The US Food and Drug Administration has expanded the indication for the long-acting C5 complement inhibitor, ravulizumab , to include adults with anti–aquaporin-4 antibody-positive neuromyelitis optica spectrum disorder .
In CHAMPION-NMOSD, the primary endpoint was met; none of the 58 patients taking ravulizumab had a relapse during treatment vs 20 patients who had a relapse in the placebo group of PREVENT (relapse risk reduction, 98.6%;NMOSD is a rare inflammatory syndrome of the central nervous system and can cause irreversible disability. The disorder affects an estimated 6000 adults in the United States.