| Title |
Emerging multiple sclerosis oral therapies
|
|---|---|
| Published in |
Neurology, January 2010
|
| DOI | 10.1212/wnl.0b013e3181c97f89 |
| Pubmed ID | |
| Authors |
Kottil W. Rammohan, Jennifer Shoemaker |
| Abstract |
Currently, patients suffering from multiple sclerosis (MS), a chronic demyelinating disorder of the CNS, must be injected with medication to provide modest relief for their symptoms. Five orally available therapies are being evaluated in phase II/III clinical trials. If these therapies prove safe and tolerable, oral compounds may improve patient endorsement and compliance. Fingolimod, a novel immunosuppressant, significantly lowered annual relapse rates in phase II/III trials. Laquinimod, an immunomodulator, reduced the cumulative number of active lesions at the highest dose tested (0.6 mg/d) in a phase II trial. Cladribine, another immunomodulator, reduced annual relapse rates by >50% and gadolinium-positive lesions by >70% at both doses tested in a phase III trial. Oral fumarate, with immunomodulatory and antioxidant properties, also lowered the number of lesions in a phase II trial. Finally, teriflunomide, an immunomodulator, significantly reduced MRI lesion activity and reduced annual relapse rates in a phase II trial. In this report, we weigh the beneficial outcomes of these compounds against their risks of adverse effects. |
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Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Brazil | 3 | 4% |
| Spain | 1 | 1% |
| Colombia | 1 | 1% |
| Unknown | 70 | 93% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 13 | 17% |
| Student > Bachelor | 11 | 15% |
| Other | 9 | 12% |
| Student > Ph. D. Student | 6 | 8% |
| Professor | 5 | 7% |
| Other | 21 | 28% |
| Unknown | 10 | 13% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 35 | 47% |
| Agricultural and Biological Sciences | 7 | 9% |
| Pharmacology, Toxicology and Pharmaceutical Science | 5 | 7% |
| Neuroscience | 4 | 5% |
| Unspecified | 3 | 4% |
| Other | 7 | 9% |
| Unknown | 14 | 19% |