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Complement Inhibitors in NMOSD

Key Takeaways

  • Ravulizumab, a complement inhibitor, is FDA-approved for NMOSD, offering a longer half-life than eculizumab, allowing for extended dosing intervals.
  • The standard dosing regimen for ravulizumab includes an initial loading dose followed by maintenance doses every eight weeks.
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Sean Pittock, MD, discusses how complement inhibitors are positioned in the treatment landscape of neuromyelitis optica spectrum disorder, providing an overview of ravulizumab, the most recent FDA-approved treatment, including its development rationale, half-life, dosing regimen, and new signals from the recently presented 138-week long-term extension data at EAN 2024.

Video content above is prompted by the following:

  1. Where do complement inhibitors fit in the treatment landscape of neuromyelitis optica spectrum disorder (NMOSD)? Which complement inhibitors are approved for NMOSD?
  2. Please provide an overview of ravulizumab, the most recent FDA-approved treatment for NMOSD, the rationale for its development, half-life, and dosing regimen.
  3. Long-term extension (138-week) data with ravulizumab were recently presented at EAN 2024. 
  4. Are there any new signals in the long-term extension study?
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