MS Center Amsterdam, Neurology, Vrije Universiteit Amsterdam, Amsterdam Neuroscience, Amsterdam UMC location VUmc, Amsterdam, The Netherlands.
MS Center Amsterdam, Neurology, Vrije Universiteit Amsterdam, Amsterdam Neuroscience, Amsterdam UMC location VUmc, Amsterdam, The Netherlands.
Mult Scler Relat Disord. 2024 Nov;91:105851. doi: 10.1016/j.msard.2024.105851. Epub 2024 Aug 31.
B-cell depleting therapies are frequently used as high efficacy treatments for multiple sclerosis (MS). We will elaborate on current data and future perspectives of one of the most studied anti-CD20 therapies concerning personalization. Currently, multiple randomized controlled trails are recruiting patients, with three different treatment strategies concerning the dose or the dosing interval of ocrelizumab. These strategies involve higher dosing, B-cell tailored dosing and discontinuation of ocrelizumab. We propose a roadmap (Figure 1), that will incorporate results of current trials to address the current knowledge gaps in pursuit of a more efficient use of anti-CD20 therapies in MS.
B 细胞耗竭疗法常用于多发性硬化症(MS)的高效治疗。我们将详细阐述最受关注的抗 CD20 治疗之一的最新数据和未来展望,涉及个性化治疗方面。目前,多项随机对照试验正在招募患者,其中三种不同的治疗策略涉及奥瑞珠单抗的剂量或给药间隔。这些策略包括增加剂量、根据 B 细胞情况调整剂量和停止使用奥瑞珠单抗。我们提出了一个路线图(图 1),该路线图将纳入当前试验的结果,以解决目前的知识空白,从而更有效地在 MS 中使用抗 CD20 疗法。