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Home > Other safety-related topics > B-cell Kinetics

B-cell Kinetics

B-cell kinetics_1.1


 

B-Cell Depletion and Efficacy Outcomes With Ofatumumab: Subgroup Analysis From the Pooled Phase 3 ASCLEPIOS I and II Trials.

Hauser SL et al. AAN 2020.P7.1-013
 

 

Ofatumumab rapidly lowered B cells during the loading regimen (20 mg SC on Days 1, 7 and 14) in all patients regardless of body weight, and maintained low levels with ongoing monthly 20 mg SC injections

SC, subcutaneous
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Effect of Subcutaneous Ofatumumab_v1b.jpg

 

 

Effect of Subcutaneous Ofatumumab on Lymphocyte Subsets in Patients With RMS: Analysis from the APLIOS Study.

Wiendl H, et al. EAN 2020. LB129.

 

 

 

Ofatumumab 20 mg SC led to rapid and sustained depletion of both total CD20+ B cells and CD20+ T cells in RMS patients in the APLIOS study

↑ Dose administration; RMS, relapsing multiple sclerosis; SC, subcutaneous
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Additional information

B-cell kinetics_3
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B-cell kinetics_4

 

 

Onset of B-Cell Depletion and Suppression of MRI Activity With Ofatumumab Treatment in Relapsing Multiple Sclerosis: The APLIOS Study.

Bar-Or A, et al. AAN 2020. P8.1-001.

 

 

Ofatumumab showed a rapid, close to complete, and sustained B-cell depletion, with no B-cell reconstitution. This corresponded to significant reduction of Gd+ lesions in RMS patients over 12 weeks

↑ Dose administration; Gd+, gadolinium-enhancing; RMS, relapsing multiple sclerosis
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Repeltion of B-Cells.jpg

 

 

 

Population Pharmacokinetic-B Cell Modeling for Ofatumumab in Patients with Relapsing Multiple Sclerosis

Yu H, et al. CNS Drugs . 2022 Mar;36(3):283-300

 

 

 

Data from RMS Phase 3 clinical studies indicate a median time to B-cell recovery to LLN or baseline value of 24.6 weeks post treatment discontinuation (Ref. EUPI) Pharmacokinetic (PK) B cell modelling and simulation for B-cell repletion corroborate this data, predicting median time to B cell recovery to LLN of 23 weeks post treatment discontinuation 

LLN, lower limit of normal;
*majority of B-cell repletion data are from ASCLEPIOS safety follow-up period
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