Identification of targets and new developments in the treatment of multiple sclerosis--focus on cladribine
- PMID: 20689698
- PMCID: PMC2915536
- DOI: 10.2147/dddt.s6627
Identification of targets and new developments in the treatment of multiple sclerosis--focus on cladribine
Abstract
Orally available disease-modifying drugs for relapsing-remitting multiple sclerosis (MS) represent an unmet need for this chronic and debilitating disease. Among 5 currently investigated drugs at phase 3 clinical stage, promising efficacy data for fingolimod and oral cladribine have recently been published. However, benefits need to be weighed against the risks to define the role of these compounds within current treatment regimens. In this review, data on the efficacy of a promising compound, oral cladribine, are discussed and balanced with known and anticipated risks in a postmarketing era, and finally gives an outlook on the potential place of this drug in treatment algorithms for MS in the future.
Keywords: immunosuppressant; oral drugs; risk–benefit; safety.
Figures
Similar articles
-
Oral therapy for multiple sclerosis--sea change or incremental step?N Engl J Med. 2010 Feb 4;362(5):456-8. doi: 10.1056/NEJMe0912019. Epub 2010 Jan 20. N Engl J Med. 2010. PMID: 20089958 No abstract available.
-
Multiple sclerosis: Cladribine--a contentious therapeutic contender for MS.Nat Rev Neurol. 2011 Jul 12;7(8):425-7. doi: 10.1038/nrneurol.2011.105. Nat Rev Neurol. 2011. PMID: 21750524 No abstract available.
-
New drugs may improve, complicate treatment for multiple sclerosis.Nat Med. 2010 Mar;16(3):272. doi: 10.1038/nm0310-272. Nat Med. 2010. PMID: 20208513 No abstract available.
-
Fingolimod: a review of its use in the management of relapsing-remitting multiple sclerosis.CNS Drugs. 2011 Aug;25(8):673-98. doi: 10.2165/11207350-000000000-00000. CNS Drugs. 2011. PMID: 21790210 Review.
-
Oral fingolimod for the treatment of relapsing-remitting multiple sclerosis.Drugs Today (Barc). 2010 May;46(5):315-25. doi: 10.1358/dot.2010.46.5.1497556. Drugs Today (Barc). 2010. PMID: 20517533 Review.
Cited by
-
Efficacy of Disease Modifying Therapies in Progressive MS and How Immune Senescence May Explain Their Failure.Front Neurol. 2022 Mar 31;13:854390. doi: 10.3389/fneur.2022.854390. eCollection 2022. Front Neurol. 2022. PMID: 35432156 Free PMC article. Review.
-
Immunological Aspects of Approved MS Therapeutics.Front Immunol. 2019 Jul 11;10:1564. doi: 10.3389/fimmu.2019.01564. eCollection 2019. Front Immunol. 2019. PMID: 31354720 Free PMC article. Review.
-
Multiple Sclerosis and SARS-CoV-2 Vaccination: Considerations for Immune-Depleting Therapies.Vaccines (Basel). 2021 Jan 28;9(2):99. doi: 10.3390/vaccines9020099. Vaccines (Basel). 2021. PMID: 33525459 Free PMC article. Review.
-
Interferon β-Mediated Protective Functions of Microglia in Central Nervous System Autoimmunity.Int J Mol Sci. 2019 Jan 7;20(1):190. doi: 10.3390/ijms20010190. Int J Mol Sci. 2019. PMID: 30621022 Free PMC article. Review.
-
Cladribine tablets after treatment with natalizumab (CLADRINA) - rationale and design.Ther Adv Neurol Disord. 2024 Apr 4;17:17562864241233858. doi: 10.1177/17562864241233858. eCollection 2024. Ther Adv Neurol Disord. 2024. PMID: 38585373 Free PMC article.
References
-
- Wiendl H, Toyka KV, Rieckmann P, et al. Basic and escalating immunomodulatory treatments in multiple sclerosis: current therapeutic recommendations. J Neurol. 2008;255(10):1449–1463. - PubMed
-
- The IFNB Multiple Sclerosis Study Group Interferon beta-1b is effective in relapsing-remitting multiple sclerosis. I. Clinical results of a multicenter, randomized, double-blind, placebo-controlled trial. Neurology. 1993;43(4):655–661. - PubMed
-
- Paty DW, Li DK. Interferon beta-1b is effective in relapsing-remitting multiple sclerosis. II. MRI analysis results of a multicenter, randomized, double-blind, placebo-controlled trial. UBC MS/MRI Study Group and the IFNB Multiple Sclerosis Study Group. Neurology. 1993;43(4):662–667. - PubMed
-
- PRISMS (Prevention of Relapses and Disability by Interferon beta-1a Subcutaneously in Multiple Sclerosis) Study Group Randomised double-blind placebo-controlled study of interferon beta-1a in relapsing/remitting multiple sclerosis. Lancet. 1998;352(9139):1498–1504. - PubMed
-
- PRISMS Study Group and the University of British Columbia MS/MRI Analysis Group PRISMS-4: long-term efficacy of interferon-beta-1a in relapsing MS. Neurology. 2001;56(12):1628–1636. - PubMed
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical