Daclizumab in treatment of multiple sclerosis patients

Author:

Ali EN1,Healy BC1,Stazzone LA1,Brown BA1,Weiner HL1,Khoury SJ1

Affiliation:

1. Partners MS Center, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA; Correspondence to: EN Ali, MD, Partners MS Center, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Abstract

Background Daclizumab is a humanized monoclonal antibody (mAb) that blocks the interleukin-2 receptor alpha subunit (IL-2R-alpha chain; CD25) expressed on activated T cells leading to the inhibition of T-cell expansion, thus strongly reduces brain inflammation in patients with multiple sclerosis (MS). Another mechanism is significant expansion of CD56 (bright) natural killer (NK) cells that in turn inhibit T-cell survival. Objective At the Partners MS center, we have been using Daclizumab in an open-label fashion in patients who fail first line therapy or non-standard immunosuppressive treatment. Our aim was to assess its safety and tolerability in our patient population.

Publisher

SAGE Publications

Subject

Clinical Neurology,Neurology

Reference8 articles.

1. Case 36-2007

2. Humanized anti-CD25 (daclizumab) inhibits disease activity in multiple sclerosis patients failing to respond to interferon

3. Treatment of multiple sclerosis with an anti-interleukin-2 receptor monoclonal antibody

4. Daclizumab phase II trial in relapsing and remitting multiple sclerosis: MRI and clinical results

5. 5 Kaufman MD  Wynn DR  Montalban X  Wang M  Fong A . Preliminary CHOICE results: a phase 2, randomised, double-blind, placebo-controlled multicentre study of subcutaneous Daclizumab in patients with active, relapsing forms of multiple sclerosis on interferon beta. Presented at the 60th American Academy of neurology meeting (AAN); April 12, 2007; Chicago, IL,USA.

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