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Natalizumab

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anti–JC virus antibodies. When the risk of PML was evaluated according to three risk factors, it was lowest among the patients who had used natalizumab for the shortest periods, those who had used few if any immunosuppressant drugs to treat MS in the past, and lastly who were negative for anti–JC virus antibodies. The incidence of PML in the low risk group was estimated to be 0.09 cases, or less, per 1000 patients. Patients who had taken natalizumab for longer, from 25 to 48 months, who were positive for anti–JC virus antibodies, had taken immunosuppressants before the initiation of natalizumab therapy had the highest risk of developing PML. Their risk is fully 123 times higher than the low risk group. (incidence, 11.1 cases per 1000 patients ). While none of them had taken the drug in combination with other disease-modifying treatments, previous use of MS treatments increases the risk of PML between 3 and 4-fold. In 2016, EMA recommended all people taking natalizumab should undergo full MRI scans at least once a year due to concerns of progressive multifocal leukoencephalopathy (PML). In addition, more frequent MRI scans (e.g. every 3 to 6 months) should be performed using simplified protocols should be considered for those at higher risk of PML.
1143:. In February 2005, four months after its approval, natalizumab was withdrawn voluntarily by the manufacturer after two cases of progressive multifocal leukoencephalopathy. Groups representing individuals with MS lobbied to have the drug returned to the US market and in June 2006, after recommendation by an advisory committee and a review of two years of safety and efficacy data, the FDA re-approved natalizumab for patients with all relapsing forms of MS (relapse-remitting, secondary-progressive, and progressive-relapsing) as a 1086:, indications of PML infection appeared only after natalizumab monotherapy was re-introduced. No deaths from progressive multifocal leukoencephalopathy have been linked to natalizumab when it was not combined with other immune-modulating drugs and other rates of opportunistic infections are not increased in patients taking natalizumab possibly due to the drug's mechanism of action. Other than a prior history of PML, there is no known method to identify patients at risk of developing PML. Natalizumab's label indicates that it is 624: 914: 138: 25: 117: 6318: 1775: 1192:(EMA) adopted a positive opinion, recommending the granting of a marketing authorization for the medicinal product Tyruko, intended for the treatment of multiple sclerosis. The applicant for this medicinal product is Sandoz GmbH. Tyruko was approved for medical use in the European Union in September 2023. 772:
Natalizumab offers a limited improvement in efficacy compared to other treatments for multiple sclerosis, but due to the lack of information about long-term use, as well as potentially fatal adverse events, reservations have been expressed over the use of the drug outside of comparative research with
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for the treatment of multiple sclerosis and Crohn's disease. It is indicated to treat clinically isolated syndrome – a single, first occurrence of multiple sclerosis symptoms; relapsing-remitting disease – a type of multiple sclerosis that occurs when people have episodes of new neurological symptoms
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It was first observed in seven patients who received natalizumab in late 2008; three cases were noted in clinical trials in 2006 leading to the drug being temporarily pulled from the market; two cases were reported to the FDA in August 2008; and two cases were announced in December 2008. By January
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often used in the treatment of multiple sclerosis. After a review of safety information and no further deaths, the drug was returned to the US market in 2006 under a special prescription program. As of June 2009, ten cases of PML were known. However, twenty-four cases of PML had been reported since
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Natalizumab, is a monoclonal antibody which targets a protein called α4β1 integrin on white blood cells involved in inflammation. By attaching to integrin, natalizumab is thought to stop white blood cells from entering the brain and spinal cord tissue, thereby reducing inflammation and the resulting
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accompanying the drug will be updated to include this information. As of February 2012, there were 212 confirmed cases of PML among 99,571 patients treated with natalizumab (2.1 cases per 1000 patients). All 54 patients with PML for whom samples were available before the diagnosis were positive for
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may produce immunosuppression, and the Tysabri prescribing information recommends that people taking corticosteroids for the treatment of Crohn's disease have their doses reduced before starting natalizumab treatment. The risk of developing PML was later estimated to be 1 in 1,000 (0.1%) over 18
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People with rapidly evolving severe relapsing remitting multiple sclerosis defined by two or more disabling relapses in one year, and with one or more Gadolinium enhancing lesions on brain MRI or a significant increase in T2 lesion load as compared to a previous recent
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In 2007, the EMA rejected the application to market natalizumab for Crohn's disease due to concerns over its risk/benefit ratio. In January 2008, the FDA approved it for the induction of remission and maintenance of remission for moderate to severe Crohn's disease.
809:, a viral infection of the brain that usually leads to death or severe disability. Risk factors for the development of progressive multifocal leukoencephalopathy include the presence of anti-JCV antibodies (antibodies to the 817:
2010, the FDA noted a total of 31 confirmed cases of PML, with the chance of developing the infection increasing as the number of infusions received by a patient increased. Because of this association, the drug label and
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Kappos L, Bates D, Edan G, Eraksoy M, Garcia-Merino A, Grigoriadis N, et al. (August 2011). "Natalizumab treatment for multiple sclerosis: updated recommendations for patient selection and monitoring".
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followed by periods of stability; and active secondary progressive disease – when, following a relapsing-remitting course, patients experience gradual disability worsening with continued relapses.
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Kappos L, Bates D, Hartung HP, Havrdova E, Miller D, Polman CH, et al. (May 2007). "Natalizumab treatment for multiple sclerosis: recommendations for patient selection and monitoring".
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can appear as soon as six days after an initial dose; reactions are unpredictable and may appear even if the patient does not react to previous treatment. Such signs reoccur upon
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individuals or those with a history of PML. Due to the uncertain risk of PML, natalizumab is only available through a restricted distribution program. By January 2010, the
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states that the drug has only been linked to PML when combined with other immune-modulating drugs and natalizumab is contraindicated for use with other immunomodulators.
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The most common side effects are urinary tract infection, nasopharyngitis (inflammation of the nose and throat), headache, dizziness, nausea, joint pain and tiredness.
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Pucci E, Giuliani G, Solari A, Simi S, Minozzi S, Di Pietrantonj C, et al. (October 2011). "Natalizumab for relapsing remitting multiple sclerosis".
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recommended authorizing natalizumab to treat relapsing-remitting MS, and natalizumab was approved for medical use in the European Union in June 2006.
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its reintroduction by October 2009, showing a sharp rise in the number of fatalities and prompting a review of the chemical for human use by the
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People with highly active disease activity despite a full and adequate course of treatment with at least one disease modifying therapy (DMT), or
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Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
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Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
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was reported in a patient being treated for Crohn's disease. Though the patient was being treated with natalizumab in combination with
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and exacerbation of Crohn's disease in a minority of patients with the condition. Adolescents with Crohn's disease experience headache,
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Biogen Idec announced the initiation of the first clinical trial of natalizumab as a potential cancer treatment as of September 2008.
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About 6% of the people in studies developed long-lasting antibodies against natalizumab, which reduced the medicine's effectiveness.
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or second-line therapy. Patients taking natalizumab must enter into a registry for monitoring. Natalizumab is the only drug after
2511:"Progressive multifocal leukoencephalopathy complicating treatment with natalizumab and interferon beta-1a for multiple sclerosis" 3814: 3783: 3659: 3649: 3606: 3460: 3427: 3407: 3748: 1678: 1492: 5089: 3380: 2050:"FDA Drug Safety Communication: Risk of Progressive Multifocal Leukoencephalopathy (PML) with the use of Tysabri (natalizumab)" 1447: 373: 273: 1296: 1003:
into the brain's parenchyma, and also reduced lesioning, though it is uncertain if this is clinically significant for humans.
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Rice GP, Hartung HP, Calabresi PA (2005). "Anti-alpha4 integrin therapy for multiple sclerosis: mechanisms and rationale".
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or other evidence of significant liver damage. This rate is comparable to other immune-suppressing drugs. Evidence of
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injury, leading to the FDA, EMEA and manufacturers recommending that the medication be discontinued in patients with
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gene. In animals used to model MS and test therapies, repeated administration of natalizumab reduced migration of
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Though the small number of cases precludes conclusion on the ability of natalizumab alone to induce PML, its
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is believed to be the prevention of immune cells from crossing blood vessel walls to reach affected organs.
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In August 2023, the FDA approved approved Tyruko (natalizumab-sztn) and granted approval to Sandoz Inc.
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in adults with highly active relapsing remitting multiple sclerosis for the following patient groups:
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Aksamit AJ (November 2006). "Review of progressive multifocal leukoencephalopathy and natalizumab".
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in some patients, indicating that damage is not coincidental. In the absence of any blockage these
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Bloomgren G, Richman S, Hotermans C, Subramanyam M, Goelz S, Natarajan A, et al. (May 2012).
1440:"Tysabri 300 mg concentrate for solution for infusion - Summary of Product Characteristics (SmPC)" 5739: 5698: 5538: 5330: 5080: 4181: 3616: 3500: 3495: 3490: 3480: 2936: 2848: 2789: 2746: 2703: 2491: 2440: 2369: 2164: 2146: 1132: 1063: 925: 736: 685: 677: 303: 5120: 4978: 2593:"Evaluation of patients treated with natalizumab for progressive multifocal leukoencephalopathy" 2194: 1031: 828:
in early 2008 revealed that 0.1% of people taking natalizumab experience clinically significant
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Van Assche G, Van Ranst M, Sciot R, Dubois B, Vermeire S, Noman M, et al. (July 2005).
