- |||||||||| teriflunomide / Generic mfg., leflunomide / Generic mfg.
Journal, Monotherapy: Therapeutic response to leflunomide in combo therapy and monotherapy is associated to serum teriflunomide (A77 1726) levels. (Pubmed Central) - Mar 11, 2022 We obtained the following utility values with the cut-off of A77 1726 > 10 µg/mL to identify RA patients who achieved a DAS28-ESR ≤ 3.2: sensitivity of 91.31%; specificity of 73.91%; positive predictive value of 70.00%; and negative predictive value of 92.73%. Serum A77 1726 discriminated between RA patients who remained with moderate/severe disease activity despite the treatment with LEF both as monotherapy and LEF as combo therapy.
- |||||||||| teriflunomide / Generic mfg.
Function of miRNA profiled in Teriflunomide treated multiple sclerosis (MS) patients (Poster Hall) - Mar 6, 2022 - Abstract #AAN2022AAN_3877; Despite various studies describing immuno regulatory functions of miR-21 and miR-34 we did not see statistically significant functional changes due to inhibition of miR-21 and miR-34 in T-cells and monocytes profiles when compared to negative inhibition control. Potential reasons are that miR-21 and miR-34 functionality maybe independent of the immune cells we studied in healthy controls.
- |||||||||| Lemtrada (alemtuzumab) / Sanofi
Two-Year Interim Analysis of the TREAT-MS Alemtuzumab Study in Germany Differentiated by Direct Pretreatment (Poster Hall) - Mar 6, 2022 - Abstract #AAN2022AAN_3762; Hereof, 17.0% (n=84) were treatment-naïve and 83% received the following last previous therapy prior to alemtuzumab: fingolimod (28.5%, n=141), natalizumab (21.1%, n=104), basic injectables (glatiramer acetate or interferon-beta; 20.6%, n=102), or basic orals (dimethyl fumarate or teriflunomide; 12.8%, n=63)... These interim results indicate that alemtuzumab shows good real-world effectiveness and safety across patient subgroups with different pretreatment history but less pronounced effects after fingolimod pretreatment.
- |||||||||| Kesimpta (ofatumumab subcutaneous) / Novartis, Genmab
Long-term Efficacy of Ofatumumab in Patients With Relapsing Multiple Sclerosis (Poster Hall) - Mar 6, 2022 - Abstract #AAN2022AAN_2790; The result of this study investigating the impact of early treatment of teriflunomide in RIS will be published at the end of 2022. These analyses will provide insights on the sustained efficacy of continuous ofatumumab treatment for up to 4 years in patients with RMS, and also on the efficacy of ofatumumab in patients newly switched from teriflunomide.
- |||||||||| Mavenclad (cladribine) / EMD Serono, Lemtrada (alemtuzumab) / Sanofi
Patterns of Healthcare Utilization and Expenditure among People with Multiple Sclerosis in the Age of Disease-Modifying Therapy: An Analysis of Claim Data from a Commercially Insured Population in the United States, 2010-2019 (Poster Hall) - Mar 6, 2022 - Abstract #AAN2022AAN_2426; Design/ In a retrospective analysis using claims data from a commercially insured population (2010-2019), we assigned patients to treatment arms based on DMTs received during the coverage period: no DMT (ND), high-efficacy (HE) (alemtuzumab, B-cell depletion, cladribine, natalizumab), and standard-efficacy (SE) DMT (dimethyl fumarate, glatiramer acetate, interferon-beta, sphingosine-1-phosphate receptor modulator, teriflunomide)... DMT cost is a key driver of the healthcare expenditure in MS, highlighting the need for prospective comparative studies towards value-based medicine.
- |||||||||| Ponvory (ponesimod) / J&J
Analysis and Evaluation of Ponesimod Hepatic Safety Data ([VIRTUAL]) - Mar 6, 2022 - Abstract #AAN2022AAN_2067; Objective: In the phase III OPTIMUM study, we evaluated alanine transaminase (ALT) elevations with ponesimod 20mg compared with teriflunomide 14mg. The pattern of hepatic effects observed with ponesimod treatment in the development program is consistent with the S1P class and no cautionary statement on adverse reactions for moderate and severe hepatic impairment categories was included in the label.
- |||||||||| glatiramer acetate / Generic mfg., dimethyl fumarate / Generic mfg.
Serum NfL and GFAP biomarker analysis in early high versus low efficacy DMT paradigms for MS ([VIRTUAL]) - Mar 6, 2022 - Abstract #AAN2022AAN_2055; In cohort A, with pretreatment levels, sNFL and sGFAP trended to decrease more rapidly in HEET compared to LEET. Thus, pretreatment biomarkers followed longitudinally may inform prognostication and monitoring of the HEET or LEET approach; additional randomized studies are necessary.
