Natalizumab adverse events are rare in patients with multiple sclerosis

被引:13
|
作者
Fragoso, Yara Dadalti [1 ]
Alves-Leon, Soniza Vieira [2 ]
Arruda, Walter Oleschko [3 ]
Carvalho, Margarete de Jesus [4 ]
Comini-Frota, Elizabeth Regina [5 ]
Correa, Eber Castro [6 ]
Brito Ferreira, Maria Lucia [7 ]
da Gama, Paulo Diniz [8 ]
Gomes, Sidney [9 ,10 ]
Magno Goncalves, Marcus Vinicius [11 ]
Kaimen-Maciel, Damacio Ramon [12 ]
Mendes, Maria Fernando [13 ]
Morales, Rogerio Rizo [14 ]
Muniz, Andre [15 ]
Salgado, Pedro Rippel [16 ]
Ruocco, Heloisa Helena [17 ]
Bezerra de Albuquerque, Livia Brito [7 ]
Bidin Brooks, Joseph Bruno [1 ]
Fezer, Leticia [2 ]
Georgetto, Sergio [12 ]
Lopes, Josiane [12 ]
Malfetano, Fabiola Rachid [2 ]
Meira, Isabella D'Andrea [2 ]
Silva Oliveira, Celso Luis [1 ]
Meneses de Oliveira, Francisco Tomaz [9 ,10 ]
Safanelli, Fabiana [11 ]
Satomi, Massaco [16 ]
机构
[1] Univ Metropolitana Santos UNIMES, Santos, SP, Brazil
[2] Univ Fed Rio de Janeiro UFRJ, Rio De Janeiro, RJ, Brazil
[3] Univ Fed Parana UFPR, Curitiba, PR, Brazil
[4] Fac Med ABC FMABC, Santo Andre, SP, Brazil
[5] Univ Fed Minas Gerais UFMG, Belo Horizonte, MG, Brazil
[6] CLINEN, Brasilia, DF, Brazil
[7] Hosp Restauracao, Recife, PE, Brazil
[8] Pontificia Univ Catolica Sao Paulo PUC SP, Sorocaba, SP, Brazil
[9] Hosp Beneficencia Portuguesa Sao Paulo, Sao Paulo, Brazil
[10] Hosp Paulistano, Sao Paulo, Brazil
[11] Univ Regiao Joinville UNIVILLE, Joinville, SC, Brazil
[12] Univ Estadual Londrina UEL, Londrina, PR, Brazil
[13] Fac Ciencias Med Santa Casa Sao Paulo FCMSCSP, Sao Paulo, Brazil
[14] Univ Fed Uberlandia UFU, Uberlandia, MG, Brazil
[15] Hosp Sao Rafael Salvador, Salvador, BA, Brazil
[16] Univ Fed Mato Grosso Sul UFMS, Campo Grande, MS, Brazil
[17] Ctr Atendimento Esclerose Multipla, Jundiai, SP, Brazil
关键词
multiple sclerosis; natalizumab; adverse events; antibodies; monoclonal; INFUSION REACTIONS;
D O I
10.1590/S0004-282X2013000300002
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Objective: To assess the prevalence and the profile of adverse events (AE) of natalizumab in patients with multiple sclerosis (MS). Methods: Data collection from neurologists attending to patients with MS at specialized units in Brazil. Results: Data from 103 patients attending the infusion centers of 16 MS units in 9 Brazilian states were included in the study. The total number of infusions was 1,042. Seventy-nine patients (76.7%) did not present any AE. Twenty-four patients (23.3%) presented only mild AE. There were three major AE, including two deaths. These three occurrences, although not necessarily being drug-related, must be taken into consideration. Conclusion: The profile of AEs for natalizumab shows that 97% of patients have none or only mild AE. However, still due to safety worries, the use of this medication should be restricted to MS units under the care of specialized neurologists.
引用
收藏
页码:137 / 141
页数:5
相关论文
共 50 条
  • [21] Natalizumab in the treatment of patients with multiple sclerosis -: First experience
    Mareckova, Helena
    Havrdova, Eva
    Krasulova, Eva
    Vankova, Zdenka
    Koberova, Michaela
    Sterzl, Ivan
    AUTOIMMUNITY, PT B: NOVEL APPLICATIONS OF BASIC RESEARCH, 2007, 1110 : 465 - 473
  • [22] Immune surveillance in multiple sclerosis patients treated with natalizumab
    Stüve, O
    Marra, CM
    Jerome, KR
    Cook, L
    Cravens, PD
    Cepok, S
    Frohman, EM
    Phillips, JT
    Arendt, G
    Hemmer, B
    Monson, NL
    Racke, MK
    ANNALS OF NEUROLOGY, 2006, 59 (05) : 743 - 747
  • [23] JCV detection in multiple sclerosis patients treated with natalizumab
    Sadiq, Saud A.
    Puccio, Lauren M.
    Brydon, Edward W. A.
    JOURNAL OF NEUROLOGY, 2010, 257 (06) : 954 - 958
  • [24] Effect of natalizumab on B lymphocytes in patients with multiple sclerosis
    Putzki, N.
    Kumar, M.
    Grosse-Wilde, H.
    Kreuzfelder, E.
    MULTIPLE SCLEROSIS, 2007, 13 : S158 - S158
  • [26] JC virus in multiple sclerosis patients treated with natalizumab
    Inmaculacla Dominguez-Mozo, Maria
    Alvarez-Lafuente, Roberto
    Garcia-Montojo, Marta
    De las Heras, Virginia
    Manuel Bartolome, Francisco
    Arroyo, Rafael
    MULTIPLE SCLEROSIS, 2008, 14 : S39 - S39
  • [27] Alemtuzumab for patients with relapsing multiple sclerosis after Natalizumab
    Pena Martinez, J.
    Lopez Real, A. M.
    Oterino Duran, A.
    Costa Arpin, E.
    Gonzalez Suarez, I.
    Fernandez Fernandez, E.
    Rodriguez Regal, A.
    Solar Sanchez, D. M.
    Garcia Estevez, D. A.
    Rodriguez Rodriguez, M.
    Lorenzo Gonzalez, J. R.
    Prieto Gonzalez, J. M.
    Fernandez Uria, D.
    MULTIPLE SCLEROSIS JOURNAL, 2019, 25 : 306 - 306
  • [28] Binucleated lymphocytes in patients with multiple sclerosis treated with natalizumab
    Leclerc, Mathieu
    Lesesve, Jean-Francois
    Gaillard, Baptiste
    Troussard, Xavier
    Tourbah, Ayman
    Debouverie, Marc
    Daliphard, Sylvie
    Delmer, Alain
    LEUKEMIA & LYMPHOMA, 2011, 52 (05) : 910 - 912
  • [29] Natalizumab: Risk Stratification of Individual Patients with Multiple Sclerosis
    Carmen Tur
    Xavier Montalban
    CNS Drugs, 2014, 28 : 641 - 648
  • [30] Risk Acceptance in Multiple Sclerosis Patients on Natalizumab Treatment
    Tur, Carmen
    Tintore, Mar
    Vidal-Jordana, Angela
    Bichuetti, Denis
    Nieto Gonzalez, Pablo
    Jesus Arevalo, Maria
    Arrambide, Georgina
    Anglada, Elisenda
    Galan, Ingrid
    Castillo, Joaquin
    Jordi Rio, Carlos Nos
    Isabel Martin, Maria
    Comabella, Manuel
    Sastre-Garriga, Jaume
    Montalban, Xavier
    PLOS ONE, 2013, 8 (12):