Management of MS Patients Treated With Daclizumab – a Case Series of 267 Patients
Autor: | Paulus S. Rommer, Alexandra Simbrich, Alexander Stahmann, Klaus Berger, David Ellenberger, Uwe K. Zettl, Firas Fneish |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
0301 basic medicine
medicine.medical_specialty multiple sclerosis lcsh:RC346-429 03 medical and health sciences 0302 clinical medicine Daclizumab Natalizumab multiple sclerosis—drug therapy Internal medicine medicine registers lcsh:Neurology. Diseases of the nervous system business.industry Market Withdrawal Multiple sclerosis medicine.disease Fingolimod eye diseases Brain disease Discontinuation side effects 030104 developmental biology Neurology daclizumab Ocrelizumab Neurology (clinical) business 030217 neurology & neurosurgery medicine.drug |
Zdroj: | Frontiers in Neurology, Vol 11 (2020) |
ISSN: | 1664-2295 |
Popis: | Daclizumab was approved by the FDA and the EMA in 2016 for the treatment of relapsing forms of multiple sclerosis (MS). Cases of severe inflammatory brain disease with fatal outcome led to the withdrawal of approval in Europe and the US on March 2, 2018. Approximately 8,000 patients worldwide received daclizumab, but little is known about the further therapy management of these patients after the withdrawal of daclizumab. The aim of this study is to further analyze therapy management in MS patients after safety warnings and market withdrawal. Data from two registries in Germany, the German MS Registry (GMSR) and REGIMS, were used for this analysis. In total, 267 patients were included in this study. For almost 25% of patients (in the GMSR) daclizumab was the initial treatment. Most common pre-treatments were fingolimod, dimethyl fumarate, and natalizumab; various injectables summed up to 25.9%. The most common follow-up therapies were ocrelizumab and fingolimod. In most patients, follow-up therapies were administered shortly after discontinuation of daclizumab. The wash-out time for subsequent therapies varied between 1.2 and 4.0 months. Warnings and decisions by authorities led to a rapid decline and termination of therapies in both cohorts, indicating that such warnings have an immediate impact on the treatment landscape. Therapies that were started within a short time after the discontinuation of daclizumab were subsequently replaced by other therapies and may be considered as bridging therapies. |
Databáze: | OpenAIRE |
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