Management of fingolimod in clinical practice

被引:15
作者
Thomas, Katja [1 ]
Ziemssen, Tjalf [1 ]
机构
[1] Tech Univ Dresden, Univ Hosp Carl Gustav Carus, Dept Neurol, MS Ctr Dresden,Ctr Clin Neurosci, D-01307 Dresden, Germany
关键词
Multiple sclerosis; Clinical practice; Clinical management; Safety; Registry; MULTIPLE-SCLEROSIS PATIENTS; ORAL FINGOLIMOD; FTY720; MECHANISM;
D O I
10.1016/j.clineuro.2013.09.023
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The efficacy of the innovative oral drug fingolimod has been proven in the largest study program in multiple sclerosis (MS) demonstrating reduced relapse and reduced disability progression in relapsing-remitting MS patients. Based on the extensive safety data of all clinical trials and the natural distribution pattern of fingolimod interacting receptors in organism, careful clinical monitoring is recommend and reviewed in this paper. Safety and tolerability data from clinical studies as well as current post-marketing experience present with high tolerability and easy-to-perform management of fingolimod. Here we present the recommended management of fingolimod in clinical practice starting with preparatory steps, first-dose application and long-term treatment period with fingolimod. This management of fingolimod in clinical practice ensure a safe treatment algorithm using fingolimod. We recommend documentation of fingolimod patients in clinical registries to generate postmarketing data on efficacy and safety of fingoilimod. (C) 2013 Elsevier B.V. All rights reserved.
引用
收藏
页码:S60 / S64
页数:5
相关论文
共 19 条
[1]  
Adachi K, 2007, PERSPECT MED CHEM, V1, P11
[2]   FTY720, an immunomodulatory sphingolipid mimetic: translation of a novel mechanism into clinical benefit in multiple sclerosis [J].
Baumruker, Thomas ;
Billich, Andreas ;
Brinkmann, Volker .
EXPERT OPINION ON INVESTIGATIONAL DRUGS, 2007, 16 (03) :283-289
[3]   FTY720 (fingolimod) in renal transplantation [J].
Budde, Klemens ;
Schuetz, Manuela ;
Glander, Petra ;
Peters, Harm ;
Waiser, Johannes ;
Liefeldt, Lutz ;
Neumayer, Hans-H. ;
Boehler, Torsten .
CLINICAL TRANSPLANTATION, 2006, 20 :17-24
[4]   Mechanism of Action of Oral Fingolimod (FTY720) in Multiple Sclerosis [J].
Chun, Jerold ;
Hartung, Hans-Peter .
CLINICAL NEUROPHARMACOLOGY, 2010, 33 (02) :91-101
[5]   Oral Fingolimod or Intramuscular Interferon for Relapsing Multiple Sclerosis [J].
Cohen, Jeffrey A. ;
Barkhof, Frederik ;
Comi, Giancarlo ;
Hartung, Hans-Peter ;
Khatri, Bhupendra O. ;
Montalban, Xavier ;
Pelletier, Jean ;
Capra, Ruggero ;
Gallo, Paolo ;
Izquierdo, Guillermo ;
Tiel-Wilck, Klaus ;
de Vera, Ana ;
Jin, James ;
Stites, Tracy ;
Wu, Stacy ;
Aradhye, Shreeram ;
Kappos, Ludwig .
NEW ENGLAND JOURNAL OF MEDICINE, 2010, 362 (05) :402-415
[6]   Fingolimod reduces recurrence of disease activity after natalizumab withdrawal in multiple sclerosis [J].
Havla, Joachim ;
Tackenberg, Bjoern ;
Hellwig, Kerstin ;
Meinl, Ingrid ;
Krumbholz, Markus ;
Seitz, Florian ;
Eienbroeker, Christian ;
Gold, Ralf ;
Hohlfeld, Reinhard ;
Kleiter, Ingo ;
Kuempfel, Tania .
JOURNAL OF NEUROLOGY, 2013, 260 (05) :1382-1387
[7]   Fingolimod for relapsing multiple sclerosis: an update [J].
Horga, Alejandro ;
Castillo, Joaquin ;
Montalban, Xavier .
EXPERT OPINION ON PHARMACOTHERAPY, 2010, 11 (07) :1183-1196
[8]   Fingolimod-associated macular edema Incidence, detection, and management [J].
Jain, Nieraj ;
Bhatti, M. Tariq .
NEUROLOGY, 2012, 78 (09) :672-680
[9]  
Jeffery DR, 2011, EXPERT REV NEUROTHER, V11, P165, DOI [10.1586/ern.10.193, 10.1586/ERN.10.193]
[10]   Distinct Properties of Circulating CD8+ T Cells in FTY720-Treated Patients With Multiple Sclerosis [J].
Johnson, Trina A. ;
Lapierre, Yves ;
Bar-Or, Arra ;
Antel, Jack P. .
ARCHIVES OF NEUROLOGY, 2010, 67 (12) :1449-1455