First line treatment with subcutaneous efgartigimod in impending myasthenic crisis: a case report DOI Creative Commons

Isabelle Kwiedor,

Martina Menacher,

Monika Ellßel

и другие.

Therapeutic Advances in Neurological Disorders, Год журнала: 2024, Номер 17

Опубликована: Янв. 1, 2024

In acetylcholine receptor (AChR) antibody-positive generalized myasthenia gravis (gMG), neonatal Fc-receptor (FcRn) inhibition has broadened the therapeutic spectrum. Myasthenic crisis (MC), heralded by an impending myasthenic (iMC), is a critical condition requiring treatments with rapid onset and sustained efficacy. Currently used for iMC, including intravenous immunoglobulins plasma exchange/immunoadsorption, have limitations, such as delayed of action potential side effects. So far, there limited data on use FcRn inhibitors in management or manifest MC (mMC). Here, we present case AChR gMG where subcutaneous administration inhibitor efgartigimod resulted clinical remission. Within 24 h administration, patient exhibited significant improvement respiratory bulbar muscle function, preventing progression to need mechanical ventilation. This response was accompanied marked reduction antibody level 89.8% within 4 weeks. supports fast-acting effective treatment option managing offering alternative existing therapies.

Язык: Английский

Multicenter Experience with Efgartigimod Alfa in the Treatment of Anti-Nmdar Encephalitis Compared with Ivig and Spa-Ia During Acute Attacks DOI
Jia Liu, Min Li, Junyu Liu

и другие.

Опубликована: Янв. 1, 2025

Язык: Английский

Процитировано

0

Comparative the Efficacy of Efgartigimod and Intravenous Immunoglobulin on Aqp-4 Igg Positive Nmosd During Acute Attacks DOI
Jia Liu, Min Li, Xiaofeng Xu

и другие.

Опубликована: Янв. 1, 2025

Язык: Английский

Процитировано

0

Multicenter experience with Efgartigimod in the treatment of anti-NMDAR encephalitis compared with IVIG and SPA-IA during acute attacks DOI
Jia Liu, Min Li, Junyu Liu

и другие.

Life Sciences, Год журнала: 2025, Номер unknown, С. 123597 - 123597

Опубликована: Апрель 1, 2025

Язык: Английский

Процитировано

0

Understanding supply sustainability of plasma‐derived medicinal products: Drivers and consequences of shortages DOI Creative Commons
Michael A. Belmonte,

Anna Albiero,

Filip Callewaert

и другие.

Vox Sanguinis, Год журнала: 2025, Номер unknown

Опубликована: Май 26, 2025

Abstract Plasma‐derived medicinal products (PDMPs), particularly immunoglobulins (Igs), are essential treatments for numerous diseases, often serving as the primary therapeutic option and playing a critical role in patient care. The human origin of these products, however, can lead to supply constraints due lack plasma collection, market dynamics, regulatory challenges manufacturing complexities. Many nations self‐sufficiency rely on United States, which supplies approximately 70% world's plasma. This chain is vulnerable disruptions, such those caused by COVID‐19. Additionally, processing timelines lengthy—Ig takes 7–12 months compared with 2–3 biologics. Despite global Ig market's projected growth from $13.36 billion $24.98 between 2023 2032, shortages persist. European Medicines Agency anticipated affect 14 countries 2024. These factors have significant implications patients, growing demand likely leading forcing prioritize certain indications face shortages. Policy interventions may be needed ensure sustainable use treating immune‐mediated disorders related conditions. Exploring alternative where possible could also mitigate risk maintain access life‐saving therapies. review examines sustainability PDMPs, focusing drivers consequences shortages, insufficient vulnerability impacts patients. A scoping literature research was conducted PubMed, supplemented internal knowledge targeted web searches.

Язык: Английский

Процитировано

0

The role of immunoglobulin transport receptor, neonatal Fc receptor in mucosal infection and immunity and therapeutic intervention DOI
Shaoju Qian,

Danqiong Zhang,

Zishan Yang

и другие.

