作者
Ludwig Kappos, Heinz Wiendl, Krzysztof Selmaj, Douglas L Arnold, Eva Havrdova, Alexey Boyko, Michael Kaufman, John Rose, Steven Greenberg, Marianne Sweetser, Katherine Riester, Gilmore O’Neill, Jacob Elkins
发表日期
2015/10/8
期刊
New England Journal of Medicine
卷号
373
期号
15
页码范围
1418-1428
出版商
Massachusetts Medical Society
简介
Background
Daclizumab high-yield process (HYP) is a humanized monoclonal antibody that binds to CD25 (alpha subunit of the interleukin-2 receptor) and modulates interleukin-2 signaling. Abnormalities in interleukin-2 signaling have been implicated in the pathogenesis of multiple sclerosis and other autoimmune disorders.
Methods
We conducted a randomized, double-blind, active-controlled, phase 3 study involving 1841 patients with relapsing–remitting multiple sclerosis to compare daclizumab HYP, administered subcutaneously at a dose of 150 mg every 4 weeks, with interferon beta-1a, administered intramuscularly at a dose of 30 μg once weekly, for up to 144 weeks. The primary end point was the annualized relapse rate.
Results
The annualized relapse rate was lower with daclizumab HYP than with interferon beta-1a (0.22 vs. 0.39; 45% lower rate with daclizumab HYP; P<0.001). The number of new or …
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学术搜索中的文章
L Kappos, H Wiendl, K Selmaj, DL Arnold, E Havrdova… - New England Journal of Medicine, 2015