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  1. 医学部
  1. 医学部
  2. 学術雑誌掲載論文  (医学部)

Usage status of biologics for the chronic treatment of optic neuritis in neuromyelitis optica spectrum disorders in Japan

http://hdl.handle.net/10458/0002001182
http://hdl.handle.net/10458/0002001182
651e01f0-5ad7-47cc-bfc9-90e9ecdbaabb
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s10384-024-01129-4 Fulltext (740 KB)
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アイテムタイプ 学術雑誌論文 / Journal Article(1)
公開日 2025-04-22
タイトル
タイトル Usage status of biologics for the chronic treatment of optic neuritis in neuromyelitis optica spectrum disorders in Japan
言語 en
言語
言語 eng
キーワード
言語 en
キーワード Biologics
キーワード
言語 en
キーワード Neuromyelitis optica spectrum disorders
キーワード
言語 en
キーワード Optic neuritis
キーワード
言語 en
キーワード Oral steroid
キーワード
言語 en
キーワード Satralizumab
資源タイプ
資源タイプ journal article
アクセス権
アクセス権 open access
著者 Takahashi, Yohei

× Takahashi, Yohei

en Takahashi, Yohei

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Kezuka, Takeshi

× Kezuka, Takeshi

en Kezuka, Takeshi

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Shikishima, Keigo

× Shikishima, Keigo

en Shikishima, Keigo

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Yamagami, Akiko

× Yamagami, Akiko

en Yamagami, Akiko

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中馬, 秀樹

× 中馬, 秀樹

WEKO 24477
e-Rad_Researcher 20244204

ja 中馬, 秀樹
宮崎大学

ja-Kana チユウマン, ヒデキ

en Chuman, Hideki
University of Miyazaki

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Nakamura, Makoto

× Nakamura, Makoto

en Nakamura, Makoto

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Ueki, Satoshi

× Ueki, Satoshi

en Ueki, Satoshi

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Kimura, Akiko

× Kimura, Akiko

en Kimura, Akiko

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Hashimoto, Masato

× Hashimoto, Masato

en Hashimoto, Masato

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Tatsui, Sonoko

× Tatsui, Sonoko

en Tatsui, Sonoko

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Mashimo, Kimiyo

× Mashimo, Kimiyo

en Mashimo, Kimiyo

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Ishikawa, Hitoshi

× Ishikawa, Hitoshi

en Ishikawa, Hitoshi

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抄録
内容記述タイプ Abstract
内容記述 Purpose
To investigate the usage status of biologics for the chronic treatment of optic neuritis including neuromyelitis optica spectrum disorders in Japan.
Design
Multicenter retrospective case series.
Methods
Patients diagnosed with anti-aquaporin 4 antibody (AQP4-Ab) positive optic neuritis and had been initiated on biologics (satralizumab, eculizumab, and inebilizumab) between January 2020 and August 2022 were identified at 30 facilities in Japan. These patients were investigated regarding changes in oral steroid doses, optic neuritis relapse, and adverse events after initiation of biologics.
Results
Eighty-eight patients with AQP4-Ab positive optic neuritis initiated on biologics were included. Satralizumab was the most common biologic used (79 patients), followed by eculizumab (6 patients) and inebilizumab (3 patients). In the satralizumab group, during the observation period (10.0±7.0 months) until February 2023, the oral steroid dose was reduced significantly from 13.8 ± 8.6 mg/day at the time of initiation to 5.3 ± 4.8 mg/day (p < 0.001). No relapse of optic neuritis was observed in 76 of 79 patients (96.2%) after initiation of satralizumab. Furthermore, in 15 patients who succeeded in discontinuing steroids during 8.5 ± 5.8 months after initiation of satralizumab, no relapse of optic neuritis was observed throughout the observation period. Adverse events occurred in 7 patients with satralizumab and 2 patients with eculizumab, but no serious infections were observed.
Conclusions
Satralizumab was the most commonly used biologic for AQP4-Ab positive optic neuritis in Japan. This study demonstrates the efficacy and safety of satralizumab in preventing the relapse of optic neuritis.
言語 en
内容記述
内容記述タイプ Other
内容記述 Citation: Yohei Takahashi, Takeshi Kezuka, Keigo Shikishima, Akiko Yamagami, Hideki Chuman, Makoto Nakamura, Satoshi Ueki, Akiko Kimura, Masato Hashimoto, Sonoko Tatsui, Kimiyo Mashimo, Hitoshi Ishikawa, Usage status of biologics for the chronic treatment of optic neuritis in neuromyelitis optica spectrum disorders in Japan, Japanese Journal of Ophthalmology, 69(1), 81-92, 2024-10-29, https://doi.org/10.1007/s10384-024-01129-4
言語 en
bibliographic_information en : Japanese Journal of Ophthalmology

巻 69, p. 81-92, 発行日 2024-10-29
出版者
出版者 Springer Science and Business Media LLC
言語 en
ISSN
収録物識別子タイプ PISSN
収録物識別子 0021-5155
ISSN
収録物識別子タイプ EISSN
収録物識別子 1613-2246
item_10001_relation_14
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1007/s10384-024-01129-4
権利
権利情報 © The Author(s) 2024
言語 en
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出版タイプ VoR
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