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 SignoriPublished 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.