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Successful reduction of high-sustained anti-idursulfase antibody titers by immune modulation therapy in a patient with severe mucopolysaccharidosis type II.

Mol Genet Metab Rep · 2015 · PMC5471157 · PMID 28649520

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an increasing trendno p-value reported
Bortezomib was felt to be safe and the authors suggested addition of bortezomib in patients with high antibody titers (≥ 1:51,200) at or beyond 6 months on enzyme replacement therapy and/or when an increasing trend or persistence of antibody titers is associated with clinical decline.

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