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001-es BibID:BIBFORM103020
035-os BibID:(cikkazonosító)e0267346 (Wos)000792887700036 (Scopus)85128608221
Első szerző:Biernacki Tamás
Cím:The safety and efficacy of fingolimod : real-world data from a long-term, non-interventional study on the treatment of RRMS patients spanning up to 5 years from Hungary / Biernacki Tamás, Sandi Dániel, Füvesi Judit, Fricska-Nagy Zsanett, Kincses Tamás Zsigmond, Ács Péter, Rózsa Csilla, Dobos Enikő, Cseh Botond, Horváth László, Nagy Zsuzsanna, Csányi Attila, Kovács Krisztina, Csépány Tünde, Vécsei László, Bencsik Krisztina, Study investigators
Dátum:2022
ISSN:1932-6203
Megjegyzések:Background Fingolimod was approved and reimbursed by the healthcare provider in Hungary for the treatment of highly active relapsing-remitting multiple sclerosis (RRMS) in 2012. The present study aimed to assess the effectiveness, safety profile, and persistence to fingolimod in a real-life setting in Hungary in RRMS patients who were either therapy naïve before enrollment or have changed to fingolimod from another disease-modifying therapy (DMT) for any reason. Methods This cross-sectional, observational study with prospective data collection was performed nationwide at 21 sites across Hungary. To avoid selection bias, sites were asked to document eligible patients in consecutive chronological order. Demographic, clinical, safety and efficacy data were analysed for up to 5 years from 570 consenting adult patients with RRMS who had received treatment with fingolimod for at least one year. Results 69.6% of patients remained free from relapses for the whole study duration; in the first year, 85.1% of patients did not experience a relapse, which rose to 94.6% seen in the 5th year. Compared to baseline at study end, 28.2% had higher, and 9.1% had lower, meanwhile, 62.7% of the patients had stable EDSS scores. Overall, the annualized relapse rate decreased from 0.804 observed at baseline to 0.185, 0.149, 0.122, 0.091, and 0.097 (77.0%, 82.1%, 85.2%, 89.7%, and 89.0% relative reduction, respectively) after 1, 2, 3, 4, and 5 years of treatment. The greatest reduction rate was seen in the group of therapy naïve patients. Treatment persistence on fingolimod after 60 months was 73.4%. Conclusion In this nationwide Hungarian cohort, most patients under fingolimod treatment were free from relapses and disability progression. In addition, fingolimod has proven to be a well-tolerated DMT that has sustained its manageable safety profile, high efficacy, and positive benefit/risk ratio for up to 5 years in a real-life setting.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Plos One. - 17 : 4 (2022), p. 1-21. -
További szerzők:Sandi Dániel Füvesi Judit Fricska-Nagy Zsanett Kincses Zsigmond Tamás Ács Péter Rózsa Csilla Dobos Enikő Cseh Botond Horváth László Nagy Zsuzsanna Csányi Attila Kovács Krisztina Csépány Tünde (1956-) (neurológus, pszichiáter) Vécsei László (1954-) (neurológus) Bencsik Krisztina Study investigators
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001-es BibID:BIBFORM116231
035-os BibID:(cikkazonosító)183 (scopus)85164167253 (wos)001022417900001
Első szerző:Rajda Cecília
Cím:Treatment of relapsing multiple sclerosis in Hungary : consensus recommendation from the Hungarian neuroimmunology society / Rajda Cecilia, Rózsa Csilla, Mike Andrea, Lovas Gábor, Mezei Zsolt, Jakab Gábor, Ács Péter, Rum Gábor, Simó Magdolna, Jobbágy Zita, Bíró Zita, Trauninger Anita, Imre Piroska, Mátyás Klotild, Deme István, Illés Zsolt, Csepany Tunde
Dátum:2023
ISSN:1750-1172
Megjegyzések:Multiple sclerosis (MS) may impact quality of life, careers and family plans of the affected individuals. The current treatments with disease modifying therapies aim to prevent people with MS (pwMS) from disability accumulation and progression. Different countries have different reimbursement policies resulting in inequalities in patient care among geographical regions. Access to anti-CD20 therapies for relapsing MS is restricted in Hungary because therapy of individual cases only is reimbursed. In the light of the latest research and national guidelines, 17 Hungarian MS experts agreed on 8 recommendations regarding relapsing pwMS using the Delphi round method. Strong agreement (>80%) was achieved in all except one recommendation after three rounds, which generated a fourth Delphi round. The experts agreed on treatment initiation, switch, follow-up and discontinuation, as well as on special issues such as pregnancy, lactation, elderly population, and vaccination. Well-defined national consensus protocols may facilitate dialogue between policymakers and healthcare professionals and thus contribute to better patient care in the long run.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Consensus
Multiple sclerosis
Recommendation
Treatment
Megjelenés:Orphanet Journal of Rare Diseases. - 18 : 1 (2023), p. 1-8. -
További szerzők:Rózsa Csilla Mike Andrea (neurológus, Pécs) Lovas Gábor Mezei Zsolt (1979-) (neurológus) Jakab Gábor Ács Péter Rum Gábor Simó Magdolna Jobbágy Zita Bíró Zita Trauninger Anita (Pécs orvos) Imre Piroska Mátyás Klotild Deme István Illés Zsolt (neurológus, Pécs) Csépány Tünde (1956-) (neurológus, pszichiáter)
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DOI
Intézményi repozitóriumban (DEA) tárolt változat
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