ULTOMIRIS®: Strive for zero relapses as a treatment goal moving forward1,2
ULTOMIRIS® is indicated in the treatment of adult patients with NMOSD who are anti-aquaporin 4 (AQP4) antibody-positive.3 Please consult the Summary of Product Characteristics prior to prescribing.
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ULTOMIRIS® is contraindicated in patients who are not currently vaccinated against Neisseria meningitidis and in patients with unresolved Neisseria meningitidis infection at treatment initiation unless they receive prophylactic treatment with appropriate antibiotics until 2 weeks after vaccination.3

CHAMPION-NMOSD is a phase 3, externally placebo-controlled, open-label, multicenter study to evaluate the efficacy and safety of ravulizumab in adult patients with anti-aquaporin-4 antibody-positive (AQP4+) neuromyelitis optica spectrum disorder (NMOSD).3,4

Efficacy results should be interpreted with reasonable care as the study design was open-label with an external placebo control arm from the PREVENT study.4,5
* Range (11.0–117.7 weeks).4

vs external placebo, P < 0.0001; HR=0.014; (95% CI: 0.000, 1.103). Patients were allowed to have concomitant IST treatment. The safety and efficacy of ULTOMIRIS® were studied in CHAMPION-NMOSD (NCT04201262), also known as ALXN1210-NMO-307 or CHAMPION-NMO-307, a global, external placebo-controlled, open-label, multicentre trial of 58 adults with anti-AQP4 Ab+ NMOSD. The placebo group of the PREVENT trial was used as external control (n=47).4

ULTOMIRIS® must be administered by a healthcare professional and under the supervision of a physician experienced in the management of patients with haematological, renal, neuromuscular or neuroinflammatory disorders. Minimum infusion time for ULTOMIRIS® 100 mg/mL maintenance doses ranges from 30 minutes to 75 minutes, depending on body weight.3
ULTOMIRIS® is the first and only treatment that offers immediate, complete, and sustained C5 inhibition in adult patients with anti-AQP4 antibody-positive NMOSD; preventing inflammation and astrocyte death, which are primary drivers of disability in NMOSD.3,4
NMOSD is a chronic, complement-mediated autoimmune disease of the CNS, characterised by frequent and unpredictable attacks that lead to irreversible damage1,2,6,7

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* Clinical outcomes and prognostic characteristics of 106 AQP4 Ab+ patients from the UK and Japan. Data were collected largely retrospectively through review of case records.8

Ex vivo analysis of how human neutrophils affect astrocytes in the presence of anti-AQP4 Ab-positive serum derived from NMOSD patients.10

NMOSD attacks result in patients experiencing rapid accumulation of irreversible disability. There is an urgent need to prevent these attacks to avoid cumulative disability.6,8,11
Every relapse event can put your patient at risk of blindness, pain, paralysis or premature death6,9

As severe disability can result from even a single relapse, remaining relapse-free is the primary treatment goal for NMOSD1,2,6,9
* From Mayo Clinic records (2005–2011), 163 patients with NMO were identified; 110 (67%) were seropositive and 53 (33%) were scored seronegative. Data presented are specifically for seropositive patients.12
Relapse triggered by complement activation is a reality in NMOSD. Address its potentially devastating impact.3,7,9,13
The efficacy and safety of ULTOMIRIS® was studied in CHAMPION-NMOSD4
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AQP4-IgG+, aquaporin-4 immunoglobulin G positive; CNS, central nervous system; NMOSD, neuromyelitis optica spectrum disorder.

Adverse Event Reporting

Please report any adverse reactions via your national reporting system. Adverse events should also be reported to Alexion pharmaceuticals by the following link: https://contactazmedical.astrazeneca.com

Wingerchuk DM, et al. International consensus diagnostic criteria for neuromyelitis optica spectrum disorders. Neurology. 2015;85(2):177–189. Weinshenker BG, et al. Neuromyelitis Spectrum Disorders. Mayo Clin Proc. 2017;92(4):663–679. ULTOMIRIS® Summary of Product Characteristics available at https://www.ema.europa.eu/en/documents/product-information/ultomiris-epar-product-information_en.pdf Last accessed: October 2023. Pittock SJ, et al. Ravulizumab in Aquaporin-4-Positive Neuromyelitis Optica Spectrum Disorder. Ann Neurol. 2023;93(6):1053–1068. Pittock SJ, et al. Eculizumab in Aquaporin-4-Positive Neuromyelitis Optica Spectrum Disorder. N Engl J Med. 2019;381(7):614–625. Jarius S, et al. Contrasting disease patterns in seropositive and seronegative neuromyelitis optica: A multicentre study of 175 patients. J Neuroinflammation. 2012;9(1):14. Chamberlain JL, et al. Role of complement and potential of complement inhibitors in myasthenia gravis and neuromyelitis optica spectrum disorders: a brief review. J Neurol. 2021;268(5):1643–1664. Kitley J, et al. Prognostic factors and disease course in aquaporin-4 antibody-positive patients with neuromyelitis optica spectrum disorder from the United Kingdom and Japan. Brain. 2012;135(6):1834–1849. Brod SA. Review of approved NMO therapies based on mechanism of action, efficacy and long-term effects. Mult Scler Relat Disord. 2020;46:102538. Piatek P, et al. C5a-Preactivated Neutrophils Are Critical for Autoimmune-Induced Astrocyte Dysregulation in Neuromyelitis Optica Spectrum Disorder. Front Immunol. 2018;9:1694. Mealy MA, et al. Long-term disability in neuromyelitis optica spectrum disorder with a history of myelitis is associated with age at onset, delay in diagnosis/preventive treatment, MRI lesion length and presence of symptomatic brain lesions. Mult Scler Relat Disord. 2019;28:64-68. Jiao Y, et al. Updated estimate of AQP4-IgG serostatus and disability outcome in neuromyelitis optica. Neurology. 2013;81(14):1197–1204. Kuroda H, et al. Increase of complement fragment C5a in cerebrospinal fluid during exacerbation of neuromyelitis optica. J Neuroimmunol. 2013;254(1-2):178-182.