Mavrilimumab: a unique insight and update on the current status in the treatment of rheumatoid arthritis
Chiara Crotti, Martina Biggioggero, Andrea Becciolini, Elena Agape & Ennio Giulio Favalli ORCID Icon
Received 24 Jan 2019, Accepted 11 Jun 2019, Published online: 17 Jun 2019
Download citation https://doi.org/10.1080/13543784.2019.1631795
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ABSTRACT
Introduction: Rheumatoid arthritis (RA) is a chronic, systemic, autoimmune disease, which affects joints and extra-articular structures. Nowadays, the armamentarium of therapeutic options is progressively expanding and embraces several mechanisms of action: TNF inhibition, B-cell depletion, T-cell co-stimulation inhibition, IL-6 blockade, and JAK-inhibition. Granulocyte-Monocyte-Colony-Stimulating-Factor (GM-CSF) is a mediator acting as a cytokine with a proven pathogenetic role in RA, providing a potential alternative target for the management of the disease. Mavrilimumab is a monoclonal antibody against GM-CSF receptor, which has been successfully tested in RA patients.
Areas covered: Beginning with a description of the preclinical evidence and the rationale for GM-CSF blockade in RA, this review will provide a wide overview of mavrilimumab efficacy and safety profile by analyzing phase I/II RCTs conducted in patients with moderate to severe RA.
Expert opinion: According to the promising results from phase I-II RCTs, mavrilimumab could be considered as an additional therapeutic option for RA patients multi-resistant to the available targeted drugs. However, the optimal dose and the profile of this new drug should be confirmed in phase III RCTs before the marketing.
KEYWORDS: Biologic agents, efficacy, Granulocyte-macrophage colony-stimulating factor, mavrilimumab, rheumatoid arthritis, safety
Chiara Crotti, Martina Biggioggero, Andrea Becciolini, Elena Agape & Ennio Giulio Favalli ORCID Icon
Received 24 Jan 2019, Accepted 11 Jun 2019, Published online: 17 Jun 2019
Download citation https://doi.org/10.1080/13543784.2019.1631795
Select Language▼
Translator disclaimer
ABSTRACT
Introduction: Rheumatoid arthritis (RA) is a chronic, systemic, autoimmune disease, which affects joints and extra-articular structures. Nowadays, the armamentarium of therapeutic options is progressively expanding and embraces several mechanisms of action: TNF inhibition, B-cell depletion, T-cell co-stimulation inhibition, IL-6 blockade, and JAK-inhibition. Granulocyte-Monocyte-Colony-Stimulating-Factor (GM-CSF) is a mediator acting as a cytokine with a proven pathogenetic role in RA, providing a potential alternative target for the management of the disease. Mavrilimumab is a monoclonal antibody against GM-CSF receptor, which has been successfully tested in RA patients.
Areas covered: Beginning with a description of the preclinical evidence and the rationale for GM-CSF blockade in RA, this review will provide a wide overview of mavrilimumab efficacy and safety profile by analyzing phase I/II RCTs conducted in patients with moderate to severe RA.
Expert opinion: According to the promising results from phase I-II RCTs, mavrilimumab could be considered as an additional therapeutic option for RA patients multi-resistant to the available targeted drugs. However, the optimal dose and the profile of this new drug should be confirmed in phase III RCTs before the marketing.
KEYWORDS: Biologic agents, efficacy, Granulocyte-macrophage colony-stimulating factor, mavrilimumab, rheumatoid arthritis, safety
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