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by its manufacturer after it was linked with three cases of the rare neurological condition
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Clerico M, Artusi CA, Liberto AD, Rolla S, Bardina V, Barbero P, et al. (April 2017).
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Yousry TA, Major EO, Ryschkewitsch C, Fahle G, Fischer S, Hou J, et al. (March 2006).
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Natalizumab appears to interact with other immune-modulating drugs to increase the risk of
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on the surfaces of cells. The effect appears to occur on endothelial cells expressing the
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Natalizumab was approved for medical use in the United States in 2004. It was subsequently
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Ransohoff RM (August 2007). ""Thinking without thinking" about natalizumab and PML".
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added natalizumab to Schedule F of the Food and Drug Regulations in April 2008, as a
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and the VCAM-1 gene may also play a part in CD but its role is not yet clear.
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reported a total of 31 confirmed cases of PML associated with natalizumab.
979:. Natalizumab appears to reduce the transmission of immune cells into the 2097: 2080: 2016:"Natalizumab Injection for Intraveneous {{sic}} Use (marketed as Tysabri)" 5522: 5445: 5355: 5325: 5140: 5015: 4704: 4212: 4122: 4058: 3980: 3535: 3324: 3240: 2608: 2568: 2551: 2527: 2510: 2458:
Zohren F, Toutzaris D, Klarner V, Hartung HP, Kieseier B, Haas R (2008).
1991: 1974: 1826:"Natalizumab: A new treatment for relapsing remitting multiple sclerosis" 1621: 1059: 932: 918: 884: 833: 810: 507: 287: 201: 3155:"Sandoz granted positive CHMP opinion for multiple sclerosis biosimilar" 2550:
Langer-Gould A, Atlas SW, Green AJ, Bollen AW, Pelletier D (July 2005).
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if you can. Unsourced or poorly sourced material may be challenged and
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in the small intestine and are critical in guiding T-lymphocytes to
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Individuals with MS dosed with natalizumab demonstrated increased
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This article incorporates text from this source, which is in the
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developed PML. One died, and the other recovered with disabling
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Medication used to treat multiple sclerosis and Crohn's disease
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withdrawn for safety reasons that returned to the US market.
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have found higher levels of VCAM-1 expression in mice with
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Megalencephalic leukoencephalopathy with subcortical cysts
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The US prescribing information for natalizumab contains a
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In the European Union, natalizumab is indicated as single
702:. The drug is believed to work by reducing the ability of 3224:"Natalizumab in Multiple Sclerosis: Long-Term Management" 709:
to attach to and pass through the cell layers lining the
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months though the longer term risks of PML are unknown.
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Fiore D (2007). "Multiple sclerosis and Natalizumab".
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Lesional demyelinations of the central nervous system
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Natalizumab was originally approved for treatment of
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are predictors of severe liver injury with possible
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Natalizumab is used as a 3718:Leukoencephalopathy with vanishing white matter 2638: 2636: 2195:"FDA MedWatch - 2008 Safety Information Alerts" 1968: 1966: 1964: 1819: 1817: 1815: 1536: 1534: 1532: 1530: 1528: 1526: 1524: 1522: 1520: 1518: 495: 146:bound to the headpiece of an α4-integrin. From 1186:Committee for Medicinal Products for Human Use 1156:Committee for Medicinal Products for Human Use 49:Please review the contents of the article and 5257: 3815: 3282: 1253: 1251: 1249: 1018:The interaction of the α4β7 integrin and the 8: 1289:"Natalizumab (Tysabri) Use During Pregnancy" 735:(PML) when administered in combination with 676:among others, is a medication used to treat 291: 128: 1877:The Cochrane Database of Systematic Reviews 1611: 1609: 1607: 443:In general: ℞ (Prescription only) 6229: 6062: 5289: 5264: 5250: 5242: 4136: 4127: 4118: 4046: 3852: 3822: 3808: 3800: 3589: 3289: 3275: 3267: 2388:Horga A, Horga de la Parte JF (2007). "". 1710:"Tysabri safety falls under EMEA scrutiny" 1096:United States Food and Drug Administration 1052:progressive multifocal leukoencephalopathy 975:through interaction with receptors on the 807:progressive multifocal leukoencephalopathy 733:progressive multifocal leukoencephalopathy 622: 136: 3670:Experimental autoimmune encephalomyelitis 3249: 3239: 2643:Berger JR (October 2006). "Natalizumab". 2616: 2567: 2526: 2477: 2096: 1990: 1851: 1841: 1830:Therapeutics and Clinical Risk Management 1679:"MS Drug Tysabri Tied to Brain Infection" 1139:, due to the drug's efficacy in one-year 551: 3774:List of multiple sclerosis organizations 2336:Panzara M, Francis V (1 February 2008). 912: 840:in the form of elevated blood levels of 6313: 1204: 1135:in 2004, through the FDA's accelerated 618: 515: 264: 3779:List of people with multiple sclerosis 3655:Neuromyelitis optica spectrum disorder 3602:Neuromyelitis optica spectrum disorder 2837: 2835: 2331: 2329: 2327: 1352:Therapeutic Goods Administration (TGA) 127: 1689:from the original on 20 November 2018 1299:from the original on 23 November 2020 963:of MS are believed to be caused when 899:and exacerbation of Crohn's disease. 