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001-es BibID:	BIBFORM107448
035-os BibID:	(cikkazonosító)104477 (Scopus)85147412502 (WoS)000995858200001
Első szerző:	Spelman, Tim
Cím:	Switching to natalizumab or fingolimod in multiple sclerosis : comparative effectiveness and effect of pre-switch disease activity / Spelman Tim, Horakova Dana, Ozakbas Serkan, Alroughani Raed, Onofrj Marco, Kalincik Tomas, Prat Alexandre, Terzi Murat, Grammond Pierre, Patti Francesco, Csepany Tunde, Boz Cavit, Lechner-Scott Jeannette, Granella Franco, Grand'Maison Francois, van der Walt Anneke, Zhu Chao, Butzkueven Helmut, MSBase Study Group
Dátum:	2023
ISSN:	2211-0348
Megjegyzések:	Background Patients with relapsing-remitting multiple sclerosis (RRMS) who experience relapses on a first-line therapy (interferon, glatiramer acetate, dimethyl fumarate, or teriflunomide; collectively, "BRACETD") often switch to another therapy, including natalizumab or fingolimod. Here we compare the effectiveness of switching from a first-line therapy to natalizumab or fingolimod after ?1 relapse. Methods Data collected prospectively in the MSBase Registry, a global, longitudinal, observational registry, were extracted on February 6, 2018. Included patients were adults with RRMS with ?1 relapse on BRACETD therapy in the year before switching to natalizumab or fingolimod. Included patients received natalizumab or fingolimod for ?3 months after the switch. Results Following 1:1 propensity score matching, 1000 natalizumab patients were matched to 1000 fingolimod patients. Mean (standard deviation) follow-up time was 3.02 (2.06) years after switching to natalizumab and 2.58 (1.64) years after switching to fingolimod. Natalizumab recipients had significantly lower annualized relapse rate (relative risk=0.66; 95% confidence interval [CI], 0.59?0.74), lower risk of first relapse (hazard ratio [HR]=0.69; 95% CI, 0.60?0.80), and higher confirmed disability improvement (HR=1.27; 95% CI, 1.03?1.57) than fingolimod recipients. No difference in confirmed disability worsening was observed. Conclusions Patients with RRMS switching from BRACETD demonstrated better outcomes with natalizumab than with fingolimod.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk
Megjelenés:	Multiple Sclerosis and Related Disorders. - 70 (2023), p. 1-8. -
További szerzők:	Horakova, Dana Ozakbas, Serkan Alroughani, Raed Onofrj, Marco Kalincik, Tomas Prat, Alexandre Terzi, Murat Grammond, Pierre Patti, Francesco Csépány Tünde (1956-) (neurológus, pszichiáter) Boz, Cavit Lechner-Scott, Jeannette Granella, Franco Grand'Maison, Francois Walt, Anneke van der Zhu, Chao Butzkueven, Helmut MSBase Study Group
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