An update of the pharmacological treatment options for generalized myasthenia gravis in adults with anti–acetylcholine receptor antibodies.

Purpose This review aims to provide an update on current pharmacological agents for the management of generalized myasthenia gravis (MG). Summary MG is an autoimmune disease characterized by impaired neuromuscular transmission and muscle weakness. Most patients have autoimmune antibodies to the nico...

Descripción completa

Detalles Bibliográficos
Publicado en:American Journal of Health-System Pharmacy Vol. 80; no. 11; pp. 652 - 663
Autores principales: Riley, Tanya R, Douglas, Janine S, Wang, Christopher, Bowser, Kiarra M
Formato: algorithm pictorial review tables/charts Journal Article
Publicado: Oxford University Press / USA Jun2023
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163926898&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 163926898
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        10792082
        1X3
      jtl: American Journal of Health-System Pharmacy
      issn: 10792082
      maglogo: N
    pubinfo:
      dt: Jun2023
      vid: 80
      iid: 11
      pid: 622
      pub: Oxford University Press / USA
    artinfo:
      ui:
        163926898
        163926898
        163926898
        10.1093/ajhp/zxad035
        163926898
      ppf: 652
      ppct: 11
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: An update of the pharmacological treatment options for generalized myasthenia gravis in adults with anti–acetylcholine receptor antibodies.
      aug:
        au:
          Riley, Tanya R
          Douglas, Janine S
          Wang, Christopher
          Bowser, Kiarra M
        affil: Wingate University School of Pharmacy , Hendersonville, NC , USA
      sug:
        subj:
          Myasthenia Gravis Drug Therapy
          Autoantibodies
          Receptors, Cholinergic
          Biological Factors Therapeutic Use
          Antibodies, Monoclonal Therapeutic Use
          Treatment Outcomes
          Adult
          Neuromuscular Diseases
          Muscle Weakness
          United States Food and Drug Administration
          Myasthenia Gravis Symptoms
          Myasthenia Gravis Physiopathology
          Myasthenia Gravis Diagnosis
          Adult: 19-44 years
      ab: Purpose This review aims to provide an update on current pharmacological agents for the management of generalized myasthenia gravis (MG). Summary MG is an autoimmune disease characterized by impaired neuromuscular transmission and muscle weakness. Most patients have autoimmune antibodies to the nicotinic acetylcholine receptor, with treatments aimed at eliminating or decreasing levels of autoantibodies. Limitations of current treatments for generalized MG include limited efficacy and serious adverse effects, indicating a continued need for new treatments. Efgartigimod alfa, a biologic newly approved by the Food and Drug Administration, provides a novel treatment option for patients with chronic generalized MG. Conclusion While the landscape for treatment of generalized MG has expanded over recent years, there is still an unmet need for patients for whom multiple lines of treatment have failed. The introduction of neonatal Fc receptor antagonists such as efgartigimod alfa may have an immediate impact in patients for whom standard-of-care therapy has failed.
      pubtype: Academic Journal
      doctype:
        algorithm
        pictorial
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N