Control of disease activity with large extended-interval dosing of rituximab/ocrelizumab in highly active pediatric multiple sclerosis

Author:

Venet Melany12,Lepine Anne3,Maarouf Adil1ORCID,Biotti Damien45ORCID,Boutiere Clémence1,Casez Olivier6,Cohen Mikael7ORCID,Durozard Pierre8,Demortière Sarah1,Giorgi Laetitia910,Maillart Elisabeth11ORCID,Mathey Guillaume12,Mazzola Laure2,Rico Audrey1,Camdessanche Jean-Philippe2,Deiva Kumaran910,Pelletier Jean1,Audoin Bertrand113ORCID

Affiliation:

1. Department of Neurology, Aix Marseille Univ, APHM, Hôpital de la Timone, CNRS, CRMBM, Marseille, France

2. Neurology Department, University Hospital, Saint-Etienne, France

3. Paediatric Neurology Department, Assistance Publique des Hôpitaux de Marseille, Hôpital Universitaire, Marseille, France

4. Centre Ressources et Compétences Sclérose en Plaques (CRC-SEP) et Service de Neurologie B4, Hôpital Pierre-Paul Riquet, CHU Toulouse Purpan, Toulouse, France

5. INSERM UMR1291-CNRS UMR5051, Institut Toulousain des Maladies Infectieuses et Inflammatoires (Infinity), Université Toulouse 3, Toulouse, France

6. Neuro-inflammatory Disease Center, Centre Hospitalier Universitaire de Grenoble Alpes, Grenoble, France

7. CRC-SEP CHU Nice, UR2CA-URRIS, Université Nice Cote d’Azur, Hôpital Pasteur 2, Nice, France

8. Centre Hospitalier d’Ajaccio, Ajaccio, France

9. Department of Paediatric Neurology, National Reference Center for Rare Inflammatory and auto-immune Brain and Spinal Diseases, Hopitaux Universitaires Paris-Saclay, Hôpital Bicêtre, Le Kremlin-Bicetre, France

10. UMR 1184, Immunology of Viral Infections and Autoimmune Diseases, Universite Paris Saclay, Le Kremlin-Bicetre, France

11. Department of Neurology, National Reference Center for Rare Inflammatory and auto-immune Brain and Spinal Diseases, Pitie Salpetriere Hospital, APHP, Paris, France

12. Neurology Unit, University Hospital of Nancy, Hôpital Central, Nancy Cedex, France

13. Pôle de Neurosciences Cliniques, Service de Neurologie, Aix Marseille Univ, APHM, Hôpital de la Timone, Marseille, France

Abstract

Recent studies in adults suggested that extended-interval dosing of rituximab/ocrelizumab (RTX/OCR) larger than 12 months was safe and could improve safety. This was an observational cohort study of very active pediatric-onset multiple sclerosis (PoMS) (median (range) age, 16 (12–17) years) treated with RTX/OCR with 6 month standard-interval dosing ( n = 9) or early extended-interval dosing ( n = 12, median (range) interval 18 months (12–25)). Within a median (range) follow-up of 31 (12–63) months after RTX/OCR onset, one patient (standard-interval) experienced relapse and no patient showed disability worsening or new T2-weighted lesions. This study suggests that the effectiveness of RTX/OCR is maintained with a median extended-interval dosing of 18 months in patients with very active PoMS.

Publisher

SAGE Publications

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