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Ruplizumab is a humanized monoclonal IgG1κ anti-CD154 (CD40 ligand) antibody developed as an immunosuppressive agent for the treatment of autoimmune diseases such as systemic lupus erythematosus and lupus nephritis. By binding to CD154 on activated T cells and other immune cells—thereby blocking its interaction with CD40—ruplizumab inhibits T-cell-dependent B-cell activation and subsequent immune responses. The drug was developed by Biogen but has been discontinued in clinical development due to safety concerns including life-threatening thromboembolic events[1][2][3][4][7].
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