Evidence map›Paper›PMID 39524100›Full record

ArticleNeurology. Clinical practice2025

Impact of Continuous Ofatumumab Exposure During Pregnancy in Multiple Sclerosis.

Simon Hefner, Tiago Lerda Casaccia, Edda Hofstaetter, Ferdinand Otto, Kerstin Hellwig, Tobias Moser

Abstract readCase Reports
In one paragraph

Article in Neurology. Clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Simon HefnerDepartment of Neurology (SH, TLC, FO, TM), Christian-Doppler Clinic, University Hospital of Salzburg; Division of Neonatology (EH), Department of Pediatrics and Adolescent Medicine, Paracelsus Medical University, Salzburg, Austria; and St. Josef-Hospital/ Ruhr-University Bochum (KH), Germany.ORCID https://orcid.org/0009-0006-4650-7175
Tiago Lerda CasacciaDepartment of Neurology (SH, TLC, FO, TM), Christian-Doppler Clinic, University Hospital of Salzburg; Division of Neonatology (EH), Department of Pediatrics and Adolescent Medicine, Paracelsus Medical University, Salzburg, Austria; and St. Josef-Hospital/ Ruhr-University Bochum (KH), Germany.ORCID https://orcid.org/0009-0008-8482-5785
Edda HofstaetterDepartment of Neurology (SH, TLC, FO, TM), Christian-Doppler Clinic, University Hospital of Salzburg; Division of Neonatology (EH), Department of Pediatrics and Adolescent Medicine, Paracelsus Medical University, Salzburg, Austria; and St. Josef-Hospital/ Ruhr-University Bochum (KH), Germany.ORCID https://orcid.org/0009-0007-1397-3003
Ferdinand OttoDepartment of Neurology (SH, TLC, FO, TM), Christian-Doppler Clinic, University Hospital of Salzburg; Division of Neonatology (EH), Department of Pediatrics and Adolescent Medicine, Paracelsus Medical University, Salzburg, Austria; and St. Josef-Hospital/ Ruhr-University Bochum (KH), Germany.ORCID https://orcid.org/0000-0003-1568-089X
Kerstin HellwigDepartment of Neurology (SH, TLC, FO, TM), Christian-Doppler Clinic, University Hospital of Salzburg; Division of Neonatology (EH), Department of Pediatrics and Adolescent Medicine, Paracelsus Medical University, Salzburg, Austria; and St. Josef-Hospital/ Ruhr-University Bochum (KH), Germany.ORCID https://orcid.org/0000-0003-4467-9011
Tobias MoserDepartment of Neurology (SH, TLC, FO, TM), Christian-Doppler Clinic, University Hospital of Salzburg; Division of Neonatology (EH), Department of Pediatrics and Adolescent Medicine, Paracelsus Medical University, Salzburg, Austria; and St. Josef-Hospital/ Ruhr-University Bochum (KH), Germany.ORCID https://orcid.org/0000-0002-5397-5595

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Anti-CD20 therapies are highly effective treatment options for patients with multiple sclerosis (MS), an inflammatory disorder of the CNS commonly affecting women of childbearing age. Anti-CD20 therapies are however unlicensed for use in pregnancy. Belonging to the IgG1 family, anti-CD20 monoclonal antibodies are likely to cross the placenta, especially after the 20th week of gestation. Our objective was to analyze the impact of ofatumumab (OFA), a subcutaneous anti-CD20 monoclonal antibody, during pregnancy. Methods: We present the case of a woman with MS who accidentally administered OFA every 4 weeks until delivery. In addition to detailing the clinical and laboratory outcomes of both mother and child, we provide a summary of the available evidence regarding anti-CD20 treatment during pregnancy and breastfeeding. Results: Our patient gave birth to a healthy girl between estimated gestational weeks 32-35. Notably, at 3 months postpartum and 4 months after the last OFA administration, the mother remained fully B-cell depleted while the B-cell counts of the child were within the normal range. Discussion: Further data are necessary to confirm that OFA treatment during pregnancy does not affect neonatal B cells.

Identifiers

PMID39524100
PMCPMC11547831

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.