Case Report: Ofatumumab for the treatment of refractory anti-NMDAR-positive autoimmune encephalitis - Takeaways - MDSpire

Case Report: Ofatumumab for the treatment of refractory anti-NMDAR-positive autoimmune encephalitis

  • By

  • Yekai Ma

  • Yani Tang

  • Qinyue Peng

  • Weiqing Zhang

  • Yongjun Wu

  • Jun Chen

  • Susu Xiong

  • Dong Lv

  • June 10, 2026

  • 0 min

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  • 1

    Ofatumumab (OFA) was administered to three refractory anti-NMDAR encephalitis patients who did not respond to first-line and second-line immunotherapies.

  • 2

    All patients exhibited significant improvement in psychiatric symptoms, cognitive function, and brain imaging after receiving OFA treatment.

  • 3

    CD20+ B cell levels rapidly declined to extremely low levels in all patients following OFA administration.

  • 4

    Only one patient experienced mild side effects, with no severe adverse events reported during the treatment.

  • 5

    OFA presents a promising and well-tolerated therapeutic option for patients with refractory anti-NMDAR encephalitis.

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