The effectiveness of interferon beta versus glatiramer acetate and natalizumab versus fingolimod in a Polish real-world population


Autoři: Katarzyna Kapica-Topczewska aff001;  Joanna Tarasiuk aff001;  Francois Collin aff002;  Waldemar Brola aff003;  Monika Chorąży aff001;  Agata Czarnowska aff001;  Mirosław Kwaśniewski aff002;  Halina Bartosik-Psujek aff004;  Monika Adamczyk-Sowa aff005;  Jan Kochanowicz aff001;  Alina Kułakowska aff001
Působiště autorů: Department of Neurology, Medical University of Bialystok, Bialystok, Poland aff001;  Centre for Bioinformatics and Data Analysis, Medical University of Bialystok, Bialystok, Poland aff002;  The Faculty of Medicine and Health Sciences, Institute of Physiotherapy, Jan Kochanowski University, Kielce, Poland aff003;  Neurology Clinic with Brain Stroke Sub-Unit, Clinical Hospital No. 2 in Rzeszow, Medical Faculty, University of Rzeszow, Rzeszów, Poland aff004;  Department of Neurology in Zabrze, Medical University of Silesia, Zabrze, Poland aff005
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0223863

Souhrn

Objective

The aim of the study was to assess the effectiveness of disease-modifying therapies (DMTs) in relapsing-remitting multiple sclerosis (RRMS) patients treated in MS centres in Poland.

Methods

Demographic and clinical data of all Polish RRMS patients receiving DMTs were prospectively collected from 2014 to 2018 in electronic files using the Therapeutic Program Monitoring System (SMPT).

Results

The study included 10,764 RRMS patients treated with DMTs in first-line and 1,042 in second-line programmes. IFNβ more effectively lengthened the times to the first relapse, disability progression, and brain MRI activity than GA. After 2 and 4 years of follow-up, more patients on IFNβ showed no evidence of disease activity (NEDA-3) in comparison to GA (66.3% and 44.3% vs 55.2% and 33.2%, respectively; p<0.001). NAT more effectively reduced brain MRI activity than FTY (p = 0.001). More patients under NAT had NEDA-3 after 2 and 4 years of follow-up compared to FTY (66.2% and 42.1% vs 52.1% and 29.5%, respectively; p = 0.03). In adjusted analysis, a higher baseline Expanded Disability Status Score (EDSS) was a predictor of relapse (p<0.001) and NEDA-3 failure (p = 0.003).

Conclusion

IFNβ compared to GA and NAT compared to FTY more effectively reduced disease activity in a Polish population of RRMS patients.

Klíčová slova:

Brain diseases – Drug therapy – Interferons – Lesions – Magnetic resonance imaging – Multiple sclerosis – Poland – Polish people


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PLOS One


2019 Číslo 10