Recovery of Chronic Inflammatory Demyelinating Polyneuropathy on Treatment With Ocrelizumab in a Patient With Co-Existing Multiple Sclerosis

J Cent Nerv Syst Dis. 2022 Mar 28:14:11795735221084837. doi: 10.1177/11795735221084837. eCollection 2022.

Abstract

The chimeric anti-CD20 antibody rituximab has demonstrated good efficacy as an off-label treatment in chronic inflammatory demyelinating polyneuropathy (CIDP), while the humanized anti-CD20 antibody ocrelizumab has been approved for treatment of multiple sclerosis (MS), whereas there is no evidence for its use in CIDP so far. We present a patient suffering from CIDP and MS, both refractory to standard treatment and both showing marked improvement on ocrelizumab. To the best of our knowledge, this is a unique report of CIDP with an almost full electrophysiological recovery on ocrelizumab which could be considered as a potential treatment option for refractory CIDP.

Keywords: anti-CD20; chronic inflammatory demyelinating polyneuropathy; multiple sclerosis; ocrelizumab; off-label; treatment.

Publication types

  • Case Reports