case report: safety and efficacy of tocilizumab in a patient with rheumatoid arthritis and chronic hepatitis c

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2012
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Abstract
Tocilizumab is a monoclonal humanized anti-IL-6-receptor antibody used for the treatment of rheumatoid arthritis. The safety of tocilizumab in HCV patients is an open question. We report on safety and efficacy of tocilizumab in a 71-year-old female with rheumatoid arthritis and chronic hepatitis C. Monotherapy with tocilizumab (8 mg/kg every 4 weeks, i.v.) was prescribed after the discontinuation, determined by clinical inefficacy, of anti-TNF-alfa agents (adalimumab and, subsequently, etanercept). We have registered an optimal and rapid clinical response to tocilizumab with early remission (SDAI <3.3 since 4 weeks). The safety was good with no adverse events and maintenance, during a six-month followup, of normal liver enzymes. These data suggest a good safety profile of tocilizumab in patients with rheumatoid arthritis and chronic hepatitis C virus pathology.
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Authors ;Filippo Iebba;Fiorella Di Sora;Agapito Tarasi;Wilma Leti;Tatiana Montella;Francesco Montella
Journal Frontiers in pharmacology
Year 2012
DOI
10.1155/2012/212381
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