Cyclophosphamide-based combination therapies for autoimmunity

被引:3
作者
Paola Perini
Massimiliano Calabrese
Luciano Rinaldi
Paolo Gallo
机构
[1] University Hospital,Multiple Sclerosis Centre
来源
Neurological Sciences | 2008年 / 29卷
关键词
Cyclophosphamide; Combination therapy; Multiple sclerosis; Autoimmunity;
D O I
暂无
中图分类号
学科分类号
摘要
Immunomodulatory agent (IMA)-unresponsive multiple sclerosis (MS) can quickly evolve to a dramatic and irreversible disability. Treating these patients with appropriate immunosuppressive therapies can be a chance to arrest disease activity and progression. Cyclophosphamide (Cyc)-based intense immunosuppression has been successfully used to treat rapidly deteriorating, IMA-refractory MS patients. Therapeutic protocols combining Cyc and interferon beta (IFNβ) have also been successfully applied to treat IFNβ-unresponsive MS. The association of Cyc with other immunomodulatory drugs or monoclonal antibodies is currently being investigated in clinical trials aimed at treating severe forms of autoimmune diseases.
引用
收藏
页码:233 / 234
页数:1
相关论文
共 32 条
[1]  
Kovarsky J.(1983)Clinical pharmacology and toxicology of cyclophosphamide: emphasis on use in rheumatic diseases Semin Arthritis Rheum 12 359-372
[2]  
Boumpas D.T.(1995)Systemic lupus erythematosus: emerging concepts. Part 1: renal, neuropsychiatric, cardiovascular, pulmonary, and hematologic disease Ann Intern Med 122 940-950
[3]  
Austin H.A.(2002)Highdose cyclophosphamide without stem-cell rescue for refractory CIDP Neurology 58 1856-1858
[4]  
Fessler B.J.(2005)Cyclophosphamide therapy for MS Int MS J 12 52-58
[5]  
Brannagan T.H.(2007)The safety profile of cyclophosphamide in multiple sclerosis therapy Expert Opin Drug Saf 6 183-190
[6]  
Pradhan A.(1998)Elevated interleukin-12 in progressive multiple sclerosis correlates with disease activity and is normalized by pulse cyclophosphamide therapy J Clin Invest 102 671-678
[7]  
Heiman-Patterson T.(1997)Immune deviation following pulse cyclophosphamide/methylprednisolone treatment of multiple sclerosis: increased interleukin-4 production and associated eosinophilia Ann Neurol 42 313-318
[8]  
Gauthier S.A.(1997)Increased interleukin 12 production in progressive multiple sclerosis: induction by activated CD4+ T cells via CD40 ligand Proc Natl Acad Sci U S A 94 599-603
[9]  
Weiner H.L.(2004)Immunosuppressive treatment in multiple sclerosis J Neurol Sci 223 1-11
[10]  
Perini P.(2005)A randomized blinded trial of combination therapy with cyclophosphamide in patients-with active multiple sclerosis on interferon beta Mult Scler 11 573-582