Natalizumab administration in multiple sclerosis patients during active SARS-CoV-2 infection: a case series

Abstract Background The Coronavirus disease 2019 (COVID-19) caused by the new Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has become a pandemic, affecting the therapeutic management for Multiple Sclerosis (MS). Any decision regarding the discontinuation of high-potency agents for mo...

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Autores principales: Clara G. Chisari, Simona Toscano, Sebastiano Arena, Chiara Finocchiaro, Arturo Montineri, Francesco Patti
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Lenguaje:EN
Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/0bf582194b9040e3bc74df823d15f075
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spelling oai:doaj.org-article:0bf582194b9040e3bc74df823d15f0752021-12-05T12:08:52ZNatalizumab administration in multiple sclerosis patients during active SARS-CoV-2 infection: a case series10.1186/s12883-021-02421-31471-2377https://doaj.org/article/0bf582194b9040e3bc74df823d15f0752021-11-01T00:00:00Zhttps://doi.org/10.1186/s12883-021-02421-3https://doaj.org/toc/1471-2377Abstract Background The Coronavirus disease 2019 (COVID-19) caused by the new Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has become a pandemic, affecting the therapeutic management for Multiple Sclerosis (MS). Any decision regarding the discontinuation of high-potency agents for moderate and highly active MS should be carefully evaluated, taking into account the potential risk of rebound of the disease. In particular, no data about clinical outcome of patients with MS receiving Natalizumab (NTZ) during active COVID-19 infection have been reported yet. Cases presentation We reported on 6 patients treated with NTZ for relapsing MS during active COVID-19 infection, who recovered without reporting any worsening or new symptoms. Most of the patients were asymptomatic, with the exception of one patient who had a slight worst COVID-19 clinical course. No patients received O2-therapy or required intensive care. No neurological complications were observed. Conclusions This paper reported the clinical outcome of patients with MS receiving NTZ during active COVID-19 infection. This case series suggests that treatment with NTZ during pandemic is relatively safe and might be continued in selected patients who are infected by COVID-19, thereby reducing the risk of MS disease rebound.Clara G. ChisariSimona ToscanoSebastiano ArenaChiara FinocchiaroArturo MontineriFrancesco PattiBMCarticleMultiple sclerosisCOVID-19SARS-CoV-2 active infectionNatalizumabNeurology. Diseases of the nervous systemRC346-429ENBMC Neurology, Vol 21, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Multiple sclerosis
COVID-19
SARS-CoV-2 active infection
Natalizumab
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Multiple sclerosis
COVID-19
SARS-CoV-2 active infection
Natalizumab
Neurology. Diseases of the nervous system
RC346-429
Clara G. Chisari
Simona Toscano
Sebastiano Arena
Chiara Finocchiaro
Arturo Montineri
Francesco Patti
Natalizumab administration in multiple sclerosis patients during active SARS-CoV-2 infection: a case series
description Abstract Background The Coronavirus disease 2019 (COVID-19) caused by the new Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has become a pandemic, affecting the therapeutic management for Multiple Sclerosis (MS). Any decision regarding the discontinuation of high-potency agents for moderate and highly active MS should be carefully evaluated, taking into account the potential risk of rebound of the disease. In particular, no data about clinical outcome of patients with MS receiving Natalizumab (NTZ) during active COVID-19 infection have been reported yet. Cases presentation We reported on 6 patients treated with NTZ for relapsing MS during active COVID-19 infection, who recovered without reporting any worsening or new symptoms. Most of the patients were asymptomatic, with the exception of one patient who had a slight worst COVID-19 clinical course. No patients received O2-therapy or required intensive care. No neurological complications were observed. Conclusions This paper reported the clinical outcome of patients with MS receiving NTZ during active COVID-19 infection. This case series suggests that treatment with NTZ during pandemic is relatively safe and might be continued in selected patients who are infected by COVID-19, thereby reducing the risk of MS disease rebound.
format article
author Clara G. Chisari
Simona Toscano
Sebastiano Arena
Chiara Finocchiaro
Arturo Montineri
Francesco Patti
author_facet Clara G. Chisari
Simona Toscano
Sebastiano Arena
Chiara Finocchiaro
Arturo Montineri
Francesco Patti
author_sort Clara G. Chisari
title Natalizumab administration in multiple sclerosis patients during active SARS-CoV-2 infection: a case series
title_short Natalizumab administration in multiple sclerosis patients during active SARS-CoV-2 infection: a case series
title_full Natalizumab administration in multiple sclerosis patients during active SARS-CoV-2 infection: a case series
title_fullStr Natalizumab administration in multiple sclerosis patients during active SARS-CoV-2 infection: a case series
title_full_unstemmed Natalizumab administration in multiple sclerosis patients during active SARS-CoV-2 infection: a case series
title_sort natalizumab administration in multiple sclerosis patients during active sars-cov-2 infection: a case series
publisher BMC
publishDate 2021
url https://doaj.org/article/0bf582194b9040e3bc74df823d15f075
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