- |||||||||| Kesimpta (ofatumumab subcutaneous) / Novartis, Genmab, Mavenclad (cladribine) / EMD Serono
Cost effectiveness of Ofatumumab in Comparison with Other Disease Modifying Therapies and Best Supportive Care for the Treatment of Relapsing-Remitting Multiple Sclerosis in Canada ([VIRTUAL]) - Mar 6, 2022 - Abstract #AAN2022AAN_1752; Ofatumumab was dominant (more efficacy, lower costs) over first-line DMTs teriflunomide, interferons, dimethyl fumarate, and ocrelizumab, and resulted in incremental cost-effectiveness ratios (ICERs) of $24,177 Canadian dollars per quality-adjusted life-years (QALYs) gained versus glatiramer acetate and $28,034 versus BSC... Ofatumumab is cost effective against all comparators and dominant against all currently approved and reimbursed first-line DMTs for RRMS, except glatiramer acetate.
- |||||||||| Mayzent (siponimod) / Novartis
AMA-VACC: Clinical trial assessing the immune response to SARS-CoV-2 mRNA vaccines in siponimod treated patients with secondary progressive multiple sclerosis ([VIRTUAL]) - Mar 6, 2022 - Abstract #AAN2022AAN_1676; Cohort 1 receives SARS-CoV-2 mRNA vaccination while continuing their current siponimod treatment, cohort 2 interrupts siponimod treatment for the purpose of a full vaccination cycle and cohort 3 receives vaccination during continuous treatment with first-line DMTs (glatirameracetate, interferons, teriflunomide) or no current treatment in clinical routine. This analysis will provide first longitudinal data on the immune response after SARS-CoV-2 mRNA vaccination in siponimod treated SPMS patients and enable physicians and patients to make an informed decision on the coordination of SARS-CoV-2 mRNA vaccination and SPMS treatment.
- |||||||||| Kesimpta (ofatumumab subcutaneous) / Novartis, Genmab
Long-term Safety of Ofatumumab in Patients With Relapsing Multiple Sclerosis () - Mar 6, 2022 - Abstract #AAN2022AAN_1592; Safety findings for up to 3.5 years showed ofatumumab treatment to be well-tolerated with no new safety risks identified. This additional safety data will help confirm ofatumumab’s longer-term safety profile and provide further confidence to the MS community.
- |||||||||| Lemtrada (alemtuzumab) / Sanofi
Journal, Adverse events: Association Between Disease-Modifying Therapies Prescribed to Persons with Multiple Sclerosis and Cancer: a WHO Pharmacovigilance Database Analysis. (Pubmed Central) - Mar 4, 2022 P All consecutive reports of DMTs prescribed to pwMS (alemtuzumab, dimethyl fumarate, fingolimod, glatiramer acetate, interferon-β, natalizumab, ocrelizumab, and teriflunomide), and their serious adverse event cases were eligible, excluding those reporting immunosuppressant DMTs used as anticancer therapies...A close and regular cancer screening in pwMS treated with natalizumab, interferon-β, dimethyl fumarate, and fingolimod may be warranted, even for persons at a younger age. Trial Registration NCT04237337.
- |||||||||| Mavenclad (cladribine) / EMD Serono
Clinical, Journal: Interferon Beta-1a treatment promotes SARS-CoV-2 mRNA vaccine response in multiple sclerosis subjects. (Pubmed Central) - Mar 3, 2022 Humoral response to BNT162b2-mRNA-vaccine was increased in IFN-treated MS subjects while clearly blunted in those under CLAD, FTY and OCRE treatment. This suggests that the DMTs could have a key role in the protection from SARS-CoV-2 related disease and complication in MS subjects, underlying a novel aspect that should be considered in the selection of the most appropriate therapy under COVID-19 pandemic.
- |||||||||| teriflunomide / Generic mfg.
Journal: Gastrointestinal pathologic findings of teriflunomide associated diarrhea. (Pubmed Central) - Mar 3, 2022 TERI and DMF have similar effectiveness and rate of discontinuation when employed as first therapeutic choice in RRMS patients. This is the first reported case of small intestinal inflammation similar to celiac disease in teriflunomide associated diarrhea.
- |||||||||| Lemtrada (alemtuzumab) / Sanofi
Breast Cancer in Multiple Sclerosis Patients Treated with Disease Modifying Therapies (Virtual Poster Hall) - Feb 20, 2022 - Abstract #ACTRIMSForum2022ACTRIMS_Forum_550; Further examination of odds ratios showed additional increases with INFb1a and NAT. The lowest proportions were reported with ALE and FIN; however, further examination of odds ratios showed decreases with INFb1b, GA, TER, and ALE.
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