Twenty Years of Subcutaneous Interferon-Beta-1a for Multiple Sclerosis: Contemporary Perspectives.

IF 3.9 3区医学 Q1 CLINICAL NEUROLOGY

Neurology and Therapy Pub Date : 2024-04-01 Epub Date: 2024-01-11 DOI:10.1007/s40120-023-00565-7

Mark S Freedman, Patricia K Coyle, Kerstin Hellwig, Barry Singer, Daniel Wynn, Bianca Weinstock-Guttman, Silva Markovic-Plese, Andrew Galazka, Fernando Dangond, Julie Korich, Anthony T Reder

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Abstract

Multiple sclerosis (MS) is a chronic, progressive, inflammatory disorder of the central nervous system. Relapsing-remitting MS (RRMS), the most common form of the disease, is characterized by transient neurological dysfunction with concurrent accumulation of disability. Over the past three decades, disease-modifying therapies (DMTs) capable of reducing the frequency of relapses and slowing disability worsening have been studied and approved for use in patients with RRMS. The first DMTs were interferon-betas (IFN-βs), which were approved in the 1990s. Among them was IFN-β-1a for subcutaneous (sc) injection (Rebif^®), which was approved for the treatment of MS in Europe and Canada in 1998 and in the USA in 2002. Twenty years of clinical data and experience have supported the efficacy and safety of IFN-β-1a sc in the treatment of RRMS, including pivotal trials, real-world data, and extension studies lasting up to 15 years past initial treatment. Today, IFN-β-1a sc remains an important therapeutic option in clinical use, especially around pregnancy planning and lactation, and may also be considered for aging patients, in which MS activity declines and long-term immunosuppression associated with some alternative therapies is a concern. In addition, IFN-β-1a sc is used as a comparator in many clinical studies and provides a framework for research into the mechanisms by which MS begins and progresses.

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皮下注射干扰素-Beta-1a 治疗多发性硬化症二十年：当代视角。

多发性硬化症（MS）是一种慢性、进行性、中枢神经系统炎症性疾病。复发-缓解型多发性硬化症（RRMS）是该病最常见的形式，其特征是短暂的神经功能障碍，同时伴有残疾的累积。在过去的三十年里，人们对能够降低复发频率和减缓残疾恶化的疾病改变疗法（DMTs）进行了研究，并批准用于 RRMS 患者。第一批 DMTs 是干扰素-贝塔类（IFN-βs），于 20 世纪 90 年代获得批准。其中，用于皮下注射的 IFN-β-1a（Rebif®）于 1998 年在欧洲和加拿大、2002 年在美国获批用于治疗多发性硬化症。二十年的临床数据和经验证明了 IFN-β-1a sc 治疗 RRMS 的有效性和安全性，其中包括关键性试验、真实世界数据以及初始治疗后长达 15 年的扩展研究。如今，IFN-β-1a sc 仍是临床应用中的重要治疗选择，尤其是在计划怀孕和哺乳期，而且也可考虑用于老年患者，因为老年患者的 MS 活性会下降，而某些替代疗法所带来的长期免疫抑制是一个令人担忧的问题。此外，在许多临床研究中，IFN-β-1a sc 还被用作参照物，并为多发性硬化症的发病和进展机制研究提供了一个框架。

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来源期刊

Neurology and Therapy CLINICAL NEUROLOGY-

CiteScore

5.40

自引率

8.10%

发文量

103

审稿时长

6 weeks

期刊介绍： Aims and Scope Neurology and Therapy aims to provide reliable and inclusive, rapid publication for all therapy related research for neurological indications, supporting the timely dissemination of research with a global reach, to help advance scientific discovery and support clinical practice. Neurology and Therapy is an international, open access, peer reviewed, rapid publication journal dedicated to the publication of high-quality clinical (all phases), observational, real-world and health outcomes research around the discovery, development, and use of neurological and psychiatric therapies, (also covering surgery and devices). Studies relating to diagnosis, pharmacoeconomics, public health, quality of life, and patient care, management, and education are also welcomed. The journal is of interest to a broad audience of healthcare professionals and publishes original research, reviews, case reports, trial designs, communications and letters. 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