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Journal: Broadly effective metabolic and immune recovery with C5 inhibition in CHAPLE disease. (Pubmed Central) - Apr 7, 2021 We found that patients rapidly renormalized immunoglobulin concentrations and other serum proteins as revealed by aptamer profiling, re-established a healthy gut microbiome, discontinued immunoglobulin replacement and other treatments and exhibited catch-up growth. Thus, we show that blockade of C5 by eculizumab effectively re-establishes regulation of the innate immune complement system to substantially reduce the pathophysiological manifestations of CD55 deficiency in humans.
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Clinical, Review, Journal: A Narrative Review of the W, X, Y, E, and NG of Meningococcal Disease: Emerging Capsular Groups, Pathotypes, and Global Control. (Pubmed Central) - Apr 7, 2021 However, the use of mono-, bi-, and quadrivalent-polysaccharide-conjugate vaccines, the introduction of protein-based vaccines for group B, natural disease fluctuations, new drugs (e.g., eculizumab) that increase meningococcal susceptibility, changing transmission dynamics and meningococcal evolution are impacting the incidence of the capsular groups causing IMD...In addition, group E and nongroupable meningococci have appeared as a cause of invasive disease, and a nongroupable N. meningitidis pathotype of the hypervirulent clonal complex 11 is causing sexually transmitted urethritis cases and outbreaks. Carriage and IMD of the previously "minor" N. meningitidis are reviewed and the need for polyvalent meningococcal vaccines emphasized.
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Clinical, Review, Journal: Difficult Cases of Paroxysmal Nocturnal Hemoglobinuria: Diagnosis and Therapeutic Novelties. (Pubmed Central) - Apr 7, 2021 Besides current treatment with the anti-C5 eculizumab, which reduced PNH-related morbidity and mortality, new complement inhibitors will likely fulfill unmet clinical needs in terms of patients' quality of life and better response rates (i.e., responses in subjects with C5 polymorphisms; reduction of extravascular hemolysis and breakthrough hemolysis episodes)...Lastly, long-term safety needs to be assessed in real-life studies. In this review, we describe some clinical vignettes illustrating practical aspects of PNH diagnosis and management; moreover, we discuss recent advances in PNH diagnostic and therapeutic approaches.
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Clinical, Review, Journal: New Therapeutic Landscape in Neuromyelitis Optica. (Pubmed Central) - Apr 7, 2021 Reliable biomarkers to guide therapy decisions are urgently needed. There is a plethora of promising investigational therapies currently in the pipeline with exciting and novel mechanisms of action.
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[VIRTUAL] Terminal Complement Inhibition Therapy for Severe COVID-19 () - Apr 4, 2021 - Abstract #PEGS2021PEGS_485; Eculizumab is being provided for patients with severe COVID-19 to requesting physicians through Experimental Emergency Treatment/Expanded Access programs. We present data demonstrating the pharmacodynamics and clinical outcomes following eculizumab therapy in patients with severe COVID-19.
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Review, Journal: Complement in Sickle Cell Disease: Are We Ready for Prime Time? (Pubmed Central) - Apr 2, 2021 Until now, eculizumab-mediated complement inhibition has shown beneficial effects in DHTR, with limited reports in patients with VOC. In the meantime, several innovative agents are under clinical development Our state-of-the-art review summarizes current data on 1) complement activation in SCD both in steady state and crisis, 2) underlying mechanisms of complement over-activation for the clinician in the context of SCD, 3) actions of hydroxyurea and new therapeutic approaches including indirect involvement in complement activation, and 4) novel paradigms in complement inhibition.
- |||||||||| Soliris (eculizumab) / Alexion Pharma, pegcetacoplan SC (APL-2 SC) / Apellis, SOBI
Journal: Pegcetacoplan versus Eculizumab in Paroxysmal Nocturnal Hemoglobinuria. (Pubmed Central) - Mar 31, 2021 P3 Pegcetacoplan was superior to eculizumab in improving hemoglobin and clinical and hematologic outcomes in patients with PNH by providing broad hemolysis control, including control of intravascular and extravascular hemolysis. (Funded by Apellis Pharmaceuticals; PEGASUS ClinicalTrials.gov, NCT03500549.).
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Clinical, Journal: Cocaine-associated atypical haemolytic uraemic syndrome in a genetically susceptible individual. (Pubmed Central) - Mar 30, 2021 The patient was found to have a rare genetic variant in the CFI gene which may have been unmasked by first-time exposure to cocaine. The patient stabilised and improved with early administration of eculizumab, supporting the notion of an underlying immunological pathogenesis and the importance of early intervention.
