Intrathecal rituximab therapy in multiple sclerosis: review of evidence supporting the need for future trials.

Abstract:

:Rituximab has demonstrated a major effect in B-cell lymphoma and in a wide range of autoimmune disorders. Unfortunately, the blood-brain-barrier excludes the disorders restricted to the central nervous system (CNS) from the action of rituximab. The progressive phase of multiple sclerosis (MS) is a prototypical CNS autoimmune disorder characterized by an intrathecal compartmentalization of inflammation resisting all the available immunosuppressive treatments. As a consequence, intrathecal therapeutics are promising new approach in progressive MS. We first review data gathered from animal models and human off-label intrathecal rituximab use in CNS lymphomas, then summarize the recent evidence supporting the need for trials based on the intrathecal use of rituximab in multiple sclerosis. The experience obtained in these settings offers valuable preliminary data for future studies in CNS autoimmunity.

journal_name

Curr Drug Targets

journal_title

Current drug targets

authors

Bonnan M,Ferrari S,Bertandeau E,Demasles S,Krim E,Miquel M,Barroso B

doi

10.2174/1389450115666141029234644

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

1205-14

issue

13

eissn

1389-4501

issn

1873-5592

pii

CDT-EPUB-63147

journal_volume

15

pub_type

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