Novel treatments for progressive multifocal leukoencephalopathy

Br J Hosp Med (Lond). 2020 Jul 2;81(7):1-9. doi: 10.12968/hmed.2020.0093. Epub 2020 Jul 29.

Abstract

Progressive multifocal leukoencephalopathy is a rare demyelinating disorder of the CNS, caused by John Cunningham virus, that occurs in those with impaired immune systems. Existing treatment options are ineffective or unproven. This article reviews research into novel therapies: immune checkpoint-blocking antibodies (nivolumab and pembrolizumab), allogenic BK virus-specific T cell treatment and filgrastim. Results for these therapies in small clinical trials are promising, but further research is required to assess efficacy fully.

Keywords: Filgrastim; Leukoencephalopathy; Multifocal; Nivolumab; Pembrolizumab; Progressive.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Antibodies, Monoclonal, Humanized / therapeutic use
  • Antineoplastic Agents, Immunological / therapeutic use
  • Filgrastim / therapeutic use
  • Humans
  • Immunocompromised Host*
  • JC Virus
  • Leukoencephalopathy, Progressive Multifocal / drug therapy*
  • Leukoencephalopathy, Progressive Multifocal / virology
  • Male
  • Nivolumab / therapeutic use
  • Programmed Cell Death 1 Receptor / antagonists & inhibitors

Substances

  • Antibodies, Monoclonal, Humanized
  • Antineoplastic Agents, Immunological
  • Programmed Cell Death 1 Receptor
  • Nivolumab
  • pembrolizumab
  • Filgrastim