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Switch from sequestering to anti-CD20 depleting treatment: disease activity outcomes during wash-out and in the first 6 months of ocrelizumab therapy.

Elisabetta SignorielloGiacomo LusSimona BonavitaRoberta LanzilloFrancesco SaccàDoriana LandiJessica FrauDamiano BaronciniMauro ZaffaroniGiorgia Teresa ManiscalcoErica CurtiArianna SartoriSimone CepparuloGirolama Alessandra MarfiaCarolina Gabri NicolettiAntonio CarotenutoViviana NocitiFrancesca CaleriMaria Pia SormaniAlessio Signori
Published in: Multiple sclerosis (Houndmills, Basingstoke, England) (2021)
This study confirms that withdrawal from sequestering agents as FTY increases the risk of relapses in the wash-out period. Nevertheless, starting OCR before achieving complete immune reconstitution could limit its effectiveness in the first 6 months probably because trapped lymphocytes escape the CD20-mediated depletion.
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