing biomarkers and accumulating evidence of therapeutic response is required to provide the most appropriate biological treatment for each patient.
最近,重症肌无力 (MG) 的治疗方法取得了显著进展。一些难治性 MG 患者的症状不能通过常规疗法缓解,这些患者可能受益于正在开发的新型生物疗法。
我们回顾了几种用于 MG 的新型生物疗法,例如补体抑制剂、新生儿 Fc 受体抑制剂、抗 B 细胞药物和 IL-6 受体抑制剂。我们还报告了这些药物的作用机制、疗效、安全性和耐受性。
已经开发出几种用于 MG 的生物疗法,这些生物制剂是治疗难治性 MG 的有前途的药物。需要建立生物标志物并积累治疗反应的证据,以便为每个患者提供最合适的生物治疗。