Case report: Treatment of parkinsonism secondary to ciltacabtagene autoleucel using a combination dopaminergic regimen

We report on a patient with ciltacabtagene autoleucel-induced movement and neurocognitive toxicity, which was refractory to immunosuppression but responsive to combination dopaminergic therapy (carbidopa/levodopa, ropinirole, amantadine). Response was seen upon both initial treatment and rechallenge...

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Veröffentlicht in:Frontiers in immunology 2024-09, Vol.15, p.1444010
Hauptverfasser: Aliakbar, Raya, Manouvakhova, Olga, Wong, Cindy, Htut, Myo, Pulst-Korenberg, Johannes, Janakiram, Murali, Rosenzweig, Michael, Goldsmith, Scott R, Mason, Xenos L
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Sprache:eng
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Zusammenfassung:We report on a patient with ciltacabtagene autoleucel-induced movement and neurocognitive toxicity, which was refractory to immunosuppression but responsive to combination dopaminergic therapy (carbidopa/levodopa, ropinirole, amantadine). Response was seen upon both initial treatment and rechallenge after unintended withdrawal. This is the first report of a successful symptomatic treatment of this well-described neurotoxic syndrome.
ISSN:1664-3224
1664-3224
DOI:10.3389/fimmu.2024.1444010