teriflunomide / Generic mfg. 
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  • ||||||||||  teriflunomide / Generic mfg.
    Predictive Factors of Response to Teriflunomide in Patients with Multiple Sclerosis (Virtual Poster Hall) -  Feb 20, 2022 - Abstract #ACTRIMSForum2022ACTRIMS_Forum_424;    
    According to our data and as previously reported, teriflunomide is shown as an effective and well tolerated drug for Multiple Sclerosis. We found a higher rate of responders in naïve patients, without any statistically significant differences in the rest of variables studied.
  • ||||||||||  glatiramer acetate / Generic mfg.
    7T MRI is More Sensitive to Leptomeningeal Contrast Enhancement in MS than 3T MRI: a Direct Comparison (Virtual Poster Hall) -  Feb 20, 2022 - Abstract #ACTRIMSForum2022ACTRIMS_Forum_346;    
    Our findings are consistent with cross-study comparisons suggesting that 7T MRI is more sensitive to LME than 3T MRI, presumably due to increased sensitivity to contrast. LMEs identified at 7T were all sufficiently large for MRI spatial resolution to not have been a limiting factor to their detection at 3T.
  • ||||||||||  Mavenclad (cladribine) / EMD Serono, Lemtrada (alemtuzumab) / Sanofi
    Humoral and cellular immune response after SARS CoV-2 vaccine in patients with Multiple Sclerosis treated with immunosuppressant (Virtual Poster Hall) -  Feb 20, 2022 - Abstract #ACTRIMSForum2022ACTRIMS_Forum_291;    
    Eighty patients were evaluated in treatment with: 10 teriflunomide, 6 dimethyl fumarate, 13 cladribine, 8 fingolimod, 7 natalizumab, 27 ocrelizumab, 4 alemtuzumab, 5 rituximab... In our cohort the majority of immunosuppressed MS patients who are not capable of inducing an adequate humoral response, present a cellular immune response after administration of the SARS CoV-2 vaccine.
  • ||||||||||  Mavenclad (cladribine) / EMD Serono
    Influence of disease modifying treatments on humoral response to SARS-CoV-2 vaccines in multiple sclerosis patients (Virtual Poster Hall) -  Feb 20, 2022 - Abstract #ACTRIMSForum2022ACTRIMS_Forum_287;    
    The humoral response to SARS-CoV-2 mRNA vaccines is preserved in untreated MS patients and those treated with cladribine and teriflunomide, but reduced under anti-CD20 antibodies and S1P-modulators. Within patients under treatment with anti-CD20 antibodies, delaying vaccinations to more than 6 months after last dose and wait for B cell repopulation are potential strategies to optimize humoral response to vaccines.
  • ||||||||||  Mavenclad (cladribine) / EMD Serono
    Humoral immune response to SARS-Cov2 in treated MS patients (Exhibit Hall A) -  Feb 20, 2022 - Abstract #ACTRIMSForum2022ACTRIMS_Forum_280;    
    The adverse events on MS patients were similar to the general population. No increase of relapse activity was observed.Most of MS treated patients developed enough antibodies to SARS-CoV-2.Some patients treated with ocrelizumab , rituximab and fingolimod have no developed a humoral response to SARS-CoV-2 vaccination.Vaccination strategy in patients treated with anti-CD20 and fingolimod need further studies.
  • ||||||||||  Mavenclad (cladribine) / EMD Serono
    Influence of disease modifying treatments on humoral response to SARS-CoV-2 vaccines in multiple sclerosis patients (Exhibit Hall A) -  Feb 20, 2022 - Abstract #ACTRIMSForum2022ACTRIMS_Forum_266;    
    The humoral response to SARS-CoV-2 mRNA vaccines is preserved in untreated MS patients and those treated with cladribine and teriflunomide, but reduced under anti-CD20 antibodies and S1P-modulators. Within patients under treatment with anti-CD20 antibodies, delaying vaccinations to more than 6 months after last dose and wait for B cell repopulation are potential strategies to optimize humoral response to vaccines.
  • ||||||||||  Kesimpta (ofatumumab subcutaneous) / Novartis, Genmab
    Review, Journal:  Ofatumumab: A Review in Relapsing Forms of Multiple Sclerosis. (Pubmed Central) -  Feb 19, 2022   
    There was no apparent association between changes in immunoglobulin G or M levels and the risk of serious infections after 3.5 years of ofatumumab treatment. Thus, ofatumumab is a convenient treatment option that is effective and has a generally manageable tolerability profile in adults with relapsing forms of MS.
