The ocrelizumab wearing-off phenomenon is associated with reduced immunomodulatory response and increased neuroaxonal damage in multiple sclerosis.
Isabel MonteiroValerio NicolellaMariano FiorenzaFederica NovarellaAntonio CarotenutoRoberta LanzilloLucia MaurielloGiulia ScaliaGiuseppe CastaldoDaniela TerraccianoVincenzo Brescia MorraMarcello MocciaPublished in: Journal of neurology (2024)
Wearing-off is common in people with MS treated with ocrelizumab, and is associated with reduced immunomodulation (higher T lymphocytes) and increased neuroaxonal damage, suggesting reduced treatment response.