764:In the United states, natalizumab is 591: 250: 7: 3754:Mitochondrial DNA depletion syndrome 3640:Acute disseminated encephalomyelitis 2856:from the original on 11 January 2016 2820:from the original on 29 October 2013 2680:Journal of the Neurological Sciences 2312:from the original on 7 November 2016 2175:from the original on 23 January 2021 1720:from the original on 23 January 2021 1628:from the original on 26 January 2012 1450:from the original on 22 October 2020 1269:from the original on 28 October 2023 355: 3199:from the original on 28 August 2021 3134:from the original on 25 August 2023 3011:from the original on 18 August 2011 2597:The New England Journal of Medicine 2556:The New England Journal of Medicine 2515:The New England Journal of Medicine 2085:The New England Journal of Medicine 1979:The New England Journal of Medicine 1763:from the original on 25 August 2023 1420:from the original on 25 August 2023 1358:from the original on 25 August 2023 1234:from the original on 25 August 2023 571: 2735:10.1097/01.nrl.0000250948.04681.96 2429:10.1212/01.WNL.0000158329.30470.D0 2060:from the original on 24 April 2019 1555:from the original on 6 August 2020 1503:from the original on 27 March 2020 14: 3165:from the original on 24 July 2023 3064:from the original on 18 July 2009 2971:from the original on 10 July 2007 1759:(Press release). 24 August 2023. 1654:. 10 October 2018. Archived from 1585:. 22 October 2009. Archived from 6316: 3784:Multiple sclerosis drug pipeline 3660:Diffuse myelinoclastic sclerosis 3650:Marburg acute multiple sclerosis 3607:Diffuse myelinoclastic sclerosis 3461:Management of multiple sclerosis 3428:Radiologically isolated syndrome 3408:Expanded Disability Status Scale 3098:from the original on 23 May 2009 2913:American Journal of Therapeutics 2892:from the original on 17 May 2017 2358:from the original on 12 May 2009 2205:from the original on 25 May 2009 1773: 1493:"Tysabri- natalizumab injection" 1388:from the original on 3 July 2022 985:α4β7-integrin receptor molecules 115: 23: 3381:Diagnosis of multiple sclerosis 871:Common adverse effects include 3665:Tumefactive multiple sclerosis 3577:Research in multiple sclerosis 3297:Demyelinating diseases of the 2657:10.1358/dot.2006.42.10.1042190 1945:Greene RT (15 December 2008). 1885:10.1002/14651858.CD007621.pub2 51:add the appropriate references 1: 3185:"Biosimilar Drug Information" 3121:"Tyruko: Pending EC decision" 2778:10.1016/S1474-4422(07)70078-9 2135:10.1016/S1474-4422(11)70149-1 1616:Jeffrey S (5 February 2010). 1408:"Tysabri Product information" 3887:dihydroorotate dehydrogenase 3744:Central pontine myelinolysis 3713:Pelizaeus–Merzbacher disease 3708:Metachromatic leukodystrophy 3403:Clinically isolated syndrome 3374:Investigations and diagnosis 3191:Food and Drug Administration 3092:Food and Drug Administration 2925:10.1097/MJT.0b013e31804bfa6a 2883:Food and Drug Administration 2479:10.1182/blood-2007-10-120329 2199:Food and Drug Administration 2022:Food and Drug Administration 1755:Food and Drug Administration 1708:Staton T (26 October 2009). 805:about the increased risk of 750:Food and Drug Administration 672:, sold under the brand name 3866:purine synthesis inhibitors 3749:Marchiafava–Bignami disease 1800:(93): 7–10. February 2008. 1168:requiring oversight from a 36:reliable medical references 6365: 1824:Hutchinson M (June 2007). 826:Postmarketing surveillance 635:Chemical and physical data 6267: 4051:IL-1 receptor antagonists 3645:Balo concentric sclerosis 3126:European Medicines Agency 3038:European Medicines Agency 3004:(8): 649. 16 April 2008. 2962:European Medicines Agency 2692:10.1016/j.jns.2006.04.011 2261:European Medicines Agency 2232:European Medicines Agency 2201:(FDA). 28 February 2008. 2169:European Medicines Agency 1914:European Medicines Agency 1843:10.2147/tcrm.2007.3.2.259 1677:Hitti M (1 August 2008). 1583:European Medicines Agency 1547:European Medicines Agency 1263:European Medicines Agency 1190:European Medicines Agency 782:disease modifying therapy 746:European Medicines Agency 729:withdrawn from the market 649: 135: 42:or relies too heavily on 4924:Anti-lymphocyte globulin 3094:(FDA). 14 January 2008. 2842:Pollack (9 March 2006). 2304:Gross K (3 March 2008). 1040:irritable bowel syndrome 983:by interfering with the 236:natalizumab-sztn, Tyruko 4919:Anti-thymocyte globulin 3831:Immunosuppressive drugs 2291:5 December 2008 at the 1794:Prescrire International 1056:opportunistic infection 1013: 917:Structure of a generic 4724:Interleukin-6 receptor 4150:Complement component 5 3586:Demyelinating diseases 3299:central nervous system 2964:(EMA). 28 April 2006. 1054:(PML), an often-fatal 981:central nervous system 921: 741:immunosuppressive drug 693:cell adhesion molecule 6339:Monoclonal antibodies 5351:Camidanlumab tesirine 5273:Monoclonal antibodies 2998:Canada Gazette Part I 2885:(FDA). 20 July 2007. 2766:The Lancet. Neurology 2098:10.1056/NEJMoa1107829 1551:. 17 September 2018. 1295:. 24 September 2019. 1265:. 28 September 2023. 995:cells expressing the 931:against alpha-4 (α4) 916: 862:liver transplantation 6026:Chimeric + humanized 5555:Nivolumab/relatlimab 3688:Adrenoleukodystrophy 3612:MOG antibody disease 3414:Serological and CSF 3365:Uhthoff's phenomenon 3241:10.3390/ijms18050940 2816:. 5 September 2008. 2609:10.1056/NEJMoa054693 2569:10.1056/NEJMoa051847 2528:10.1056/NEJMoa051782 2375:11 June 2008 at the 2280:11 June 2008 at the 1992:10.1056/NEJMoa051586 1446:. 14 November 2019. 943:, and natalizumab's 854:liver function tests 700:intravenous infusion 3516:Monomethyl fumarate 3195:. 1 November 2023. 2030:on 19 December 2008 1592:on 27 December 2009 1416:. 22 October 2009. 1154:In April 2006, the 1122:Society and culture 973:blood–brain barrier 945:mechanism of action 929:monoclonal antibody 909:Mechanism of action 879:with a low risk of 715:blood–brain barrier 689:monoclonal antibody 416:(Prescription only) 391:(Prescription only) 226:AN100226M, Antegren 162:Monoclonal antibody 132: 6344:Immunosuppressants 6294:Never to phase III 5740:Certolizumab pegol 5707:Immunosuppressive: 5081:Diroximel fumarate 4754:IL-2 receptor/CD25 4182:Certolizumab pegol 3835:Immunosuppressants 3617:Multiple sclerosis 3501:Interferon beta-1b 3496:Interferon beta-1a 3491:Glatiramer acetate 3481:Diroximel fumarate 3454:Approved treatment 3307:Signs and symptoms 3040:. 15 November 2007 2849:The New York Times 1658:on 28 October 2021 1499:. 12 August 2019. 1354:. 12 August 2022. 