  • ||||||||||  Lemtrada (alemtuzumab) / Sanofi
    Journal:  Epidemiology of Pharmacological Treatment of Multiple Sclerosis in Croatia. (Pubmed Central) -  Feb 19, 2022   
    New DMTs are not as readily available in Croatia as they are in some countries. However, there is a continuous increase in the number of prescriptions, along with growing costs in pharmacological treatment of multiple sclerosis, and this can be expected to become even more pronounced in the following years, due to the abundance of new therapeutic options that are steadily becoming available.
  • ||||||||||  teriflunomide / Generic mfg.
    Journal:  Teriflunomide levels in women whose male sexual partner is on teriflunomide for relapsing multiple sclerosis. (Pubmed Central) -  Feb 16, 2022   
    This supports the recommendations found in the United States Product Insert (USPI) stating that men taking teriflunomide who do not wish to father a child, and their female partners, should use reliable contraception. Men wishing to father a child should discontinue use of teriflunomide and undergo an accelerated elimination procedure to reduce the plasma concentrations of the medication to less than 0.02 mg/L (0.02 µg/ml.
  • ||||||||||  teriflunomide / Generic mfg.
    Journal:  Thematic analysis of multiple sclerosis research by enhanced strategic diagram. (Pubmed Central) -  Feb 16, 2022   
    The emerging keywords identified utilising the enhanced strategic diagram were 'covid-19', 'teriflunomide', 'clinical trial', 'microglia', 'b cells', 'myelin', 'brain', 'white matter', 'functional connectivity', 'pain', 'employment', 'health-related quality of life', 'meta-analysis' and 'comorbidity'. This study demonstrates the tremendous growth of multiple sclerosis literature worldwide, which is expected to grow more than double during the next decade especially in the identified emerging topics.
  • ||||||||||  teriflunomide / Generic mfg.
    Trial completion date, Trial primary completion date:  Teriflunomide in HTLV-1 Associated Myelopathy/Tropical Spastic Paraparesis (clinicaltrials.gov) -  Feb 15, 2022   
    P1/2,  N=16, Recruiting, 
    This study demonstrates the tremendous growth of multiple sclerosis literature worldwide, which is expected to grow more than double during the next decade especially in the identified emerging topics. Trial completion date: Dec 2022 --> Jun 2024 | Trial primary completion date: Dec 2022 --> Jun 2024
  • ||||||||||  teriflunomide / Generic mfg.
    Journal:  Teriflunomide Promotes Oligodendroglial 8,9-Unsaturated Sterol Accumulation and CNS Remyelination. (Pubmed Central) -  Feb 5, 2022   
    In the Phase 3 ULTIMATE I and II trials, relapse rate and cumulative probability of relapse were significantly reduced with ublituximab vs teriflunomide. TF enhances zymosterol accumulation in oligodendrocytes and CNS myelin repair, a beneficial off-target effect that should be investigated in patients with multiple sclerosis.
  • ||||||||||  Mavenclad (cladribine) / EMD Serono, Lemtrada (alemtuzumab) / Sanofi
    Review, Journal:  The Disease-Modifying Therapies of Relapsing-Remitting Multiple Sclerosis and Liver Injury: A Narrative Review. (Pubmed Central) -  Feb 4, 2022   
    In this narrative review, we analyze pre-registration and post-marketing data concerning hepatotoxicity of all disease-modifying therapies (DMTs) available for the treatment of relapsing-remitting multiple sclerosis, including beta interferon, glatiramer acetate, fingolimod, teriflunomide, dimethyl fumarate, cladribine, natalizumab, alemtuzumab, and ocrelizumab...For some DMTs, screening for hepatitis B virus and hepatitis C virus is required before starting treatment and a monitoring or antiviral prophylaxis schedule has been established. Beta interferon, glatiramer acetate, natalizumab, and alemtuzumab are relatively contraindicated in autoimmune hepatitis due to the risk of disease exacerbation.
  • ||||||||||  teriflunomide / Generic mfg.
