B cell and aquaporin‐4 antibody relationships with neuromyelitis optica spectrum disorder activity

Author:

Bennett Jeffrey L.1ORCID,Pittock Sean J.2ORCID,Paul Friedemann3ORCID,Kim Ho Jin4ORCID,Irani Sarosh R.56ORCID,O'Connor Kevin C.7,Patterson Kristina R.8,Smith Michael A.8,Gunsior Michele8,Mittereder Nanette8,Rees William A.8,Cimbora Daniel8,Cree Bruce A. C.9ORCID

Affiliation:

1. Departments of Neurology and Ophthalmology Programs in Neuroscience and Immunology, University of Colorado School of Medicine, Anschutz Medical Campus Aurora Colorado USA

2. Neurology, Laboratory Medicine and Pathology Center for Multiple Sclerosis and Autoimmune Neurology, Mayo Clinic Rochester Minnesota USA

3. Experimental and Clinical Research Center Max Delbrueck Center for Molecular Medicine and Charité – Universitätsmedizin Berlin Germany

4. Department of Neurology Research Institute and Hospital of National Cancer Center Goyang Republic of Korea

5. Oxford Autoimmune Neurology Group, Nuffield Department of Clinical Neurosciences University of Oxford Oxford UK

6. Department of Neurology Mayo Clinic Jacksonville Florida USA

7. Department of Neurology and Immunobiology Yale School of Medicine New Haven Connecticut USA

8. Horizon Therapeutics (now Amgen Inc., Thousand Oaks, California, USA) Gaithersburg Maryland USA

9. UCSF Weill Institute for Neurosciences, Department of Neurology University of California San Francisco San Francisco California USA

Abstract

AbstractThis post hoc analysis of the randomized, placebo‐controlled N‐MOmentum study (NCT02200770) of inebilizumab in neuromyelitis optica spectrum disorder (NMOSD) evaluated relationships between circulating B‐cell subsets and aquaporin‐4 immunoglobulin G (AQP4‐lgG) titers and attacks. Among participants receiving placebo, CD20+ and CD27+ B‐cell counts were modestly increased from the pre‐attack visit to attack; plasmablast/plasma cell gene signature was increased from baseline to the pre‐attack visit (p = 0.016) and from baseline to attack (p = 0.009). With inebilizumab treatment, B‐cell subset counts decreased and did not increase with attacks. No difference in change of AQP4‐IgG titers from baseline to time of attack was observed.

Publisher

Wiley

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