Natalizumab in pediatric multiple sclerosis patients

Pediatric multiple sclerosis (MS) comprises 2-5% of all cases of MS. Although first-line disease-modifying therapy (DMT) including interferons and glatiramer acetate appear to be well tolerated in this population, recent work has suggested that a growing number of children suffer from disease which...

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Main Authors: E. Ann Yeh, Bianca Weinstock-Guttman
Format: Article
Language:English
Published: SAGE Publishing 2010-09-01
Series:Therapeutic Advances in Neurological Disorders
Online Access:https://doi.org/10.1177/1756285610381526
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author E. Ann Yeh
Bianca Weinstock-Guttman
author_facet E. Ann Yeh
Bianca Weinstock-Guttman
author_sort E. Ann Yeh
collection DOAJ
description Pediatric multiple sclerosis (MS) comprises 2-5% of all cases of MS. Although first-line disease-modifying therapy (DMT) including interferons and glatiramer acetate appear to be well tolerated in this population, recent work has suggested that a growing number of children suffer from disease which is resistant to treatment with these therapies. Natalizumab is a therapy which, although associated with a 1 : 1000 risk for progressive multifocal leukoencephalopathy (PML), has been shown to be well tolerated in the adult population and may lead to disease remission in adults with highly active disease. Reports of use of this therapy in the pediatric population with highly active disease have been published. This paper reviews current experience with the use of natalizumab in the pediatric MS population, with attention to potential risks and possible long-term outcomes in this population.
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spelling doaj.art-3128e0f4db044c1ea453264793ad43b02022-12-21T23:42:12ZengSAGE PublishingTherapeutic Advances in Neurological Disorders1756-28562010-09-01310.1177/1756285610381526Natalizumab in pediatric multiple sclerosis patientsE. Ann YehBianca Weinstock-GuttmanPediatric multiple sclerosis (MS) comprises 2-5% of all cases of MS. Although first-line disease-modifying therapy (DMT) including interferons and glatiramer acetate appear to be well tolerated in this population, recent work has suggested that a growing number of children suffer from disease which is resistant to treatment with these therapies. Natalizumab is a therapy which, although associated with a 1 : 1000 risk for progressive multifocal leukoencephalopathy (PML), has been shown to be well tolerated in the adult population and may lead to disease remission in adults with highly active disease. Reports of use of this therapy in the pediatric population with highly active disease have been published. This paper reviews current experience with the use of natalizumab in the pediatric MS population, with attention to potential risks and possible long-term outcomes in this population.https://doi.org/10.1177/1756285610381526
spellingShingle E. Ann Yeh
Bianca Weinstock-Guttman
Natalizumab in pediatric multiple sclerosis patients
Therapeutic Advances in Neurological Disorders
title Natalizumab in pediatric multiple sclerosis patients
title_full Natalizumab in pediatric multiple sclerosis patients
title_fullStr Natalizumab in pediatric multiple sclerosis patients
title_full_unstemmed Natalizumab in pediatric multiple sclerosis patients
title_short Natalizumab in pediatric multiple sclerosis patients
title_sort natalizumab in pediatric multiple sclerosis patients
url https://doi.org/10.1177/1756285610381526
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