    Enrollment closed, Trial completion date, Trial primary completion date:  AUBACOG: Cognition and MRI Markers in MS Patients With Aubagio (clinicaltrials.gov) -  Feb 3, 2022   
    P=N/A,  N=75, Active, not recruiting, 
    Beta interferon, glatiramer acetate, natalizumab, and alemtuzumab are relatively contraindicated in autoimmune hepatitis due to the risk of disease exacerbation. Recruiting --> Active, not recruiting | Trial completion date: May 2023 --> Nov 2022 | Trial primary completion date: May 2023 --> Nov 2022
  • ||||||||||  Mavenclad (cladribine) / EMD Serono, Lemtrada (alemtuzumab) / Sanofi
    Journal:  Drugs used in the treatment of multiple sclerosis during COVID-19 pandemic: a critical viewpoint. (Pubmed Central) -  Jan 27, 2022   
    Teriflunomide, a first-line oral drug used in the treatment of relapsing-remitting MS (RRMS), may display antiviral activity by depleting cellular nucleotides necessary for viral replication...For example, fingolimod, might be highly beneficial during the hyperinflammatory stage of COVID-19 for a number of mechanisms including the reinforcement of the endothelial barrier. Caution is suggested for the use of natalizumab, cladribine, alemtuzumab, and ocrelizumab, although MS disease recurrence after discontinuation of these drugs may overcome a potential risk for COVID-19 infection.
  • ||||||||||  Lemtrada (alemtuzumab) / Sanofi
    Clinical, Clinical data, Journal:  Initial treatment strategy and clinical outcomes in Finnish MS patients: a propensity-matched study. (Pubmed Central) -  Jan 27, 2022   
    Caution is suggested for the use of natalizumab, cladribine, alemtuzumab, and ocrelizumab, although MS disease recurrence after discontinuation of these drugs may overcome a potential risk for COVID-19 infection. Initiating MS-therapy with heDMT significantly reduced the risk of 5-year disability progression and relapse compared to using meDMT as first DMT choice in propensity-matched groups of Finnish MS-patients.
  • ||||||||||  Tysabri (natalizumab) / Biogen, Royalty
    Enrollment closed, Enrollment change, Trial completion date, Trial primary completion date:  MAIN STUDY: SWITCH SUB-STUDY: SWITCH-JCV (clinicaltrials.gov) -  Jan 12, 2022   
    P4,  N=41, Active, not recruiting, 
    ClinicalTrials.gov Identifier: NCT02425644. Recruiting --> Active, not recruiting | N=70 --> 41 | Trial completion date: Dec 2021 --> Dec 2022 | Trial primary completion date: May 2018 --> Apr 2021
  • ||||||||||  Comirnaty (tozinameran) / Pfizer, Fosun Pharma, BioNTech, Lemtrada (alemtuzumab) / Sanofi
    Clinical, Journal:  Effect of Different Disease-Modifying Therapies on Humoral Response to BNT162b2 Vaccine in Sardinian Multiple Sclerosis Patients. (Pubmed Central) -  Jan 7, 2022   
    We did not observe a statistically significant difference in response between patients treated with the other drugs (dimethyl fumarate, interferon, alemtuzumab and glatiramer acetate) and untreated patients...Humoral response to BNT162b2 is significantly influenced by the specific DMTs followed by patients, as well as by other factors such as previous SARS-CoV-2 infection, age, sex, and smoking status. These results are important to inform targeted strategies to prevent clinically relevant COVID-19 in MS patients.
  • ||||||||||  dimethyl fumarate / Generic mfg.
    Clinical, Retrospective data, Journal, HEOR, Real-world evidence:  Real-World Comparative Cost-Effectiveness Analysis of Different Classes of Disease-Modifying Therapies for Relapsing-Remitting Multiple Sclerosis in Saudi Arabia. (Pubmed Central) -  Jan 3, 2022   
    There were 40 patients on the orally administered agents (e.g., dimethyl fumarate, teriflunomide, fingolimod), 66 patients were on IFN-based therapy (e.g., Rebif), and 40 patients were on monoclonal antibodies (e.g., rituximab and natalizumab)...Orally administered agents resulted in better outcomes and lower costs in comparison to IFN-based therapy. Future studies should further examine the cost-effectiveness of different disease-modifying therapies for the management of RRMS using more robust study designs.
  • ||||||||||  Mavenclad (cladribine) / EMD Serono, Lemtrada (alemtuzumab) / Sanofi
    Clinical, Journal:  Assessing and mitigating risk of infection in patients with multiple sclerosis on disease modifying treatment. (Pubmed Central) -  Dec 30, 2021   
    MS-specialist neurologist has to face new challenges regarding the management of immunosuppression-related infectious complications. The implementation of patient-centered management focus on preventive and mitigating strategies with a multidisciplinary approach should be seen in the future as a marker of excellence of MS management.
  • ||||||||||  Lemtrada (alemtuzumab) / Sanofi
    Journal, HEOR:  Modeling the Cost-Utility of Treatment Sequences for Multiple Sclerosis. (Pubmed Central) -  Dec 30, 2021   
    This microsimulation model overcomes the limitation of previous models by modeling treatment sequences. Because it better reflects clinical reality, it facilitates incorporating cost-utility information in clinical guidelines.