Investigational drugs in development to prevent neuromyelitis optica relapses

Item Type:	Review
Title:	Investigational drugs in development to prevent neuromyelitis optica relapses
Creators Name:	Paul, F. and Murphy, O. and Pardo, S. and Levy, M.
Abstract:	INTRODUCTION: In the short time since 2014, three pivotal, worldwide studies in neuromyelitis optica spectrum disorders have been launched: eculizumab, SA237 and inebelizumab, each based on a unique mechanism. AREAS COVERED: In this review, we provide a discussion on the trial data available for each drug, a brief description of the trial design, and our expert opinion on the potential benefits and risks. EXPERT OPINION: Eculizumab, a C5 complement inhibitor, may prove useful in the treatment of intractable cases of NMOSD, but physicians must be aware of the known risk of meningococcal infection. SA237, an interleukin-6 receptor blocker, may be effective at reducing relapse risk, and also has the potential to reduce neuropathic pain in NMOSD. Inebelizumab, a B cell depleting agent, has never been tested in NMOSD, but based on extensive evidence of efficacy with B cell depletion using rituximab, inebelizumab is expected to work at least as well.
Keywords:	Neuromyelitis Optica, Biomarkers, Prognosis, Risk Assessment
Source:	Expert Opinion on Investigational Drugs
ISSN:	1354-3784
Publisher:	Taylor & Francis
Volume:	27
Number:	3
Page Range:	265-271
Date:	March 2018
Official Publication:	https://doi.org/10.1080/13543784.2018.1443077
PubMed:	View item in PubMed

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