1184:In July 2023, the 1137:Fast Track program 1133:multiple sclerosis 1064:interferon beta-1a 951:Multiple sclerosis 924:Natalizumab is a 922: 877:allergic reactions 737:interferon beta-1a 678:multiple sclerosis 6304: 6303: 6263: 6262: 6218: 6217: 6052: 6051: 6007:Immune activation 5499:Immune activation 5301:Immunosuppression 5239: 5238: 5086:Efgartigimod alfa 5076:Dimethyl fumarate 5004: 5003: 4932: 4931: 4905: 4904: 4110: 4109: 4036: 4035: 3877:Mycophenolic acid 3797: 3796: 3762: 3761: 3693:Alexander disease 3476:Dimethyl fumarate 3418:Oligoclonal bands 3386:McDonald criteria 2960:(Press release). 2171:. 25 April 2016. 2091:(20): 1870–1880. 1923:on 20 August 2007 1166:prescription drug 1103:black box warning 1028:lymphatic tissues 977:endothelial cells 971:pass through the 937:white blood cells 698:. It is given by 667: 666: 604:CompTox Dashboard 439: 424: 411: 398: 386: 318: 285: 124: 123: 100: 6356: 6321: 6320: 6319: 6312: 6230: 6063: 5621:Zolimomab aritox 5611:Telimomab aritox 5290: 5266: 5259: 5252: 5243: 4882:Telimomab aritox 4785:Zolimomab aritox 4606:CD62L/L-selectin 4344:Immunoglobulin E 4137: 4128: 4119: 4047: 3853: 3824: 3817: 3810: 3801: 3590: 3560:Other treatments 3438:Dawson's fingers 3291: 3284: 3277: 3268: 3263: 3253: 3243: 3209: 3208: 3206: 3204: 3181: 3175: 3174: 3172: 3170: 3161:. 24 July 2023. 3151: 3145: 3143: 3141: 3139: 3130:. 21 July 2023. 3117: 3108: 3107: 3105: 3103: 3084: 3078: 3077: 3073: 3071: 3069: 3063: 3056: 3049: 3047: 3045: 3035: 3027: 3021: 3020: 3018: 3016: 3010: 2995: 2987: 2981: 2980: 2978: 2976: 2970: 2959: 2951: 2945: 2944: 2908: 2902: 2901: 2899: 2897: 2891: 2880: 2872: 2866: 2865: 2863: 2861: 2839: 2830: 2829: 2827: 2825: 2813:The Boston Globe 2804: 2798: 2797: 2761: 2755: 2754: 2718: 2712: 2711: 2675: 2669: 2668: 2640: 2631: 2630: 2620: 2588: 2582: 2581: 2571: 2547: 2541: 2540: 2530: 2506: 2500: 2499: 2481: 2455: 2449: 2448: 2412: 2406: 2405: 2385: 2379: 2367: 2365: 2363: 2357: 2342: 2333: 2322: 2321: 2319: 2317: 2301: 2295: 2272: 2270: 2268: 2258: 2250: 2244: 2243: 2241: 2239: 2229: 2221: 2215: 2214: 2212: 2210: 2191: 2185: 2184: 2182: 2180: 2161: 2155: 2154: 2123:Lancet Neurology 2117: 2111: 2110: 2100: 2076: 2070: 2069: 2067: 2065: 2046: 2040: 2039: 2037: 2035: 2026:. Archived from 2011: 2005: 2004: 1994: 1970: 1959: 1958: 1956: 1954: 1942: 1933: 1932: 1930: 1928: 1922: 1916:. Archived from 1911: 1903: 1897: 1896: 1879:(10): CD007621. 1872: 1866: 1865: 1855: 1845: 1821: 1810: 1809: 1789: 1783: 1777: 1776: 1772: 1770: 1768: 1745: 1730: 1729: 1727: 1725: 1705: 1699: 1698: 1696: 1694: 1674: 1668: 1667: 1665: 1663: 1644: 1638: 1637: 1635: 1633: 1613: 1602: 1601: 1599: 1597: 1591: 1580: 1572: 1566: 1564: 1562: 1560: 1538: 1513: 1512: 1510: 1508: 1489: 1460: 1459: 1457: 1455: 1436: 1430: 1429: 1427: 1425: 1404: 1398: 1397: 1395: 1393: 1374: 1368: 1367: 1365: 1363: 1344: 1338: 1337: 1335: 1333: 1323:nctr-crs.fda.gov 1315: 1309: 1308: 1306: 1304: 1285: 1279: 1278: 1276: 1274: 1255: 1244: 1243: 1241: 1239: 1233: 1226: 1218: 1092:immunosuppressed 663: 662: 655: 627: 626: 612: 610: 595: 575: 555: 519: 499: 473: 437: 434: 429: 422: 419: 409: 406: 403: Schedule D 397: 394: 384: 381: 359: 316: 313: 295: 284: 281: 268: 254: 154: 140: 133: 131: 119: 118: 110: 107: 101: 99: 58: 27: 26: 19: 6364: 6363: 6359: 6358: 6357: 6355: 6354: 6353: 6349:Withdrawn drugs 6329: 6328: 6327: 6317: 6315: 6307: 6305: 6300: 6299: 6284:Clinical trials 6259: 6214: 6198: 6127: 6048: 6039:Rozanolixizumab 6027: 6021: 6013: 6002: 5815:Lulizumab pegol 5693: 5625: 5559: 5279: 5270: 5240: 5235: 5181:Rozanolixizumab 5066:Deucravacitinib 5000: 4928: 4901: 4790: 4439: 4433: 4141: 4106: 4063: 4042: 4032: 3990: 3930: 3921: 3857:Antimetabolites 3848: 3842: 3828: 3798: 3793: 3789:Pathophysiology 3758: 3732: 3728:CAMFAK syndrome 3698:Canavan disease 3674: 3626: 3581: 3555: 3449: 3369: 3301: 3295: 3221: 3218: 3216:Further reading 3213: 3212: 3202: 3200: 3183: 3182: 3178: 3168: 3166: 3153: 3152: 3148: 3137: 3135: 3119: 3118: 3111: 3101: 3099: 3086: 3085: 3081: 3075: 3067: 3065: 3061: 3054: 3050: 3043: 3041: 3033: 3029: 3028: 3024: 3014: 3012: 3008: 2993: 2989: 2988: 2984: 2974: 2972: 2968: 2957: 2953: 2952: 2948: 2910: 2909: 2905: 2895: 2893: 2889: 2878: 2874: 2873: 2869: 2859: 2857: 2841: 2840: 2833: 2823: 2821: 2806: 2805: 2801: 2763: 2762: 2758: 2723:The Neurologist 2720: 2719: 2715: 2677: 2676: 2672: 2651:(10): 639–655. 2642: 2641: 2634: 2590: 2589: 2585: 2549: 2548: 2544: 2508: 2507: 2503: 2457: 2456: 2452: 2414: 2413: 2409: 2387: 2386: 2382: 2377:Wayback Machine 2361: 2359: 2355: 2340: 2335: 2334: 2325: 2315: 2313: 2303: 2302: 2298: 2293:Wayback Machine 2282:Wayback Machine 2266: 2264: 2263:. 20 March 2008 2256: 2252: 2251: 2247: 2237: 2235: 2234:. 20 March 2008 2227: 2223: 2222: 2218: 2208: 2206: 2193: 2192: 2188: 2178: 2176: 2163: 2162: 2158: 2119: 2118: 2114: 2078: 2077: 2073: 2063: 2061: 2048: 2047: 2043: 2033: 2031: 2013: 2012: 2008: 1972: 1971: 1962: 1952: 1950: 1949:. Bloomberg.com 1944: 1943: 1936: 1926: 1924: 1920: 1909: 1905: 1904: 1900: 1874: 1873: 1869: 1823: 1822: 1813: 1791: 1790: 1786: 1774: 1766: 1764: 1747: 1746: 1733: 1723: 1721: 1707: 1706: 1702: 1692: 1690: 1676: 1675: 1671: 1661: 1659: 1646: 1645: 1641: 1631: 1629: 1615: 1614: 1605: 1595: 1593: 1589: 1578: 1574: 1573: 1569: 1558: 1556: 1540: 1539: 1516: 1506: 1504: 1491: 1490: 1463: 1453: 1451: 1438: 1437: 1433: 1423: 1421: 1406: 1405: 1401: 1391: 1389: 1376: 1375: 1371: 1361: 1359: 1346: 1345: 1341: 1331: 1329: 1317: 1316: 1312: 1302: 1300: 1287: 1286: 1282: 1272: 1270: 1257: 1256: 1247: 1237: 1235: 1231: 1224: 1220: 1219: 1206: 1201: 1182: 1141:clinical trials 1129: 1124: 1116: 1107:Corticosteroids 1088:contraindicated 1080:corticosteroids 1048: 1032:Peyer's patches 1016: 1014:Crohn's disease 953: 911: 905: 799: 797:Adverse effects 762: 682:Crohn's disease 658: 656: 653:(what is this?) 650: 645:149 kg/mol 630: 606: 598: 578: 558: 538: 522: 502: 471: 460:Bioavailability 452:Pharmacokinetic 446: 427: 363: 331: 324: 305: 298: 218:Tysabri, others 156: 150: 120: 116: 111: 105: 102: 59: 48: 44:primary sources 28: 24: 17: 12: 11: 5: 6362: 6360: 6352: 6351: 6346: 6341: 6331: 6330: 6326: 6325: 6302: 6301: 6298: 6297: 6296: 6295: 6292: 6281: 6275: 6269: 6268: 6265: 6264: 6261: 6260: 6258: 6257: 6252: 6247: 6242: 6236: 6234: 6227: 6220: 6219: 6216: 6215: 6213: 6212: 6206: 6204: 6200: 6199: 6197: 6196: 6191: 6186: 6181: 6176: 6171: 6166: 6161: 6156: 6151: 6146: 6141: 6135: 6133: 6129: 6128: 6126: 6125: 6120: 6115: 6110: 6105: 6100: 6095: 6090: 6085: 6080: 6075: 6069: 6067: 6060: 6054: 6053: 6050: 6049: 6047: 6046: 6041: 6036: 6030: 6028: 6023: 6022: 6004: 6003: 5997: 5992: 5987: 5982: 5977: 5972: 5967: 5962: 5957: 5952: 5947: 5942: 5937: 5932: 5927: 5922: 5917: 5912: 5907: 5902: 5897: 5892: 5887: 