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| #Post#: 3213-------------------------------------------------- | |
| Fatal PML case in 78-year-old patient on Ocrevus monotherapy | |
| By: agate Date: March 16, 2021, 5:55 pm | |
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| From JAMA Neurology (March 16, 2021), "Progressive multifocal | |
| leukoencephalopathy in a patient with progressive multiple | |
| sclerosis treated with ocrelizumab monotherapy": | |
| http://bit.ly/3eQm9ii | |
| #Post#: 3214-------------------------------------------------- | |
| MedPage Today) PML reported in ocrelizumab-treated MS patient | |
| By: agate Date: March 18, 2021, 1:28 am | |
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| From MedPage Today (March 17, 2021)--"PML reported in | |
| ocrelizumab-treated MS patient": | |
| https://www.medpagetoday.com/neurology/multiplesclerosis/91647 | |
| #Post#: 3216-------------------------------------------------- | |
| (Medscape) First case of PML associated with ocrelizumab monothe | |
| rapy | |
| By: agate Date: March 20, 2021, 12:43 am | |
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| This is the third article I've found on this topic, and so far | |
| there is no indication of how long the patient had had MS. It | |
| might be helpful to know that. | |
| Medscape (March 29, 2021)--"First case of PML associated with | |
| ocrelizumab monotherapy": | |
| https://www.medscape.com/viewarticle/947765#vp_2 | |
| #Post#: 3219-------------------------------------------------- | |
| Re: Fatal PML case in 78-year-old patient on Ocrevus monotherapy | |
| By: agate Date: March 23, 2021, 1:10 am | |
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| The first article mentioned in this thread contains this | |
| information about the patient. | |
| [quote][font=Guardian TextSans Web]The patient had been | |
| diagnosed with MS almost 3 decades prior after developing | |
| gradual gait dysfunction and bilateral asymmetric leg weakness | |
| throughout several years. Despite continued slow gait worsening | |
| over years, he had not been treated with immunotherapy until | |
| ocrelizumab was approved by the US Food and Drug Administration | |
| for primary progressive MS in 2017. He began taking ocrelizumab | |
| at age 76 years soon after Food and Drug Administration | |
| approval. The patient�s JCV index was 2.48 prior to initiation, | |
| and the theoretical risk of PML was discussed prior to starting. | |
| He tolerated the treatments well but continued to exhibit | |
| worsening gait dysfunction.[/font][/quote][font=Guardian | |
| TextSans Web][/font] | |
| [font=Guardian TextSans Web][/size][/font] | |
| [font=Guardian TextSans Web][/size]One wonders why a patient of | |
| 76 who has had PPMS for some 30 years would have been prescribed | |
| ocrelizumab.[/font] | |
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