Long-term safety and efficacy of eculizumab in generalized myasthenia gravis

for the Regain Study Group

研究成果: ジャーナルへの寄稿学術論文査読

198 被引用数 (Scopus)

抄録

Introduction: Eculizumab is effective and well tolerated in patients with antiacetylcholine receptor antibody-positive refractory generalized myasthenia gravis (gMG; REGAIN; NCT01997229). We report an interim analysis of an open-label extension of REGAIN, evaluating eculizumab's long-term safety and efficacy. Methods: Eculizumab (1,200 mg every 2 weeks for 22.7 months [median]) was administered to 117 patients. Results: The safety profile of eculizumab was consistent with REGAIN; no cases of meningococcal infection were reported during the interim analysis period. Myasthenia gravis exacerbation rate was reduced by 75% from the year before REGAIN (P < 0.0001). Improvements with eculizumab in activities of daily living, muscle strength, functional ability, and quality of life in REGAIN were maintained through 3 years; 56% of patients achieved minimal manifestations or pharmacological remission. Patients who had received placebo during REGAIN experienced rapid and sustained improvements during open-label eculizumab (P < 0.0001). Discussion: These findings provide evidence for the long-term safety and sustained efficacy of eculizumab for refractory gMG. Muscle Nerve 2019.

本文言語英語
ページ(範囲)14-24
ページ数11
ジャーナルMuscle and Nerve
60
1
DOI
出版ステータス出版済み - 2019/07

ASJC Scopus 主題領域

  • 生理学
  • 臨床神経学
  • 細胞および分子神経科学
  • 生理学(医学)

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