5882: 5877: 5872: 5867: 5862: 5857: 5852: 5847: 5842: 5839:+hyaluronidase 5832: 5827: 5822: 5817: 5812: 5807: 5802: 5797: 5792: 5787: 5782: 5777: 5772: 5767: 5762: 5757: 5752: 5747: 5742: 5737: 5732: 5727: 5722: 5717: 5712: 5703: 5701: 5695: 5694: 5692: 5691: 5686: 5681: 5676: 5671: 5666: 5661: 5656: 5651: 5646: 5641: 5635: 5633: 5627: 5626: 5624: 5623: 5618: 5613: 5608: 5603: 5598: 5593: 5588: 5583: 5578: 5573: 5567: 5565: 5561: 5560: 5558: 5557: 5547: 5546: 5541: 5536: 5526: 5525: 5520: 5515: 5510: 5505: 5495: 5494: 5489: 5484: 5479: 5474: 5469: 5464: 5459: 5454: 5449: 5443: 5438: 5433: 5428: 5423: 5418: 5413: 5408: 5403: 5398: 5393: 5388: 5383: 5378: 5373: 5368: 5363: 5358: 5353: 5348: 5343: 5338: 5333: 5328: 5323: 5318: 5313: 5308: 5296: 5294: 5287: 5281: 5280: 5271: 5269: 5268: 5261: 5254: 5246: 5237: 5236: 5234: 5233: 5228: 5223: 5218: 5213: 5208: 5203: 5198: 5193: 5188: 5183: 5178: 5173: 5168: 5163: 5158: 5153: 5148: 5143: 5138: 5133: 5128: 5123: 5118: 5113: 5108: 5103: 5098: 5093: 5090:+hyaluronidase 5083: 5078: 5073: 5071:Deuruxolitinib 5068: 5063: 5058: 5053: 5048: 5043: 5038: 5033: 5028: 5023: 5018: 5012: 5010: 5006: 5005: 5002: 5001: 4999: 4998: 4993: 4988: 4983: 4982: 4981: 4976: 4964: 4963: 4962: 4957: 4944: 4942: 4934: 4933: 4930: 4929: 4927: 4926: 4921: 4915: 4913: 4907: 4906: 4903: 4902: 4900: 4899: 4894: 4889: 4884: 4879: 4874: 4869: 4864: 4859: 4854: 4849: 4844: 4839: 4834: 4829: 4824: 4819: 4814: 4809: 4804: 4798: 4796: 4792: 4791: 4789: 4788: 4775: 4774: 4773: 4772: 4767: 4762: 4749: 4748: 4747: 4746: 4734: 4733: 4732: 4720: 4719: 4718: 4713: 4701: 4700: 4699: 4694: 4689: 4677: 4676: 4675: 4664: 4663: 4662: 4661: 4656: 4644: 4643: 4642: 4630: 4629: 4628: 4616: 4615: 4614: 4602: 4601: 4600: 4595: 4583: 4582: 4581: 4576: 4564: 4563: 4562: 4557: 4552: 4547: 4544:+hyaluronidase 4537: 4525: 4524: 4523: 4511: 4510: 4509: 4497: 4496: 4495: 4490: 4485: 4473: 4472: 4471: 4466: 4461: 4456: 4443: 4441: 4435: 4434: 4432: 4431: 4430: 4429: 4416: 4415: 4414: 4413: 4408: 4387: 4386: 4385: 4384: 4371: 4370: 4369: 4368: 4355: 4354: 4353: 4352: 4339: 4338: 4337: 4336: 4323: 4322: 4321: 4320: 4315: 4310: 4305: 4300: 4295: 4290: 4285: 4280: 4275: 4270: 4265: 4260: 4255: 4250: 4245: 4240: 4235: 4230: 4225: 4220: 4215: 4202: 4201: 4200: 4199: 4194: 4189: 4184: 4179: 4174: 4161: 4160: 4159: 4158: 4145: 4143: 4134: 4125: 4116: 4112: 4111: 4108: 4107: 4105: 4104: 4099: 4094: 4089: 4084: 4079: 4073: 4071: 4065: 4064: 4062: 4061: 4055: 4053: 4044: 4038: 4037: 4034: 4033: 4031: 4030: 4029: 4028: 4020:PDE4 inhibitor 4016: 4011: 4006: 4000: 3998: 3992: 3991: 3989: 3988: 3983: 3977: 3976: 3975: 3974: 3969: 3964: 3959: 3938: 3936: 3923: 3922: 3920: 3919: 3918: 3917: 3904: 3903: 3902: 3901: 3896: 3882: 3881: 3880: 3879: 3874: 3861: 3859: 3850: 3844: 3843: 3829: 3827: 3826: 3819: 3812: 3804: 3795: 3794: 3792: 3791: 3786: 3781: 3776: 3770: 3768: 3764: 3763: 3760: 3759: 3757: 3756: 3751: 3746: 3740: 3738: 3734: 3733: 3731: 3730: 3725: 3720: 3715: 3710: 3705: 3703:Krabbe disease 3700: 3695: 3690: 3684: 3682: 3676: 3675: 3673: 3672: 3667: 3662: 3657: 3652: 3647: 3642: 3636: 3634: 3628: 3627: 3625: 3624: 3619: 3614: 3609: 3604: 3598: 3596: 3587: 3583: 3582: 3580: 3579: 3574: 3573: 3572: 3563: 3561: 3557: 3556: 3554: 3553: 3548: 3543: 3538: 3533: 3530:+hyaluronidase 3523: 3518: 3513: 3508: 3503: 3498: 3493: 3488: 3483: 3478: 3473: 3468: 3463: 3457: 3455: 3451: 3450: 3448: 3447: 3442: 3441: 3440: 3435: 3430: 3422: 3421: 3420: 3412: 3411: 3410: 3405: 3396: 3395: 3393:Poser criteria 3390: 3389: 3388: 3377: 3375: 3371: 3370: 3368: 3367: 3362: 3357: 3355:Optic neuritis 3352: 3347: 3342: 3337: 3332: 3327: 3322: 3317: 3311: 3309: 3303: 3302: 3296: 3294: 3293: 3286: 3279: 3271: 3265: 3264: 3217: 3214: 3211: 3210: 3176: 3146: 3109: 3079: 3076:(78.5 KB) 3022: 2982: 2946: 2919:(6): 555–560. 2903: 2867: 2831: 2799: 2772:(5): 431–441. 2756: 2729:(6): 293–298. 2713: 2686:(1–2): 50–52. 2670: 2645:Drugs of Today 2632: 2603:(9): 924–933. 2583: 2562:(4): 375–381. 2542: 2521:(4): 369–374. 2501: 2450: 2423:(8): 1336–42. 2407: 2396:(5): 293–303. 2392:(in Spanish). 2380: 2323: 2296: 2286:second summary 2245: 2216: 2186: 2156: 2112: 2071: 2056:. 2 May 2010. 2041: 2006: 1985:(4): 362–368. 1960: 1934: 1898: 1867: 1836:(2): 259–268. 1811: 1784: 1731: 1700: 1669: 1639: 1603: 1567: 1542:"Tysabri EPAR" 1514: 1461: 1431: 1399: 1369: 1339: 1310: 1280: 1245: 1203: 1202: 1200: 1197: 1188:(CHMP) of the 1181: 1178: 1128: 1125: 1123: 1120: 1115: 1112: 1058:caused by the 1047: 1044: 1015: 1012: 967:cells such as 952: 949: 910: 907: 838:hepatotoxicity 819:package insert 798: 795: 794: 793: 789: 761: 758: 754:European Union 721:nerve damage. 665: 664: 647: 646: 643: 637: 636: 632: 631: 629: 628: 620:DTXSID90920506 615: 613: 600: 599: 597: 596: 588: 586: 580: 579: 577: 576: 568: 566: 560: 559: 557: 556: 548: 546: 540: 539: 537: 536: 532: 530: 524: 523: 521: 520: 512: 510: 504: 503: 501: 500: 492: 490: 484: 483: 479: 478: 475: 466: 465: 462: 456: 455: 448: 447: 445: 444: 441: 432: 417: 404: 392: 378: 376: 370: 369: 365: 364: 362: 361: 348: 346: 340: 339: 334: 332:administration 326: 325: 323: 322: 320: 310: 308: 300: 299: 297: 296: 278: 276: 270: 269: 262: 256: 255: 248: 238: 237: 234: 228: 227: 224: 220: 219: 216: 210: 209: 205: 204: 198: 192: 191: 181: 175: 174: 173:Whole antibody 171: 165: 164: 158: 157: 141: 122: 121: 114: 112: 31: 29: 22: 15: 13: 10: 9: 6: 4: 3: 2: 6361: 6350: 6347: 6345: 6342: 6340: 6337: 6336: 6334: 6324: 6314: 6310: 6293: 6291: 6288: 6287: 6285: 6282: 6279: 6276: 6274: 6271: 6270: 6266: 6256: 6253: 6251: 6248: 6246: 6243: 6241: 6238: 6237: 6235: 6231: 6228: 6226: 6223:Inflammatory 6221: 6211: 6208: 6207: 6205: 6201: 6195: 6194:Tildrakizumab 6192: 6190: 6187: 6185: 6182: 6180: 6177: 6175: 6172: 6170: 6167: 6165: 6162: 6160: 6157: 6155: 6152: 6150: 6147: 6145: 6142: 6140: 6137: 6136: 6134: 6130: 6124: 6121: 6119: 6116: 6114: 6111: 6109: 6106: 6104: 6101: 6099: 6096: 6094: 6091: 6089: 6086: 6084: 6081: 6079: 6076: 6074: 6071: 6070: 6068: 6064: 6061: 6059: 6055: 6045: 6042: 6040: 6037: 6035: 6032: 6031: 6029: 6024: 6020: 6019: 6016: 6012: 6008: 6001: 5998: 5996: 5995:Vobarilizumab 5993: 5991: 5988: 5986: 5983: 5981: 5978: 5976: 5973: 5971: 5968: 5966: 5963: 5961: 5958: 5956: 5953: 5951: 5948: 5946: 5943: 5941: 5940:Spartalizumab 5938: 5936: 5933: 5931: 5928: 5926: 5923: 5921: 5918: 5916: 5913: 5911: 5908: 5906: 5903: 5901: 5898: 5896: 5893: 5891: 5888: 5886: 5883: 5881: 5878: 5876: 5873: 5871: 5868: 5866: 5865:Pembrolizumab 