Anti-CD20 B Cell Treatment for Relapsing Multiple Sclerosis

Several clinical trials have demonstrated the efficacy of lytic therapies targeting B cells in the treatment of relapsing multiple sclerosis (MS). More modest efficacy has been noted in the primary progressive subtype of MS. Clinical success has increased interest in the role of B cells in the patho...

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Main Authors: Charles A. Roach, Anne H. Cross
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-01-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2020.595547/full
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author Charles A. Roach
Anne H. Cross
author_facet Charles A. Roach
Anne H. Cross
author_sort Charles A. Roach
collection DOAJ
description Several clinical trials have demonstrated the efficacy of lytic therapies targeting B cells in the treatment of relapsing multiple sclerosis (MS). More modest efficacy has been noted in the primary progressive subtype of MS. Clinical success has increased interest in the role of B cells in the pathogenesis of MS and in ways to potentially improve upon current B cell therapies. In this mini review, we will critically review previous and ongoing clinical trials of anti-CD20 monoclonal antibodies in MS, including rituximab, ocrelizumab, ofatumumab, and ublituximab. Side effects and adverse event profiles will be discussed. Studies examining the proposed mechanisms of action of B cell depleting therapies will also be reviewed.
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spelling doaj.art-e77edd1a5f434cbaa4754432679c6f012022-12-21T22:31:40ZengFrontiers Media S.A.Frontiers in Neurology1664-22952021-01-011110.3389/fneur.2020.595547595547Anti-CD20 B Cell Treatment for Relapsing Multiple SclerosisCharles A. RoachAnne H. CrossSeveral clinical trials have demonstrated the efficacy of lytic therapies targeting B cells in the treatment of relapsing multiple sclerosis (MS). More modest efficacy has been noted in the primary progressive subtype of MS. Clinical success has increased interest in the role of B cells in the pathogenesis of MS and in ways to potentially improve upon current B cell therapies. In this mini review, we will critically review previous and ongoing clinical trials of anti-CD20 monoclonal antibodies in MS, including rituximab, ocrelizumab, ofatumumab, and ublituximab. Side effects and adverse event profiles will be discussed. Studies examining the proposed mechanisms of action of B cell depleting therapies will also be reviewed.https://www.frontiersin.org/articles/10.3389/fneur.2020.595547/fullmultiple sclerosisanti-CD20 agentrituximabofatumumabocrelizumabublituximab
spellingShingle Charles A. Roach
Anne H. Cross
Anti-CD20 B Cell Treatment for Relapsing Multiple Sclerosis
Frontiers in Neurology
multiple sclerosis
anti-CD20 agent
rituximab
ofatumumab
ocrelizumab
ublituximab
title Anti-CD20 B Cell Treatment for Relapsing Multiple Sclerosis
title_full Anti-CD20 B Cell Treatment for Relapsing Multiple Sclerosis
title_fullStr Anti-CD20 B Cell Treatment for Relapsing Multiple Sclerosis
title_full_unstemmed Anti-CD20 B Cell Treatment for Relapsing Multiple Sclerosis
title_short Anti-CD20 B Cell Treatment for Relapsing Multiple Sclerosis
title_sort anti cd20 b cell treatment for relapsing multiple sclerosis
topic multiple sclerosis
anti-CD20 agent
rituximab
ofatumumab
ocrelizumab
ublituximab
url https://www.frontiersin.org/articles/10.3389/fneur.2020.595547/full
work_keys_str_mv AT charlesaroach anticd20bcelltreatmentforrelapsingmultiplesclerosis
AT annehcross anticd20bcelltreatmentforrelapsingmultiplesclerosis