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Perorální kladribin v léčbě roztroušené sklerózy – data z celostátního registru ReMuS®


Authors: D. Horáková 1;  M. Vachová 1,2;  A. Tvaroh 2,3;  J. Drahota 1,4;  A. Mazouchová 4,5;  J. Mareš 6;  I. Woznicová 7;  D. Zimová 8;  J. Libertínová 9;  A. Martinková 10;  E. Recmanová 11;  M. Grunermelová 12;  M. Vališ 13;  J. Adámková 14;  R. Ampapa 15;  Y. Benešová 16;  M. Dufek 17;  M. Peterka 13,18;  E. Kubala Havrdová 1
Authors‘ workplace: Neurologická klinika a Centrum klinických neurověd, 1. LF UK a VFN v Praze 1;  Neurologické oddělení, Krajská zdravotní a. s. – Nemocnice Teplice o. z. 2;  Merck spol. s r. o., Praha 3;  Nadační fond IMPULS, Praha 4;  Katedra ekonomické statistiky, Vysoká škola ekonomická v Praze 5;  Neurologická klinika LF UP a FN Olomouc 6;  Neurologická klinika FN Ostrava 7;  Neurologická klinika 3. LF UK a FN Královské Vinohrady, Praha 8;  Neurologická klinika 2. LF UK FN Motol, Praha 9;  Neurologická klinika Nemocnice Pardubického kraje, a. s., Pardubice 10;  Neurologické oddělení Krajské nemocnice Tomáše Bati, a. s., Zlín 11;  Neurologická klinika 3. LF UK a Fakultní Thomayerovy nemocnice v Krči, Praha 12;  Neurologická klinika LF UK a FN Hradec Králové 13;  Neurologické oddělení, Nemocnice České Budějovice, a. s. 14;  Neurologické oddělení, Nemocnice Jihlava, p. o. 15;  Neurologická klinika LF UK a FN Plzeň 15;  Neurologická klinika LF MU a FN Brno 16;  Neurologická klinika LF MU a FN u sv. Anny, Brno 17
Published in: Cesk Slov Neurol N 2021; 84(6): 555-561
Category: Original Paper
doi: https://doi.org/10.48095/cccsnn2021555

Overview

Aim: Our objective was to share our first clinical experience with oral cladribine gathered through the analysis of data of the national ReMuS® registry. Patients and methods: Our sample includes data of all patients who initiated oral cladribine treatment since September 1, 2018 till December 31, 2020. We also analyzed, in more detail, the subgroup of 222 patients who were assumed to complete the full cumulative dose. Our analyses included relapses, disability, employment status and financial social support, and also MRI activity in the subgroup. Data were obtained from all 15 centers for treatment of MS and analyzed in terms of descriptive statistics. Results: A total sample comprised of 436 patients, 75.5% of them females, mean age 37.0 years, and mean weight 71.9 kg. Mean duration since the disease onset was 8.4 years with a mean baseline EDSS (Expanded Disability Status Scale) score of 2.8. Mean annualized relapse rate was 1.07 prior to treatment initiation. After treatment initiation, the confirmed disability progression was not reached in 90% of patients until 20.8 (90th quantile) months after follow up. Approximately three quarters of patients stayed relapse-free in year one and two. In the defined subgroup, 85% of patients had no significant MRI activity. A switch to another disease-modifying drug was performed in 12 patients. Conclusion: In accordance with the pivotal trials, our data demonstrate a high proportion of patients without relapses, disability progression and MRI activity, and a very low proportion of patients with a treatment  change.

Keywords:

Multiple sclerosis – oral cladribine – therapeutic response – patient registry


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Labels
Paediatric neurology Neurosurgery Neurology

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Czech and Slovak Neurology and Neurosurgery

Issue 6

2021 Issue 6

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