5863: 5861: 5858: 5856: 5853: 5851: 5848: 5846: 5843: 5840: 5836: 5833: 5831: 5828: 5826: 5825:Mogamulizumab 5823: 5821: 5818: 5816: 5813: 5811: 5808: 5806: 5803: 5801: 5798: 5796: 5793: 5791: 5788: 5786: 5783: 5781: 5778: 5776: 5773: 5771: 5768: 5766: 5763: 5761: 5758: 5756: 5753: 5751: 5748: 5746: 5745:Crizanlizumab 5743: 5741: 5738: 5736: 5733: 5731: 5728: 5726: 5723: 5721: 5718: 5716: 5713: 5711: 5708: 5705: 5704: 5702: 5700: 5696: 5690: 5687: 5685: 5682: 5680: 5677: 5675: 5672: 5670: 5667: 5665: 5662: 5660: 5657: 5655: 5652: 5650: 5647: 5645: 5642: 5640: 5639:Andecaliximab 5637: 5636: 5634: 5632: 5628: 5622: 5619: 5617: 5614: 5612: 5609: 5607: 5604: 5602: 5599: 5597: 5594: 5592: 5589: 5587: 5584: 5582: 5579: 5577: 5574: 5572: 5569: 5568: 5566: 5562: 5556: 5552: 5549: 5548: 5545: 5542: 5540: 5537: 5535: 5531: 5528: 5527: 5524: 5521: 5519: 5516: 5514: 5511: 5509: 5506: 5504: 5500: 5497: 5496: 5493: 5490: 5488: 5485: 5483: 5480: 5478: 5475: 5473: 5470: 5468: 5465: 5463: 5460: 5458: 5455: 5453: 5450: 5447: 5444: 5442: 5439: 5437: 5434: 5432: 5429: 5427: 5424: 5422: 5419: 5417: 5414: 5412: 5409: 5407: 5404: 5402: 5399: 5397: 5394: 5392: 5389: 5387: 5384: 5382: 5379: 5377: 5374: 5372: 5369: 5367: 5364: 5362: 5359: 5357: 5354: 5352: 5349: 5347: 5344: 5342: 5339: 5337: 5334: 5332: 5329: 5327: 5324: 5322: 5319: 5317: 5314: 5312: 5309: 5307: 5303: 5302: 5298: 5297: 5295: 5291: 5288: 5286: 5285:Immune system 5282: 5278: 5277:immune system 5274: 5267: 5262: 5260: 5255: 5253: 5248: 5247: 5244: 5232: 5229: 5227: 5224: 5222: 5221:Tildrakizumab 5219: 5217: 5214: 5212: 5209: 5207: 5204: 5202: 5199: 5197: 5194: 5192: 5189: 5187: 5184: 5182: 5179: 5177: 5174: 5172: 5169: 5167: 5164: 5162: 5159: 5157: 5154: 5152: 5151:Pegcetacoplan 5149: 5147: 5144: 5142: 5139: 5137: 5134: 5132: 5129: 5127: 5124: 5122: 5119: 5117: 5114: 5112: 5109: 5107: 5104: 5102: 5099: 5097: 5094: 5091: 5087: 5084: 5082: 5079: 5077: 5074: 5072: 5069: 5067: 5064: 5062: 5061:Darvadstrocel 5059: 5057: 5054: 5052: 5049: 5047: 5044: 5042: 5039: 5037: 5034: 5032: 5029: 5027: 5024: 5022: 5019: 5017: 5014: 5013: 5011: 5007: 4997: 4994: 4992: 4989: 4987: 4984: 4980: 4977: 4975: 4972: 4971: 4970: 4969: 4968:TNF inhibitor 4965: 4961: 4958: 4956: 4953: 4952: 4951: 4950: 4946: 4945: 4943: 4940: 4935: 4925: 4922: 4920: 4917: 4916: 4914: 4912: 4908: 4898: 4895: 4893: 4890: 4888: 4885: 4883: 4880: 4878: 4875: 4873: 4870: 4868: 4865: 4863: 4860: 4858: 4855: 4853: 4850: 4848: 4845: 4843: 4840: 4838: 4835: 4833: 4830: 4828: 4825: 4823: 4820: 4818: 4815: 4813: 4810: 4808: 4805: 4803: 4800: 4799: 4797: 4793: 4786: 4782: 4781: 4777: 4776: 4771: 4768: 4766: 4763: 4761: 4758: 4757: 4756: 4755: 4751: 4750: 4745: 4742: 4741: 4740: 4739: 4735: 4731: 4728: 4727: 4726: 4725: 4721: 4717: 4714: 4712: 4709: 4708: 4707: 4706: 4702: 4698: 4695: 4693: 4690: 4688: 4685: 4684: 4683: 4682: 4678: 4674: 4671: 4670: 4669: 4666: 4665: 4660: 4657: 4655: 4652: 4651: 4650: 4649: 4645: 4641: 4638: 4637: 4636: 4635: 4634:CD147/Basigin 4631: 4627: 4624: 4623: 4622: 4621: 4617: 4613: 4610: 4609: 4608: 4607: 4603: 4599: 4596: 4594: 4591: 4590: 4589: 4588: 4584: 4580: 4577: 4575: 4572: 4571: 4570: 4569: 4565: 4561: 4558: 4556: 4553: 4551: 4548: 4545: 4541: 4538: 4536: 4533: 4532: 4531: 4530: 4526: 4522: 4519: 4518: 4517: 4516: 4512: 4508: 4505: 4504: 4503: 4502: 4498: 4494: 4491: 4489: 4486: 4484: 4481: 4480: 4479: 4478: 4474: 4470: 4467: 4465: 4462: 4460: 4457: 4455: 4454:Muromonab-CD3 4452: 4451: 4450: 4449: 4445: 4444: 4442: 4436: 4428: 4425: 4424: 4423: 4422: 4418: 4417: 4412: 4409: 4407: 4404: 4403: 4402: 4401: 4397: 4393: 4389: 4388: 4383: 4380: 4379: 4378: 4377: 4373: 4372: 4367: 4364: 4363: 4362: 4361: 4357: 4356: 4351: 4348: 4347: 4346: 4345: 4341: 4340: 4335: 4332: 4331: 4330: 4329: 4328:Interleukin 5 4325: 4324: 4319: 4316: 4314: 4311: 4309: 4308:Tildrakizumab 4306: 4304: 4301: 4299: 4296: 4294: 4291: 4289: 4286: 4284: 4281: 4279: 4276: 4274: 4271: 4269: 4266: 4264: 4261: 4259: 4256: 4254: 4251: 4249: 4246: 4244: 4241: 4239: 4236: 4234: 4231: 4229: 4226: 4224: 4221: 4219: 4216: 4214: 4211: 4210: 4209: 4208: 4204: 4203: 4198: 4195: 4193: 4190: 4188: 4185: 4183: 4180: 4178: 4175: 4173: 4170: 4169: 4168: 4167: 4163: 4162: 4157: 4154: 4153: 4152: 4151: 4147: 4146: 4144: 4142:(noncellular) 4138: 4135: 4133: 4129: 4126: 4124: 4120: 4117: 4115:Extracellular 4113: 4103: 4100: 4098: 4095: 4093: 4090: 4088: 4085: 4083: 4082:Ridaforolimus 4080: 4078: 4075: 4074: 4072: 4070: 4066: 4060: 4057: 4056: 4054: 4052: 4048: 4045: 4041:Intracellular 4039: 4027: 4024: 4023: 4022: 4021: 4017: 4015: 4012: 4010: 4007: 4005: 4002: 4001: 3999: 3997: 3993: 3987: 3984: 3982: 3979: 3978: 3973: 3970: 3968: 3965: 3963: 3960: 3958: 3955: 3954: 3953: 3952: 3948: 3944: 3940: 3939: 3937: 3934: 3928: 3924: 3916: 3913: 3912: 3911: 3910: 3906: 3905: 3900: 3899:Teriflunomide 3897: 3895: 3892: 3891: 3889: 3888: 3884: 3883: 3878: 3875: 3873: 3870: 3869: 3868: 3867: 3863: 3862: 3860: 3858: 3854: 3851: 3847:Intracellular 3845: 3840: 3836: 3832: 3825: 3820: 3818: 3813: 3811: 3806: 3805: 3802: 3790: 3787: 3785: 3782: 3780: 3777: 3775: 3772: 3771: 3769: 3765: 3755: 3752: 3750: 3747: 3745: 3742: 3741: 3739: 3735: 3729: 3726: 3724: 3721: 3719: 3716: 3714: 3711: 3709: 3706: 3704: 3701: 3699: 3696: 3694: 3691: 3689: 3686: 3685: 3683: 3681: 3677: 3671: 3668: 3666: 3663: 3661: 3658: 3656: 3653: 3651: 3648: 3646: 3643: 3641: 3638: 3637: 3635: 3633: 3629: 3623: 3620: 3618: 3615: 3613: 3610: 3608: 3605: 3603: 3600: 3599: 3597: 3595: 3591: 3588: 3584: 3578: 3575: 3571: 3568: 3567: 3565: 3564: 3562: 3558: 3552: 3551:Teriflunomide 3549: 3547: 3544: 3542: 3539: 3537: 3534: 3531: 3527: 3524: 3522: 3519: 3517: 3514: 3512: 3509: 3507: 3504: 3502: 3499: 3497: 3494: 3492: 3489: 3487: 3484: 3482: 3479: 3477: 3474: 3472: 3469: 3467: 3464: 3462: 3459: 3458: 3456: 3452: 3446: 3443: 3439: 3436: 3434: 3431: 3429: 3426: 3425: 3424:Radiological 3423: 3419: 3416: 3415: 3413: 3409: 3406: 3404: 3401: 3400: 3398: 3397: 3394: 3391: 3387: 3384: 3383: 3382: 3379: 3378: 3376: 3372: 3366: 3363: 3361: 3358: 3356: 3353: 3351: 3348: 3346: 3343: 3341: 3338: 3336: 3333: 3331: 3328: 3326: 3323: 3321: 3318: 3316: 3313: 3312: 3310: 3308: 3304: 3300: 3292: 3287: 3285: 3280: 3278: 3273: 3272: 3269: 3261: 3257: 3252: 3247: 3242: 3237: 3233: 3229: 3228:Int J Mol Sci 3225: 3220: 3219: 3215: 3198: 3194: 3192: 3186: 3180: 3177: 3164: 3160: 3156: 3150: 3147: 3133: 3129: 3127: 3122: 3116: 3114: 3110: 3097: 3093: 3089: 3083: 3080: 3060: 3053: 3052:"lay-summary" 3039: 3032: 3026: 3023: 3007: 3003: 2999: 2992: 2986: 2983: 2967: 2963: 2956: 2950: 2947: 2942: 2938: 2934: 2930: 2926: 2922: 2918: 2914: 2907: 2904: 2888: 2884: 2877: 2871: 2868: 2855: 2851: 2850: 2845: 2838: 2836: 2832: 2819: 2815: 2814: 2809: 2803: 2800: 2795: 2791: 2787: 2783: 2779: 2775: 2771: 2767: 2760: 2757: 2752: 2748: 2744: 2740: 2736: 2732: 2728: 2724: 2717: 2714: 2709: 2705: 2701: 2697: 2693: 2689: 2685: 2681: 2674: 2671: 2666: 2662: 2658: 2654: 2650: 2646: 2639: 2637: 2633: 2628: 2624: 2619: 2614: 2610: 2606: 2602: 2598: 2594: 2587: 2584: 2579: 2575: 2570: 2565: 2561: 2557: 2553: 2546: 2543: 2538: 2534: 2529: 2524: 2520: 2516: 2512: 2505: 2502: 2497: 2493: 2489: 2485: 2480: 2475: 2472:(7): 3893–5. 