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

Author

Listed:
  • 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

Abstract

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 naïve 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

Suggested Citation

  • 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 &, 2020. "Spanish real-world experience with fingolimod in relapsing-remitting multiple sclerosis patients: MS NEXT study," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-13, April.
    • Handle: RePEc:plo:pone00:0230846
    DOI: 10.1371/journal.pone.0230846
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