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Ocrelizumab: a step forward in the evolution of B-cell therapy.

机译:Ocrelizumab:B细胞疗法发展的一步。

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Recent advances in our understanding of B-cell dysregulation and its important link to autoimmunity have brought about a radical change in the management of autoimmune diseases. Over the past few years, encouraging data from several clinical trials of rituximab, a chimeric anti-CD20 antibody, have led to its approval for use in rheumatoid arthritis (RA). These data, regarding clinical efficacy, safety, improved patient-reported outcomes and cost-effectiveness with the use of rituximab in patients with RA, have led to the exploration of other agents targeting B-cell functions. Ocrelizumab, a novel humanized anti-CD20 antibody, has shown clinical efficacy and safety in a recently reported trial in patients with RA. Future clinical trials will help evaluate further the role of ocrelizumab in RA and its potential use in other autoimmune diseases. This review describes current understanding of B-cell therapy, the role of rituximab in the treatment of RA and the evolving role of ocrelizumab as a B-cell-targeted therapy.
机译:我们对B细胞功能失调及其与自身免疫的重要联系的理解方面的最新进展已带来了对自身免疫疾病管理的根本改变。在过去的几年中,来自利妥昔单抗(一种嵌合的抗CD20抗体)的多项临床试验的令人鼓舞的数据,导致其被批准用于类风湿关节炎(RA)。这些有关临床疗效,安全性,改善的患者报告的结局以及在RA患者中使用利妥昔单抗的成本效益的数据已导致探索针对B细胞功能的其他药物。 Ocrelizumab是一种新型人源化抗CD20抗体,在最近报道的RA患者试验中已显示出临床疗效和安全性。未来的临床试验将有助于进一步评估ocrelizumab在RA中的作用及其在其他自身免疫性疾病中的潜在用途。这篇综述描述了对B细胞疗法的当前了解,利妥昔单抗在RA治疗中的作用以及ocrelizumab作为B细胞靶向疗法的演变作用。

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