Myasthenia Gravis
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  • ||||||||||  ANTIGEN-SPECIFIC TOLERANCE INDUCTION AS A THERAPY FOR MYASTHENIA GRAVIS (MC2 HALL) -  May 25, 2022 - Abstract #AUTO2022AUTO_217;    
    Conclusions Restoring immunological tolerance against specific autoantigens by intravenous administration is, therefore, a promising therapeutic approach for MG. Further investigations are underway to elucidate immune mechanisms involved.
  • ||||||||||  Clinical, Review, Journal:  Utilization of MG-ADL in myasthenia gravis clinical research and care. (Pubmed Central) -  May 25, 2022   
    The use of the MG-ADL as a primary endpoint in clinical trials and in responder threshold analyses to indicate treatment improvement has increased in recent years. MSE using the MG-ADL shows promise in helping to determine success of treatment and may be the aspirational goal of MG treatment for the future once validated, particularly given the evolving treatment landscape in MG.
  • ||||||||||  Journal:  Bedside and laboratory diagnostic testing in myasthenia. (Pubmed Central) -  May 25, 2022   
    Newer testing strategies that have been investigated over the last couple of decades include ocular vestibular-evoked myogenic potentials, otoacoustic emissions and disease-specific circulating miRNAs in serum for autoimmune myasthenia, as well as next-generation sequencing for genetic testing of CMS. While there has been significant progress in developing newer testing strategies for diagnosing MG and CMS over the last couple of decades, more research is needed to assess the utility of these newer tools regarding their sensitivity and specificity.
  • ||||||||||  Reimbursement, Journal, Medicare:  Validation of myasthenia gravis diagnosis in the older Medicare population. (Pubmed Central) -  May 25, 2022   
    While there has been significant progress in developing newer testing strategies for diagnosing MG and CMS over the last couple of decades, more research is needed to assess the utility of these newer tools regarding their sensitivity and specificity. Algorithms using ICD codes can reliably identify patients with MG with a high degree of accuracy.
  • ||||||||||  Journal:  Educational Case: Lambert-Eaton syndrome. (Pubmed Central) -  May 24, 2022   
    The proportion of TTN gene variation in adolescent MG was higher, suggesting that this gene may be a potential therapeutic target for juvenile MG patients. No abstract available
  • ||||||||||  Journal:  Autoimmune Disease in Patients With Advanced Thymic Epithelial Tumors. (Pubmed Central) -  May 24, 2022   
    Patients who developed AD other than myasthenia gravis were more likely to do so several years after TET diagnosis. Additional work, including multiomic analyses, is needed to develop predictive markers for AD in advanced TET.
  • ||||||||||  Review, Journal:  Thymectomy in Myasthenia Gravis: A Narrative Review. (Pubmed Central) -  May 24, 2022   
    However, thymectomy is yet controversial in some disease subtypes and there are potential concerns regarding the selection of the ideal surgical approach to achieve complete removal of the thymic tissue to achieve stable remission rates. This review highlights the role of thymectomy in non-thymomatous and thymomatous MG, the effectiveness of various thymectomy methods, postoperative myasthenic crisis, and remission after thymectomy.
  • ||||||||||  Retrospective data, Journal:  Refractory post-thymectomy myasthenia gravis with onset at MGFA stage V: a case report. (Pubmed Central) -  May 21, 2022   
    Complete resection should be performed during thymectomy, if not, additional postoperative adjuvant therapy is neccessary to avoid recurrence. It's important to identify PTMG at a early stage, especially when being interfered with by postoperative complications, such as lung infection, so that treatments could be initiated as soon as possible to avoid developing to refractory PTMG.
  • ||||||||||  Trial completion:  Diaphragm Thickness by Ultrasonography in Neurological Disorders (clinicaltrials.gov) -  May 15, 2022   
    P=N/A,  N=60, Completed, 
    These findings corroborate the clinical need for clustered AChR CBA testing when evaluating SNMG patients. Recruiting --> Completed
  • ||||||||||  prednisone / Generic mfg.
    Review, Journal:  Corticosteroid Treatment-Resistance in Myasthenia Gravis. (Pubmed Central) -  May 14, 2022   
    Chronic, high-dose, oral prednisone has been the mainstay of myasthenia gravis treatment for decades and has proven to be highly beneficial in many, toxic in some way to all, and not effective in a significant minority...Treatment response may be limited because disease mechanisms are not influenced by corticosteroids, limits on dosage because of adverse effects, or individual differences in corticosteroids. This review evaluates potential mechanisms that underlie lack of response to glucocorticoids in patients with myasthenia gravis.
  • ||||||||||  efgartigimod SC (ARGX-113 SC) / argenx, Vyvgart (efgartigimod alfa-fcab) / argenx, Broteio
    EFGARTIGIMOD: CLINICAL DEVELOPMENT OF A NOVEL FCRN ANTAGONIST IN THE TREATMENT OF AUTOIMMUNE DISEASES () -  May 13, 2022 - Abstract #EHA2022EHA_2224;    
    In all studies to date, EFG was well tolerated, and adverse events were mainly mild to moderate. Conclusion FcRn inhibition by EFG is a promising potential therapeutic option for several autoimmune diseases mediated by pathogenic IgG autoantibodies.
  • ||||||||||  efgartigimod SC (ARGX-113 SC) / argenx, Vyvgart (efgartigimod alfa-fcab) / argenx, Broteio
    Efgartigimod: A Novel FcRn Antagonist in the Treatment of Autoimmune Diseases (Exhibition) -  May 13, 2022 - Abstract #ISTH2022ISTH_373;    
    In a Phase 2 trial in ITP, EFG dosed at 5 and 10 mg/kg weekly for 4 weeks reduced IgG by ~60%, leading to clinically relevant increases in platelet counts (46% of EFG patients vs 25% on placebo achieved a platelet count of ≥50 × 109/L on ≥2 occasions). Phase 2/3 studies in CIDP (ADHERE), PV/PF (ADDRESS), BP (BALLAD), and myositis (ALKIVIA) are ongoing.
  • ||||||||||  Journal:  DOK7 congenital myasthenic syndrome responsive to oral salbutamol. (Pubmed Central) -  May 12, 2022   
    A stable course of disease before conception, close interdisciplinary care, and pregnancy-compatible medication contribute to a reduction in maternal and perinatal complications. No abstract available