Spanish real-world experience with fingolimod in relapsing-remitting multiple sclerosis patients: MS NEXT study

Autor: Francisco Barrero, Javier Mallada-Frechin, María Luisa Martínez-Ginés, María Eugenia Marzo, Virginia Meca-Lallana, Guillermo Izquierdo, José Ramón Ara, Celia Oreja-Guevara, José Meca-Lallana, Lucía Forero, Irene Sánchez-Vera, María José Moreno, in representation of the MS NEXT study investigators
Rok vydání: 2020
Předmět:
Male
European People
Spanish People
Pathology and Laboratory Medicine
Geographical locations
Diagnostic Radiology
0302 clinical medicine
Natalizumab
Recurrence
Medicine and Health Sciences
Ethnicities
030212 general & internal medicine
Hispanic People
Multidisciplinary
medicine.diagnostic_test
Pharmaceutics
Radiology and Imaging
Neurodegenerative Diseases
Middle Aged
Magnetic Resonance Imaging
Fingolimod
Europe
Neurology
Research Design
Medicine
Female
Immunosuppressive Agents
Research Article
medicine.drug
Adult
medicine.medical_specialty
Drug Research and Development
Multiple Sclerosis
Imaging Techniques
Clinical Research Design
Science
Immunology
Research and Analysis Methods
Autoimmune Diseases
03 medical and health sciences
Signs and Symptoms
Multiple Sclerosis
Relapsing-Remitting

Pharmacotherapy
Drug Safety
Drug Therapy
Diagnostic Medicine
Internal medicine
medicine
Humans
Disabled Persons
European Union
Adverse effect
Aged
Retrospective Studies
Pharmacology
Fingolimod Hydrochloride
business.industry
Multiple sclerosis
Biology and Life Sciences
Retrospective cohort study
Magnetic resonance imaging
medicine.disease
Demyelinating Disorders
Spain
Lesions
Clinical Immunology
Population Groupings
Observational study
Adverse Events
Clinical Medicine
People and places
business
030217 neurology & neurosurgery
Zdroj: PLoS ONE, Vol 15, Iss 4, p e0230846 (2020)
PLoS One
r-FISABIO: Repositorio Institucional de Producción Científica
Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Zaguán. Repositorio Digital de la Universidad de Zaragoza
instname
PLoS ONE
Zaguán: Repositorio Digital de la Universidad de Zaragoza
Universidad de Zaragoza
ISSN: 1932-6203
Popis: Purpose The objective of this study was to characterize the demographic and clinical profile of RRMS patients receiving fingolimod in Spain, and to evaluate drug effectiveness and safety in clinical practice. Methods This observational, retrospective, multicentre, nationwide study was performed at 56 Spanish hospitals and involved 804 RRMS patients who received oral fingolimod (0.5 mg) since November 2011, with a minimum follow-up of 12 months. Results The mean annualized relapse rate (ARR) in the year before fingolimod was 1.08 and the median EDSS was 3; patients were exposed to fingolimod for 2.2 years as average; regarding magnetic resonance imaging (MRI) activity, more than half of the patients had > 20 lesions at baseline. Patients were previously treated with first-line injectable DMTs (60.3%), or natalizumab (31.3%), and 8.3% were naive patients. Overall, the ARR significantly decreased to 0.28, 0.22 and 0.17 (74.1%, 79.7% and 83.5% of relative reduction, respectively) after 12, 24 and 36 months of treatment, P
Databáze: OpenAIRE