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Auer, M; Bsteh, G; Hegen, H; Wurth, S; Zinganell, A; Berger, T; Deisenhammer, F; Pauli, FD.
Late-onset neutropenia in a multiple sclerosis patient after first dose ocrelizumab switched from rituximab.
Mult Scler Relat Disord. 2020; 43(8):102155-102155
Doi: 10.1016/j.msard.2020.102155
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PubMed
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- Co-Autor*innen der Med Uni Graz
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Wurth Sebastian
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- Abstract:
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Ocrelizumab is a humanized monoclonal anti-CD20 antibody approved for treatment of relapsing-remitting and primary progressive multiple sclerosis (MS). Before approval of this drug, the chimeric anti-CD20 antibody rituximab was used off-label for treatment of MS. On treatment with rituximab late-onset neutropenia (LON) was reported as a rare adverse event. Here we report the case of a patient with MS who first received rituximab without experiencing any hematologic abnormalities, but developed grade IV LON after switching to ocrelizumab. This first case of LON in a patient treated with different anti-CD20 antibodies highlights the necessity of regular hemogram examinations during ocrelizumab.
Copyright © 2020 Elsevier B.V. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
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Antibodies, Monoclonal, Humanized - adverse effects
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Humans -
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Immunologic Factors - adverse effects
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Multiple Sclerosis - drug therapy
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Neutropenia - chemically induced
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Rituximab - adverse effects
- Find related publications in this database (Keywords)
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Neutropenia
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Adverse event
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Multiple sclerosis
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Ocrelizumab
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Rituximab
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Treatment