B cell and aquaporin‐4 antibody relationships with neuromyelitis optica spectrum disorder activity

Bennett JL., Pittock SJ., Paul F., Kim HJ., Irani SR., O'Connor KC., Patterson KR., Smith MA., Gunsior M., Mittereder N., Rees WA., Cimbora D., Cree BAC.

AbstractThis post hoc analysis of the randomized, placebo‐controlled N‐MOmentum study (NCT02200770) of inebilizumab in neuromyelitis optica spectrum disorder (NMOSD) evaluated relationships between circulating B‐cell subsets and aquaporin‐4 immunoglobulin G (AQP4‐lgG) titers and attacks. Among participants receiving placebo, CD20+ and CD27+ B‐cell counts were modestly increased from the pre‐attack visit to attack; plasmablast/plasma cell gene signature was increased from baseline to the pre‐attack visit (p = 0.016) and from baseline to attack (p = 0.009). With inebilizumab treatment, B‐cell subset counts decreased and did not increase with attacks. No difference in change of AQP4‐IgG titers from baseline to time of attack was observed.

DOI

10.1002/acn3.52171

Type

Journal article

Publisher

Wiley

Publication Date

2024-10-01T00:00:00+00:00

Volume

11

Pages

2792 - 2798

Total pages

6

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