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He calculated that the incidence of serious autoimmune diseases that could be life-threatening after alemtuzumab treatment was 10.7 per 10,000 patients treated for autoimmune hepatitis and 2.7 per 10,000 patients treated for hemophagocytic lymphohistiocytosis. And most patients with thyroid disorders at baseline did not experience new autoimmunity after alemtuzumab. Health Sciences Clinical Professor of Family Medicine University of California, Irvine School of Medicine Irvine, California. Disclosures. "In my opinion it is not appropriate to preclude the use of alemtuzumab to patients who have had previous autoimmune disease before treatment or who develop thyroid autoimmunity after alemtuzumab," he said. Sue Hughes. This website also contains material copyrighted by 3rd parties. In another analysis of the incidence of serious autoimmune events from post-marketing data on 25,292 patients treated with alemtuzumab, immune thrombocytopenic purpura was reported in 43 patients, the newly identified autoimmune hepatitis in 11 patients, and hemophagocytic lymphohistiocytosis in nine patients. You've successfully added to your alerts. Alemtuzumab: Prior Autoimmunity Does Not Predict Adverse Events. Introducing Trends: visualize news in real-time and discover top authors or outlets.

Alemtuzumab: Prior Autoimmunity Does Not Predict Adverse Events - Medscape - Sep 23, 2020. You must declare any conflicts of interest related to your comments and responses. Click the topic below to receive emails when new articles are available. medscape.com — Authors and Disclosures Authors Sue Hughes Senior Journalist, Medscape Medical NewsDisclosure: Sue Hughes has disclosed no relevant financial relationships.

"It remains in my view a reasonable treatment option for patients with active MS to receive this highly effective therapy in the face of well-managed, well understood thyroid autoimmunity and the very unlikely rare but serous autoimmune disease," he concluded. Results showed that up to 9 years after alemtuzumab initiation, the percentage of patients with new autoimmune disease was similar in those with (35.4%) vs without (35.3%) pre-existing autoimmunity. Sue Hughes Freelance News Editor, Medscape, LLC Disclosure: Sue Hughes has disclosed no relevant financial relationships. Share cases and questions with Physicians on Medscape Consult.

On Cole's view of alemtuzumab as a "reasonable" treatment option, Fox commented: "I guess it depends upon how that's interpreted.

Similar percentages of patients with vs without pre-existing autoimmunity had ≥ 2 new autoimmune events (5.2% vs 8.2%, respectively). Given the risks of serious, life-threatening immune and infectious complications, I only consider alemtuzumab when all other immune-modulating therapies have been tried or are not a reasonable treatment option. Find the best way to get in touch with Sue by joining Muck Rack. Of these, 96 had pre-existing non-MS autoimmunity. Ischemic Stroke May Hint at Underlying Cancer, Topol: US Betrays Healthcare Workers in Coronavirus Disaster, The 6 Dietary Tips Patients Need to Hear From Their Clinicians. Fox has disclosed no relevant financial relationships. "I view this as an unfortunate result, because it leaves me without a way to stratify the risks of alemtuzumab, which are quite significant and currently limit my use of that MS therapy only to those with no other treatment options," he added. But as post-marketing experience has grown, it has become clear that there is a low frequency of more serious autoimmune disease, he noted. Similarly, thyroid autoimmunity after course 2 did not predict non-thyroid autoimmunity after course 3. CME Author. Cite this: Sue Hughes. Medscape Medical News Burnout Might Really Be Depression; How Do Doctors Cope? Unfortunately, these findings did not point to a risk stratification to help guide its use towards lower-risk patients.

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