Crovalimab in the paroxysmal nocturnal hemoglobinuria treatment landscape

Journal Name
Immunotherapy
Primary Author
Röth A
Author(s)
Röth A, Kulasekararaj AG, Scheinberg P, Nishimura JI
Original Publication Date

Paroxysmal nocturnal hemoglobinuria: (par-uk-SIZ-muhl nok-TURN-uhl hee-muh-gloe-buh-NYOOR-ee-uh) A rare and serious blood disease that causes red blood cells to break apart. Paroxysmal means sudden and irregular. Nocturnal means at night. Hemoglobinuria means hemoglobin in the urine. Hemoglobin is the red part of red blood cells. A… (PNH) is an acquired, rare, life-threatening hematopoietic stem cell disorder that causes stem cell-derived cells to be vulnerable to complement-mediated lysis and manifests as hemolytic anemia: Anemia due primarily to the excessive hemolysis or destruction of red blood cells , thrombosis: (throm-BOE-suss) A blood clot (thrombus) that develops and attaches to a blood vessel. , and peripheral blood cytopenias. C5 inhibitors, eculizumab: Eculizumab (Soliris ®) is given as an IV into a vein at the doctor’s office or at a special center. The procedure usually takes about 35 minutes. You will probably get an IV once a week for the first 4 weeks. Starting in the 5th week, you will get a slightly higher dose of Soliris every 2 weeks. … , and ravulizumab, are recognized as the current standard of care for PNH treatment in countries where they are available. Crovalimab: An experimental complement inhibitor C5 monoclonal antibody. By blocking the cleavage of C5 to C5a and C5b, it is expected to inhibit complement activation, which is the cause of a number of diseases. (PiaSky®), which is approved for the treatment of PNH, is a novel anti-C5 inhibitor with an every-4-weeks, low-volume, subcutaneous maintenance dosing regimen with the possibility for self-administration. Data from three phase III studies highlight the overall favorable benefit-risk profile of crovalimab, showing that crovalimab has promising potential to address the unmet medical and socioeconomic challenges in the PNH treatment landscape.

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