REALMS study: real-world effectiveness and safety of fingolimod in patients with relapsing-remitting multiple sclerosis in Portugal.

Abstract

BACKGROUND:

Fingolimod, an oral sphingosine 1-phosphate receptor modulator, is approved by EMA for relapsing-remitting multiple sclerosis (RRMS).

OBJECTIVES:

To assess the effectiveness and safety of fingolimod in patients with RRMS in real-world clinical practice in Portugal.

METHODS:

Retrospective, multicentre, non-interventional study, reporting 3 years follow-up of data collected from October 2015 to July 2016. Sociodemographic data and previous treatments at baseline and data regarding disease evolution, including number of relapses, annualised relapse rates (ARR) and Expanded Disability Status Scale (EDSS), were collected.

RESULTS:

Two-hundred and seventy-five participants were enrolled in the REALMS study. Results showed that the main reason to switch to fingolimod was failure of previous treatment (56.7%) and only 3.6% were naïve patients. In the total population, there was a significant decrease in ARR of 64.6% in the first year of treatment, 79.7% in the second year and 82.3% in the third year, compared with baseline. More than 67.0% of patients had no relapses during the 3 years after switching to fingolimod. EDSS remained stable throughout the study.

CONCLUSIONS:

Therapy with fingolimod showed a sustained effectiveness and safety over the 3 years, particularly on patients switched from first-line drugs (BRACE). No new safety issues were reported.

• Authors: S Batista, C C Nunes, J J Cerqueira, Ana Martins Silva, J Correia de Sá, J Ferreira, M T Mendonça, J Pinheiro, V Salgado, A S Correia, J Sequeira, A Costa, L Sousa
• Journal: Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology (Neurol Sci) Vol. 42 Issue 5 Pg. 1995-2003 (May 2021) ISSN: 1590-3478 [Electronic] Italy
• PMID: 32997282 (Publication Type: Journal Article)

Chemical References

• Immunosuppressive Agents
• Fingolimod Hydrochloride

Topics

• Fingolimod Hydrochloride (adverse effects)
• Humans
• Immunosuppressive Agents (adverse effects)
• Multiple Sclerosis
• Multiple Sclerosis, Relapsing-Remitting (drug therapy)
• Portugal (epidemiology)
• Retrospective Studies
• Treatment Outcome