Infusion-related reactions and premedication patterns in ublituximab-treated multiple sclerosis patients: a multicenter real-world study - Report - MDSpire

Infusion-related reactions and premedication patterns in ublituximab-treated multiple sclerosis patients: a multicenter real-world study

  • By

  • Anas Z. Nourelden

  • Parker R. Scott

  • Sam I. Hooshmand

  • Izabela Mazur

  • Felicia Mada

  • Tesiley Ash

  • Nidhi Patel

  • Jacob Rube

  • Kalyan Yarraguntla

  • Carey Deluca

  • Patti Yager-Stone

  • Ryan Havens

  • Mitchell Wallin

  • Anza B. Memon

  • July 16, 2026

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Clinical Report: Infusion-Related Reactions in MS Patients Treated with Ublituximab

Overview

This study characterizes infusion-related reactions (IRRs) in multiple sclerosis patients treated with ublituximab, revealing that 34.8% experienced IRRs, all of which were mild to moderate. The acetaminophen dose was significantly associated with IRR occurrence.

Background

Ublituximab is a novel anti-CD20 monoclonal antibody approved for treating multiple sclerosis, known for its efficacy in reducing relapse rates. However, it carries a notable risk of infusion-related reactions.

Data Highlights

ParameterValue
Patients with IRRs34.8% (n = 31)
Significant association with IRRAcetaminophen dose (p = 0.006)
Severity of IRRsMild to moderate

Key Findings

  • 34.8% of ublituximab-treated patients experienced infusion-related reactions (IRRs).
  • All observed IRRs were classified as mild to moderate in severity.
  • The acetaminophen dose was significantly associated with the occurrence of IRRs (p = 0.006).
  • Timing of IRRs varied significantly across certain corticosteroid and antihistamine categories.
  • No independent predictors of IRRs were identified in this study.

Clinical Implications

Clinicians should be aware of the significant incidence of mild to moderate IRRs in patients receiving ublituximab.

Conclusion

The study highlights the prevalence of IRRs in ublituximab-treated MS patients.

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  8. Real-world safety assessment of ublituximab: a pharmacovigilance analysis based on the FDA adverse event reporting system - PubMed

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