Progressive multifocal leukoencephalopathy and natalizumab.

Abstract:

:Natalizumab (TYSABRI(®)), a specific α4-integrin antagonist, is approved as a second-line treatment of relapsing-remitting MS (RRMS) patients who fail therapy with interferons or as first-line treatment of patients with highly active relapsing-remitting disease. Since the market introduction of natalizumab as a monotherapy in July of 2006, 111 cases of PML have been reported in natalizumab-treated MS patients as of April 2011. This review focuses on the available data regarding risk stratification for PML under long-term natalizumab therapy, and summarizes the current approach for PML management, as a natalizumab treatment complication is not necessarily associated with a fatal outcome. There is a need for development of surrogate markers that would help to better define the risk of PML in individual patients.

journal_name

J Neurol

journal_title

Journal of neurology

authors

Hellwig K,Gold R

doi

10.1007/s00415-011-6116-8

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

1920-8

issue

11

eissn

0340-5354

issn

1432-1459

journal_volume

258

pub_type

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