AI Article Synopsis

  • Recent approval of natalizumab for multiple sclerosis includes subcutaneous administration, leading to interest in personalized dosing methods.
  • A study was conducted on 30 patients to compare natalizumab levels in capillary blood (from fingerpricks) versus venous blood samples before IV administration.
  • Results showed that capillary and venous concentrations were similar, suggesting fingerprick testing is a viable option for monitoring drug levels and tailoring treatment.

Article Abstract

Background: Natalizumab via subcutaneous administration was recently approved for patients with multiple sclerosis.

Objective: In light of personalized extended dosing, in which treatment intervals are prolonged to a concentration cut-off, it would be preferable to measure natalizumab drug concentrations in capillary blood.

Methods: In this cross-sectional study in patients treated with intravenous (IV) natalizumab, capillary blood samples by fingerprick and venous blood samples were collected in 30 participants prior to IV administration of natalizumab.

Results: Natalizumab concentrations were similar with a mean bias of -0.36 μg/mL (95% CI: 1.3 to -2 μg/mL).

Conclusions: This study shows that physicians can monitor natalizumab drug concentrations by a fingerprick, which could be used for personalized extended dosing.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9972227PMC
http://dx.doi.org/10.1177/13524585221136448DOI Listing

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