2471: 2467: 2466: 2461: 2454: 2451: 2446: 2442: 2438: 2434: 2430: 2426: 2422: 2418: 2411: 2408: 2403: 2399: 2395: 2391: 2384: 2381: 2378: 2374: 2371: 2354: 2350: 2346: 2339: 2332: 2330: 2328: 2324: 2311: 2307: 2300: 2297: 2294: 2290: 2287: 2283: 2279: 2276: 2262: 2255: 2249: 2246: 2233: 2226: 2220: 2217: 2204: 2200: 2196: 2190: 2187: 2174: 2170: 2166: 2160: 2157: 2152: 2148: 2144: 2140: 2136: 2132: 2129:(8): 745–58. 2128: 2124: 2116: 2113: 2108: 2104: 2099: 2094: 2090: 2086: 2082: 2075: 2072: 2059: 2055: 2051: 2045: 2042: 2029: 2025: 2023: 2017: 2010: 2007: 2002: 1998: 1993: 1988: 1984: 1980: 1976: 1969: 1967: 1965: 1961: 1948: 1941: 1939: 1935: 1919: 1915: 1908: 1902: 1899: 1894: 1890: 1886: 1882: 1878: 1871: 1868: 1863: 1859: 1854: 1849: 1844: 1839: 1835: 1831: 1827: 1820: 1818: 1816: 1812: 1807: 1803: 1799: 1795: 1788: 1785: 1781: 1780:public domain 1762: 1758: 1756: 1750: 1744: 1742: 1740: 1738: 1736: 1732: 1719: 1715: 1714:Fierce Pharma 1711: 1704: 1701: 1688: 1684: 1680: 1673: 1670: 1657: 1653: 1649: 1643: 1640: 1627: 1623: 1619: 1612: 1610: 1608: 1604: 1588: 1584: 1577: 1571: 1568: 1554: 1550: 1548: 1543: 1537: 1535: 1533: 1531: 1529: 1527: 1525: 1523: 1521: 1519: 1515: 1502: 1498: 1494: 1488: 1486: 1484: 1482: 1480: 1478: 1476: 1474: 1472: 1470: 1468: 1466: 1462: 1449: 1445: 1441: 1435: 1432: 1419: 1415: 1414: 1413:Health Canada 1409: 1403: 1400: 1387: 1383: 1379: 1373: 1370: 1357: 1353: 1349: 1343: 1340: 1328: 1324: 1320: 1314: 1311: 1298: 1294: 1290: 1284: 1281: 1268: 1264: 1260: 1259:"Tyruko EPAR" 1254: 1252: 1250: 1246: 1230: 1223: 1217: 1215: 1213: 1211: 1209: 1205: 1198: 1196: 1193: 1191: 1187: 1179: 1177: 1173: 1171: 1167: 1163: 1162:Health Canada 1159: 1157: 1152: 1150: 1146: 1142: 1138: 1134: 1126: 1121: 1119: 1113: 1111: 1108: 1104: 1099: 1097: 1093: 1089: 1085: 1081: 1077: 1073: 1069: 1065: 1061: 1057: 1053: 1045: 1043: 1041: 1037: 1036:Animal models 1033: 1029: 1025: 1021: 1011: 1009: 1004: 1002: 998: 994: 991:gene, and in 990: 986: 982: 978: 974: 970: 969:T-lymphocytes 966: 962: 958: 950: 948: 946: 942: 939:to move into 938: 934: 930: 927: 920: 915: 908: 906: 903: 900: 898: 894: 890: 886: 882: 878: 874: 869: 867: 863: 859: 855: 851: 847: 846:liver enzymes 843: 839: 835: 831: 827: 823: 820: 814: 812: 808: 804: 803:boxed warning 796: 790: 787: 786: 785: 783: 778: 776: 770: 767: 759: 757: 755: 751: 747: 742: 738: 734: 730: 725: 722: 718: 716: 712: 708: 705: 701: 697: 694: 690: 687: 683: 679: 675: 671: 661: 654: 648: 644: 642: 638: 633: 625: 621: 617: 616: 614: 605: 601: 594: 593:ChEMBL1201607 590: 589: 587: 585: 581: 574: 570: 569: 567: 565: 561: 554: 550: 549: 547: 545: 541: 534: 533: 531: 529: 525: 518: 514: 513: 511: 509: 505: 498: 494: 493: 491: 489: 485: 480: 476: 474: 467: 463: 461: 457: 453: 449: 442: 440: Rx-only 433: 430: 418: 415: 405: 402: 393: 390: 380: 379: 377: 375: 371: 366: 358: 353: 350: 349: 347: 345: 341: 338: 335: 333: 327: 321: 312: 311: 309: 307: 301: 294: 289: 280: 279: 277: 275: 271: 267: 263: 261: 257: 253: 249: 247: 243: 239: 235: 233: 229: 225: 221: 217: 215: 211: 208:Clinical data 206: 203: 199: 197: 193: 189: 185: 182: 180: 176: 172: 170: 166: 163: 159: 153: 149: 145: 139: 134: 126: 113: 109: 106:November 2018 98: 95: 91: 88: 84: 81: 77: 74: 70: 67: –  66: 65:"Natalizumab" 62: 61:Find sources: 56: 52: 46: 45: 41: 37: 32:This article 30: 21: 20: 6184:Risankizumab 6169:Lebrikizumab 6149:Clazakizumab 6139:Anrukinzumab 6118:Tralokinumab 6034:Otelixizumab 6014: 6006: 6005: 5975:Tregalizumab 5960:Tislelizumab 5930:Satralizumab 5910:Rontalizumab 5905:Retifanlimab 5880:Plozalizumab 5860:Pateclizumab 5855:Pascolizumab 5850:Ozoralizumab 5829: 5800:Lampalizumab 5790:Inebilizumab 5780:Fontolizumab 5730:Camrelizumab 5725:Benralizumab 5720:Atezolizumab 5706: 5649:Clenoliximab 5550: 5534:Bertilimumab 5529: 5518:Tremelimumab 5498: 5421:Mavrilimumab 5411:Lirentelimab 5406:Lerdelimumab 5381:Fresolimumab 5321:Atorolimumab 5299: 5231:Upadacitinib 5191:Satralizumab 5176:Ritlecitinib 5171:Risankizumab 4966: 4947: 4887:Teprotumumab 4837:Inebilizumab 4832:Fontolizumab 4812:Atorolimumab 4780:T-lymphocyte 4778: 4752: 4736: 4722: 4710: 4703: 4692:Lerdelimumab 4687:Bertilimumab 4679: 4667: 4646: 4632: 4618: 4604: 4585: 4566: 4550:Pascolizumab 4535:Obinutuzumab 4527: 4513: 4499: 4483:Clenoliximab 4475: 4459:Otelixizumab 4446: 4419: 4406:Lebrikizumab 4390: 4374: 4358: 4342: 4326: 4283:Satralizumab 4273:Risankizumab 4205: 4164: 4148: 4140:Serum target 4092:Temsirolimus 4018: 4009:Pomalidomide 4004:Lenalidomide 3962:Pimecrolimus 3941: 3915:Methotrexate 3907: 3885: 3872:Azathioprine 3864: 3849:(initiation) 3632:Inflammatory 3520: 3511:Mitoxantrone 3345:Incontinence 3231: 3227: 3201:. 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It is a 641:Molar mass 553:3JB47N2Q2P 528:ChemSpider 488:CAS Number 76:newspapers 6290:Phase III 6278:Withdrawn 6255:Sulesomab 6132:Humanized 6113:Sirukumab 5945:Talizumab 5770:Erlizumab 5699:Humanized 5669:Keliximab 5654:Galiximab 5513:Nivolumab 5477:Tabalumab 5467:Sarilumab 5441:Oleclumab 5436:Namilumab 5416:Lirilumab 5391:Ianalumab 5386:Golimumab 5371:Eldelumab 5366:Dupilumab 5336:Belimumab 5306:Abrilumab 5206:Sirukumab 5201:Siponimod 5186:Sarilumab 5161:Ponesimod 5131:Netakimab 5116:Iptacopan 5096:Etrasimod 5056:Danicopan 4991:Alefacept 4955:Abatacept 4877:Talizumab 4817:Begelomab 4673:Belimumab 4626:Galiximab 4555:Rituximab 4521:Erlizumab 4488:Keliximab 4298:Sirukumab 4278:Sarilumab 4258:Netakimab 4187:Golimumab 4087:Sirolimus 3546:Siponimod 3541:Ponesimod 3399:Clinical 3350:Nystagmus 3335:Dysphagia 3138:25 August 2496:206866717 2417:Neurology 2064:31 August 1767:25 August 1693:31 August 1632:31 August 1596:31 August 1424:25 August 1392:25 August 1362:25 August 1293:Drugs.com 1273:6 October 1238:25 August 1170:physician 