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Journal: Unraveling the Effect of a Potentiating Anti-Factor H Antibody on Atypical Hemolytic Uremic Syndrome-Associated Factor H Variants. (Pubmed Central) - Mar 30, 2021 This Ab could serve as a potential new drug for aHUS patients and alternative to C5 blockade by eculizumab...The potentiating anti-FH Ab is able to restore the surface regulatory function of most of the tested FH mutants to WT FH levels on a human HAP-1 cell line and on sheep erythrocytes. In conclusion, our potentiating anti-FH is broadly active and able to enhance both WT FH function as well as most aHUS-associated FH variants tested in this study.
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Journal: Emerging Targeted Therapies for Neuromyelitis Optica Spectrum Disorders. (Pubmed Central) - Mar 27, 2021 Monoclonal antibodies targeting terminal complement (eculizumab), CD19 (inebilizumab), and the interleukin-6 receptor (satralizumab) have demonstrated efficacy in NMOSD attack prevention in recent phase 3 trials and have gained subsequent regulatory approval in the USA and other countries. We aim to review the evidence supporting the efficacy of these new drugs.
- |||||||||| Nplate (romiplostim) / Amgen, Kyowa Hakko Kirin, Soliris (eculizumab) / Alexion Pharma
Journal: Transplant-associated Thrombotic Microangiopathy Treated with Eculizumab and Romiplostim. (Pubmed Central) - Mar 27, 2021 This case adds to the evidence that TA-TMA is triggered by complement dysregulation and suggests possible interventions for refractory cases. Transplant-associated thrombotic microangiopathy (TA-TMA) may occur in solid organ transplant patients.Eculizumab may be used for the treatment of TA-TMA.
- |||||||||| Actemra IV (tocilizumab) / Roche, JW Pharma, Soliris (eculizumab) / Alexion Pharma
Review, Journal: Advances in the Treatment of Neuromyelitis Optica Spectrum Disorder. (Pubmed Central) - Mar 23, 2021 These trials support the efficacy of rituximab and tocilizumab and led to the FDA approval of eculizumab, satralizumab and inebilizumab for NMOSD. Our review provides an update on these evidence-based disease-modifying therapies and discussed the treatment of acute relapses in NMOSD.
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Clinical, Journal: The use of eculizumab in Capnocytophaga canimorsus associated thrombotic microangiopathy: a case report. (Pubmed Central) - Mar 23, 2021 Our review provides an update on these evidence-based disease-modifying therapies and discussed the treatment of acute relapses in NMOSD. We discuss the possible interactions between complement activation and other findings in severe infection and argue that complement inhibition proved beneficial to this patient's rapid recovery.
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[VIRTUAL] COMPLEMENT INHIBITION FOR REFRACTORY GLOMERULONEPHRITIS IN SYSTEMIC VASCULITIS (Mini-Orals Hall) - Mar 19, 2021 - Abstract #ERAEDTA2021ERA_EDTA_1329; All patients were previously treated with three or more drugs included: corticosteroids (n=8), mycophenolate (n=8), rituximab (n=7), immunoglobulins (n=5), therapeutic plasma exchange (n=4), cyclophosphamide (n=1), and belimumab (n=1). The coadyuvant complement inhibition with eculizumab stabilized renal function and decreased proteinuria in six out of the eight previously refractory patients and represents a promising tool in treating lupus and ANCA vasculitis nephritis.
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[VIRTUAL] CLINICOPATHOLOGICAL FEATURES OF THROMBOTIC MICROANGIOPATHY (Mini-Orals Hall) - Mar 19, 2021 - Abstract #ERAEDTA2021ERA_EDTA_1041; Most of them had only with mild or even absent clinical and laboratory features. Therefore, a high index of suspicion is required to diagnose TMA, allowing targeted treatment to preserve of kidney function.
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Journal: Editorial: Complement and Immunotherapeutics. (Pubmed Central) - Mar 16, 2021 Randomized controlled trials are thus required to determine the efficacy of eculizumab in this indication. No abstract available
- |||||||||| cemdisiran (ALN-CC5) / Alnylam, Regeneron, Soliris (eculizumab) / AstraZeneca
Enrollment change, Trial withdrawal: DANCE: Eculizumab to Cemdisiran Switch in aHUS (clinicaltrials.gov) - Mar 10, 2021 P2, N=0, Withdrawn, Increased awareness of HS and its complications in SCD patients is vital for treatment and management of this potentially life-threatening condition. N=12 --> 0 | Not yet recruiting --> Withdrawn
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Journal: Complement system and kidney (Pubmed Central) - Mar 3, 2021 As for kidney transplantation, complement modulators may lead to a new perspective in the treatment of some complications, such as humoral rejection. However, complement modulators carry the side effects, especially the infectious, and high costs.
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