International Immunopharmacology, Год журнала: 2024, Номер 138, С. 112583 - 112583

Опубликована: Июль 6, 2024

Язык: Английский

Процитировано

2

Intravenous immunglobulin as a therapy for autoimmune conditions DOI Creative Commons
Maria Giovanna Danieli,

Eleonora Antonelli,

Luca Gammeri

и другие.

Autoimmunity Reviews, Год журнала: 2024, Номер unknown, С. 103710 - 103710

Опубликована: Ноя. 1, 2024

Язык: Английский

Процитировано

2

Epilepsy and Myasthenia Gravis: A Case Series DOI Creative Commons

Iñigo Oyarzun,

Guillermo Hernández,

Jacint Sala‐Padró

и другие.

Brain Sciences, Год журнала: 2024, Номер 14(9), С. 870 - 870

Опубликована: Авг. 28, 2024

The association between epilepsy and myasthenia gravis has rarely been reported, when it only in a small case series. aim of the present study was to report frequency describe series patients with epilepsy, focusing on their clinical characteristics searching for possible physiopathological mechanism. A retrospective, observational, adult center conducted 2022. Patients were recruited from database outpatient clinic Myasthenia Gravis Epilepsy Unit Neurology Service, Hospital Universitari de Bellvitge. Five included. cohort 5/469 (1.1%), 5/1432 (0.35%). All suffered focal mainly temporo-central, which drug-resistant 3/5 gravis, generalized exacerbations 3/5. Three thymectomized (anatomopathology: thymic hyperplasia). Other autoimmune diseases found two (40%). onset preceded all patients. Both considered autoimmune-related 3/5, related genetic predisposition due altered innate immune system 1/5, chance or treatment 1/5. are infrequently associated. In patients, precedes most cases. some cases, an etiology coexists other conditions.

Язык: Английский

Процитировано

1

Adult-onset neuronal intranuclear inclusion disease presenting with acute encephalitis-like episode and without characteristic hyperintensities on MR-DWI: a case report DOI
Rongguang Ge, Kai Li,

Jiaping Xu

и другие.

Neurological Sciences, Год журнала: 2024, Номер unknown

Опубликована: Июнь 9, 2024

Язык: Английский

Процитировано

0

Corticosteroids are still first-line therapies for bullous pemphigoid, with biologics finding use in difficult-to-treat disease DOI
Simon Fung

Drugs & Therapy Perspectives, Год журнала: 2024, Номер 40(8), С. 310 - 314

Опубликована: Июль 5, 2024

Язык: Английский

Процитировано

0

First line treatment with subcutaneous efgartigimod in impending myasthenic crisis: a case report DOI Creative Commons

Isabelle Kwiedor,

Martina Menacher,

Monika Ellßel

и другие.

Therapeutic Advances in Neurological Disorders, Год журнала: 2024, Номер 17

Опубликована: Янв. 1, 2024

In acetylcholine receptor (AChR) antibody-positive generalized myasthenia gravis (gMG), neonatal Fc-receptor (FcRn) inhibition has broadened the therapeutic spectrum. Myasthenic crisis (MC), heralded by an impending myasthenic (iMC), is a critical condition requiring treatments with rapid onset and sustained efficacy. Currently used for iMC, including intravenous immunoglobulins plasma exchange/immunoadsorption, have limitations, such as delayed of action potential side effects. So far, there limited data on use FcRn inhibitors in management or manifest MC (mMC). Here, we present case AChR gMG where subcutaneous administration inhibitor efgartigimod resulted clinical remission. Within 24 h administration, patient exhibited significant improvement respiratory bulbar muscle function, preventing progression to need mechanical ventilation. This response was accompanied marked reduction antibody level 89.8% within 4 weeks. supports fast-acting effective treatment option managing offering alternative existing therapies.

Язык: Английский

Процитировано

0