1149:alosetron 1020:addressin 959:-causing 926:humanized 842:bilirubin 766:indicated 686:humanized 472:half-life 330:Routes of 304:Pregnancy 252:Monograph 246:Drugs.com 184:Humanized 6323:Medicine 5631:Chimeric 5523:Urelumab 5446:Oxelumab 5356:Carlumab 5326:Avelumab 5275:for the 5141:Ozanimod 5016:Avacopan 5009:Unsorted 4795:Unsorted 4705:Integrin 4438:Cellular 4213:Anakinra 4059:Anakinra 3981:Abetimus 3833: / 3536:Ozanimod 3325:Diplopia 3260:28468254 3197:Archived 3163:Archived 3132:Archived 3096:Archived 3059:Archived 3006:Archived 2966:Archived 2941:22339176 2933:18090880 2887:Archived 2860:13 March 2854:Archived 2818:Archived 2794:18131415 2786:17434098 2751:25003597 2743:17122725 2708:28808262 2700:17521672 2665:17136224 2627:16510746 2578:15947078 2537:15947079 2488:18235044 2445:39916466 2437:15851719 2402:17876741 2373:Archived 2362:11 April 2353:Archived 2310:Archived 2289:Archived 2278:Archived 2273: ; 2267:14 April 2203:Archived 2173:Archived 2151:15639613 2143:21777829 2107:22591293 2058:Archived 2001:15947080 1893:21975773 1862:18360634 1806:18354844 1761:Archived 1718:Archived 1687:Archived 1626:Archived 1622:Medscape 1553:Archived 1501:Archived 1497:DailyMed 1448:Archived 1418:Archived 1386:Archived 1356:Archived 1297:Archived 1267:Archived 1229:Archived 1068:sequelae 1060:JC virus 933:integrin 919:antibody 885:headache 858:sequelae 834:jaundice 811:JC virus 660:(verify) 508:DrugBank 344:ATC code 306:category 288:DailyMed 202:integrin 200:alpha-4 155:​. 6225:lesions 6000:TGN1412 5885:PRO 140 4937:-cept ( 3566:Former 3340:Fatigue 3251:5454853 3169:24 July 3102:9 March 3090:. U.S. 3068:4 April 3044:2 April 2975:2 April 2896:9 March 2881:. U.S. 2618:1934511 2316:5 April 2238:5 April 2209:5 April 2197:. U.S. 1927:9 March 1853:1936307 1662:18 July 1652:ECTRIMS 1382:TGA eBS 1114:History 1024:venules 961:lesions 957:symptom 873:fatigue 674:Tysabri 517:DB00108 431:Rx-only 428:WARNING 399:: 360:) 354: ( 352:L04AG03 319: C 290::  266:a605006 90:scholar 55:removed 6309:Portal 6273:WHO-EM 6015:Other: 4949:CTLA-4 4939:Fusion 4440:target 4421:IL-17A 4398:, and 3931:other 3315:Ataxia 3258:  3248:  3159:PMLive 3074:  2939:  2931:  2792:  2784:  2749:  2741:  2706:  2698:  2663:  2625:  2615:  2576:  2535:  2494:  2486:  2443:  2435:  2400:  2149:  2141:  2105:  1999:  1891:  1860:  1850:  1804:  989:VCAM-1 941:organs 889:nausea 584:ChEMBL 573:D06886 425: 412: 401:℞-only 387: 286:  196:Target 186:(from 179:Source 92:  85:  78:  71:  63:  6233:Mouse 6066:Human 5564:Mouse 5530:Other 5293:Human 4738:LFA-1 4648:CD154 4501:CD11a 4400:IL-23 4396:IL-13 4392:IL-12 3996:IMiDs 3767:Other 3737:Other 3193:(FDA) 3189:U.S. 3128:(EMA) 3062:(PDF) 3055:(PDF) 3034:(PDF) 3009:(PDF) 2994:(PDF) 2969:(PDF) 2958:(PDF) 2937:S2CID 2890:(PDF) 2879:(PDF) 2790:S2CID 2747:S2CID 2704:S2CID 2492:S2CID 2465:Blood 2441:S2CID 2356:(PDF) 2341:(PDF) 2257:(PDF) 2228:(PDF) 2147:S2CID 2024:(FDA) 2020:U.S. 1921:(PDF) 1910:(PDF) 1757:(FDA) 1753:U.S. 1683:WebMD 1590:(PDF) 1579:(PDF) 1559:4 May 1549:(EMA) 1507:4 May 1454:4 May 1444:(emc) 1303:4 May 1232:(PDF) 1225:(PDF) 897:fever 893:colds 866:death 830:liver 188:mouse 97:JSTOR 83:books 4668:BLyS 4620:CD80 4587:CD40 4568:CD23 4529:CD20 4515:CD18 4376:IL-6 4069:mTOR 3943:FKBP 3933:IL-2 3360:Pain 3256:PMID 3205:2023 3171:2023 3140:2023 3104:2008 3070:2008 3046:2008 3017:2010 2977:2008 2929:PMID 2898:2008 2862:2008 2826:2008 2782:PMID 2739:PMID 2696:PMID 2661:PMID 2623:PMID 2574:PMID 2533:PMID 2484:PMID 2433:PMID 2398:PMID 2364:2008 2349:Élan 2347:and 2318:2008 2269:2008 2240:2008 2211:2008 2181:2019 2139:PMID 2103:PMID 2066:2010 2036:2008 1997:PMID 1955:2008 1929:2008 1889:PMID 1858:PMID 1802:PMID 1769:2023 1726:2018 1695:2010 1664:2019 1634:2010 1598:2010 1561:2020 1509:2020 1456:2020 1426:2023 1394:2023 1364:2023 1334:2023 1305:2020 1275:2023 1240:2023 1090:for 1082:and 1008:CD34 955:The 875:and 844:and 792:MRI. 713:and 680:and 564:KEGG 544:UNII 535:none 454:data 242:AHFS 169:Type 152:4IRZ 69:news 38:for 4681:CAT 4477:CD4 4448:CD3 4166:TNF 3839:L04 3246:PMC 3236:doi 3002:142 2921:doi 2774:doi 2731:doi 2688:doi 2684:259 2653:doi 2613:PMC 2605:doi 2601:354 2564:doi 2560:353 2523:doi 2519:353 2474:doi 2470:111 2425:doi 2131:doi 2093:doi 2089:366 2054:FDA 1987:doi 1983:353 1881:doi 1848:PMC 1838:doi 1327:FDA 1030:in 864:or 860:of 609:EPA 464:n/a 414:POM 357:WHO 148:PDB 6335:: 6286:: 6009:: 5553:: 5532:: 5501:: 5304:: 4394:, 3254:. 3244:. 3232:18 3230:. 3226:. 3187:. 3157:. 3123:. 3112:^ 3057:. 3036:. 3000:. 2996:. 2935:. 2927:. 2917:14 2915:. 2852:. 2846:. 2834:^ 2810:. 2788:. 2780:. 2768:. 2745:. 2737:. 2727:12 2725:. 2702:. 2694:. 2682:. 2659:. 2649:42 2647:. 2635:^ 2621:. 2611:. 2599:. 2595:. 2572:. 2558:. 2554:. 2531:. 2517:. 2513:. 2490:. 2482:. 2468:. 2462:. 2439:. 2431:. 2421:64 2419:. 2394:45 2368:; 2351:. 2343:. 2326:^ 2308:. 2284:, 2259:. 2230:. 2167:. 2145:. 2137:. 2127:10 2125:. 2101:. 2087:. 2083:. 2052:. 2018:. 1995:. 1981:. 1977:. 1963:^ 1937:^ 1912:. 1887:. 1856:. 1846:. 1832:. 1828:. 1814:^ 1798:17 1796:. 1751:. 1734:^ 1716:. 1712:. 1685:. 1681:. 1650:. 1624:. 1620:. 1606:^ 1581:. 1544:. 1517:^ 1495:. 1464:^ 1442:. 1410:. 1384:. 1380:. 1350:. 1325:. 1321:. 1291:. 1261:. 1248:^ 1227:. 1207:^ 1172:. 1078:, 891:, 887:, 883:, 868:. 777:. 717:. 436:EU 421:US 408:UK 396:CA 389:S4 383:AU 315:AU 283:US 57:. 6311:: 5841:) 5837:( 5448:§ 5265:e 5258:t 5251:v 5092:) 5088:( 4941:) 4787:) 4783:( 4546:) 4542:( 3949:/ 3945:/ 3929:/ 3841:) 3837:( 3823:e 3816:t 3809:v 3532:) 3528:( 3290:e 3283:t 3276:v 3262:. 3238:: 3207:. 3173:. 3142:. 3106:. 3072:. 3048:. 3019:. 2979:. 2943:. 2923:: 2900:. 2864:. 2828:. 2796:. 2776:: 2770:6 2753:. 2733:: 2710:. 2690:: 2667:. 2655:: 2629:. 2607:: 2580:. 2566:: 2539:. 2525:: 2498:. 2476:: 2447:. 2427:: 2404:. 2366:. 2320:. 2271:. 2242:. 2213:. 2183:. 2153:. 2133:: 2109:. 2095:: 2068:. 2038:. 2003:. 1989:: 1957:. 1931:. 1895:. 1883:: 1864:. 1840:: 1834:3 1808:. 1782:. 1771:. 1728:. 1697:. 1666:. 1636:. 1600:. 1563:. 1511:. 1458:. 1428:. 1396:. 1366:. 1336:. 1307:. 1277:. 1242:. 611:) 607:( 438:: 423:: 410:: 385:: 317:: 244:/ 190:) 108:) 104:( 94:· 87:· 80:· 73:· 47:.

Index

reliable medical references
verification
primary sources
add the appropriate references
removed
"Natalizumab"
news
newspapers
books
scholar
JSTOR

Fab fragment
PDB
4IRZ
Monoclonal antibody
Type
Source
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Target
integrin
Trade names
Biosimilars
AHFS
Drugs.com
Monograph
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