Practical recommendations on treatment of multiple sclerosis with Cladribine: an Israeli Experts Group‏ Viewpoint

Petrou, Panayiota; Achiron, Anat; Cohen, Esther Ganelin; Garty, Maya; Magalashvili, David; Karmon, Yuval; Milo, Ron; Regev, Keren; Vaknin‐Dembinsky, Adi; Wilf-Yarkoni, Adi; Karussis, Dimitrios

doi:10.1007/s00415-023-11846-4

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…Other current (published in 2023) expert opinion for the management of CladT-treated people with MS who develop moderate MS disease activity after year 4 recommends either 1–2-year courses of CladT or an alternative high-efficacy DMT [ 88 – 92 ]. All stress the importance of a thorough, individualised risk/benefit consideration before deciding on the future management policy at this time.…”

Section: Patient Management After Initiation Of Cladribine Tabletsmentioning

confidence: 99%

Holistic, Long-Term Management of People with Relapsing Multiple Sclerosis with Cladribine Tablets: Expert Opinion from France

Ciron,

Bourre,

Castelnovo

et al. 2024

Neurol Ther

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Cladribine tablets (CladT) has been available for therapeutic use in France since March 2021 for the management of highly active relapsing multiple sclerosis (RMS). This high-efficacy disease-modifying therapy (DMT) acts as an immune reconstitution therapy. In contrast to most high-efficacy DMTs, which act via continuous immunosuppression, two short courses of oral treatment with CladT at the beginning of years 1 and 2 of treatment provide long-term control of MS disease activity in responders to treatment, without the need for any further pharmacological treatment for several years. Although the labelling for CladT does not provide guidance beyond the initial treatment courses, real-world data on the therapeutic use of CladT from registries of previous clinical trial participants and patients treated in routine practice indicate that MS disease activity is controlled for a period of years beyond this time for a substantial proportion of patients. Moreover, this clinical experience has provided useful information on how to initiate and manage treatment with CladT. In this article we, a group of expert neurologists from France, provide recommendations on the initiation of CladT in DMT-naïve patients, how to switch from existing DMTs to CladT for patients with continuing MS disease activity, how to manage patients during the first 2 years of treatment and finally, how to manage patients with or without MS disease activity in years 3, 4 and beyond after initiating treatment with CladT. We believe that optimisation of the use of CladT beyond its initial courses of treatment will maximise the benefits of this treatment, especially early in the course of MS when suppression of focal inflammation in the CNS is a clinical priority to limit MS disease progression.

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Section: Patient Management After Initiation Of Cladribine Tabletsmentioning

confidence: 99%

Holistic, Long-Term Management of People with Relapsing Multiple Sclerosis with Cladribine Tablets: Expert Opinion from France

Ciron,

Bourre,

Castelnovo

et al. 2024

Neurol Ther

View full text Add to dashboard Cite

show abstract

Practical recommendations on treatment of multiple sclerosis with Cladribine: an Israeli Experts Group‏ Viewpoint

Cited by 1 publication

References 7 publications

Holistic, Long-Term Management of People with Relapsing Multiple Sclerosis with Cladribine Tablets: Expert Opinion from France

Holistic, Long-Term Management of People with Relapsing Multiple Sclerosis with Cladribine Tablets: Expert Opinion from France

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