[Dimethyl fumarate (tecfidera) is the first line treatment choice in patients with remitting multiple sclerosis]
- PMID: 29265100
- DOI: 10.17116/jnevro2017117111140-145
[Dimethyl fumarate (tecfidera) is the first line treatment choice in patients with remitting multiple sclerosis]
Abstract
Dimethyl fumarate (DMF) is a new oral option for disease-modifying therapy (DMT) in patients with remitting multiple sclerosis as a first line treatment. The results of international randomized studies comparing DMF with placebo and other DMTs are presented. DMF is a DMT with promised efficacy and favorable safety profile that could be a treatment option for patients with suboptimal response for other first line DMTs and used as initial therapy for treatment-naive patients with unfavorable prognostic factors.
Представлен новый пероральный препарат первого ряда выбора при лечении ремиттирующего рассеянного склероза (РС) - диметилфумарат. Рассмотрены результаты международных рандомизированных исследований, в которых проводили сравнение диметилфумарата с другими препаратами, изменяющими течение РС. Подчеркиваются эффективность и безопасность препарата. Диметилфумарат может применяться не только при неэффективности других препаратов первого ряда (субоптимальном ответе на них), но и в качестве начальной терапии в случае дебюта РС с прогностически неблагоприятными проявлениями.
Keywords: dimethyl fumarate; disease-modifying therapy; fingolimod; glatiramer acetate; interferon β; multiple sclerosis; natalizimab; progressive multifocal leukoencephalopathy; teriflunomide.
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