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Safety of Natalizumab infusion in multiple sclerosis patients during active SARS-CoV-2 infection

COVID-19 pandemic represented a challenge in the management of treatments for Multiple Sclerosis (MS), such as Natalizumab (NTZ). NTZ interferes with the homing of lymphocytes into the central nervous system, reducing immune surveillance against opportunistic infection. Although NTZ efficacy starts...

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Autores principales: Landi, Doriana, Cola, Gaia, Mantero, Vittorio, Balgera, Roberto, Moiola, Lucia, Nozzolillo, Agostino, Dattola, Vincenzo, Sinisi, Leonardo, Fantozzi, Roberta, Di Lemme, Sonia, Centonze, Diego, Mataluni, Giorgia, Nicoletti, Carolina Gabri, Marfia, Girolama Alessandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Published by Elsevier B.V. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8542399/
https://www.ncbi.nlm.nih.gov/pubmed/35158454
http://dx.doi.org/10.1016/j.msard.2021.103345
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author Landi, Doriana
Cola, Gaia
Mantero, Vittorio
Balgera, Roberto
Moiola, Lucia
Nozzolillo, Agostino
Dattola, Vincenzo
Sinisi, Leonardo
Fantozzi, Roberta
Di Lemme, Sonia
Centonze, Diego
Mataluni, Giorgia
Nicoletti, Carolina Gabri
Marfia, Girolama Alessandra
author_facet Landi, Doriana
Cola, Gaia
Mantero, Vittorio
Balgera, Roberto
Moiola, Lucia
Nozzolillo, Agostino
Dattola, Vincenzo
Sinisi, Leonardo
Fantozzi, Roberta
Di Lemme, Sonia
Centonze, Diego
Mataluni, Giorgia
Nicoletti, Carolina Gabri
Marfia, Girolama Alessandra
author_sort Landi, Doriana
collection PubMed
description COVID-19 pandemic represented a challenge in the management of treatments for Multiple Sclerosis (MS), such as Natalizumab (NTZ). NTZ interferes with the homing of lymphocytes into the central nervous system, reducing immune surveillance against opportunistic infection. Although NTZ efficacy starts to decline 8 weeks after the last infusion, increasing the risk of disease reactivation, evidence is lacking on the safety of reinfusion during active SARS-CoV-2 infection. We report clinical outcomes of 18 pwMS receiving NTZ retreatment during confirmed SARS-CoV-2 infection. No worsening of infection or recovery delay was observed. Our data supports the safety of NTZ redosing in these circumstances.
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spelling pubmed-85423992021-10-25 Safety of Natalizumab infusion in multiple sclerosis patients during active SARS-CoV-2 infection Landi, Doriana Cola, Gaia Mantero, Vittorio Balgera, Roberto Moiola, Lucia Nozzolillo, Agostino Dattola, Vincenzo Sinisi, Leonardo Fantozzi, Roberta Di Lemme, Sonia Centonze, Diego Mataluni, Giorgia Nicoletti, Carolina Gabri Marfia, Girolama Alessandra Mult Scler Relat Disord Article COVID-19 pandemic represented a challenge in the management of treatments for Multiple Sclerosis (MS), such as Natalizumab (NTZ). NTZ interferes with the homing of lymphocytes into the central nervous system, reducing immune surveillance against opportunistic infection. Although NTZ efficacy starts to decline 8 weeks after the last infusion, increasing the risk of disease reactivation, evidence is lacking on the safety of reinfusion during active SARS-CoV-2 infection. We report clinical outcomes of 18 pwMS receiving NTZ retreatment during confirmed SARS-CoV-2 infection. No worsening of infection or recovery delay was observed. Our data supports the safety of NTZ redosing in these circumstances. Published by Elsevier B.V. 2022-01 2021-10-24 /pmc/articles/PMC8542399/ /pubmed/35158454 http://dx.doi.org/10.1016/j.msard.2021.103345 Text en © 2021 Published by Elsevier B.V. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Landi, Doriana
Cola, Gaia
Mantero, Vittorio
Balgera, Roberto
Moiola, Lucia
Nozzolillo, Agostino
Dattola, Vincenzo
Sinisi, Leonardo
Fantozzi, Roberta
Di Lemme, Sonia
Centonze, Diego
Mataluni, Giorgia
Nicoletti, Carolina Gabri
Marfia, Girolama Alessandra
Safety of Natalizumab infusion in multiple sclerosis patients during active SARS-CoV-2 infection
title Safety of Natalizumab infusion in multiple sclerosis patients during active SARS-CoV-2 infection
title_full Safety of Natalizumab infusion in multiple sclerosis patients during active SARS-CoV-2 infection
title_fullStr Safety of Natalizumab infusion in multiple sclerosis patients during active SARS-CoV-2 infection
title_full_unstemmed Safety of Natalizumab infusion in multiple sclerosis patients during active SARS-CoV-2 infection
title_short Safety of Natalizumab infusion in multiple sclerosis patients during active SARS-CoV-2 infection
title_sort safety of natalizumab infusion in multiple sclerosis patients during active sars-cov-2 infection
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8542399/
https://www.ncbi.nlm.nih.gov/pubmed/35158454
http://dx.doi.org/10.1016/j.msard.2021.103345
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