Safety of switching from natalizumab straight into fingolimod in a group of JCV-positive patients with multiple sclerosis

ABSTRACT Objective To assess safety of the switch between natalizumab and fingolimod without a washout period. Methods Prospective data on 25 JCV positive patients who underwent this medication switch were collected and analyzed. Results After a median period of nine months from the medication...

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Main Authors: Yara Dadalti Fragoso, Soniza Vieira Alves-Leon, Jefferson Becker, Joseph Bruno Bidin Brooks, Eber Castro Correa, Alfredo Damasceno, Paulo Diniz da Gama, Rodrigo Assad da Gama, Andre Palma da Cunha Matta, Ernane Pires Maciel, Thereza Cristina d’Avila Winckler
Format: Article
Language:English
Published: Thieme Revinter Publicações 2016-08-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000800650&lng=en&tlng=en
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author Yara Dadalti Fragoso
Soniza Vieira Alves-Leon
Jefferson Becker
Joseph Bruno Bidin Brooks
Eber Castro Correa
Alfredo Damasceno
Paulo Diniz da Gama
Rodrigo Assad da Gama
Andre Palma da Cunha Matta
Ernane Pires Maciel
Thereza Cristina d’Avila Winckler
author_facet Yara Dadalti Fragoso
Soniza Vieira Alves-Leon
Jefferson Becker
Joseph Bruno Bidin Brooks
Eber Castro Correa
Alfredo Damasceno
Paulo Diniz da Gama
Rodrigo Assad da Gama
Andre Palma da Cunha Matta
Ernane Pires Maciel
Thereza Cristina d’Avila Winckler
author_sort Yara Dadalti Fragoso
collection DOAJ
description ABSTRACT Objective To assess safety of the switch between natalizumab and fingolimod without a washout period. Methods Prospective data on 25 JCV positive patients who underwent this medication switch were collected and analyzed. Results After a median period of nine months from the medication switch, there were no safety issues to report. The patients had good disease control and no adverse events were reported. Conclusion Washout may not be necessary in daily practice when switching from natalizumab to fingolimod. Expertise on multiple sclerosis management, however, is essential for drug switching.
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issn 1678-4227
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publishDate 2016-08-01
publisher Thieme Revinter Publicações
record_format Article
series Arquivos de Neuro-Psiquiatria
spelling doaj-art-92741c2f77a94180a52a296e59ac04c02025-08-20T02:09:45ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272016-08-0174865065210.1590/0004-282X20160090S0004-282X2016000800650Safety of switching from natalizumab straight into fingolimod in a group of JCV-positive patients with multiple sclerosisYara Dadalti FragosoSoniza Vieira Alves-LeonJefferson BeckerJoseph Bruno Bidin BrooksEber Castro CorreaAlfredo DamascenoPaulo Diniz da GamaRodrigo Assad da GamaAndre Palma da Cunha MattaErnane Pires MacielThereza Cristina d’Avila WincklerABSTRACT Objective To assess safety of the switch between natalizumab and fingolimod without a washout period. Methods Prospective data on 25 JCV positive patients who underwent this medication switch were collected and analyzed. Results After a median period of nine months from the medication switch, there were no safety issues to report. The patients had good disease control and no adverse events were reported. Conclusion Washout may not be necessary in daily practice when switching from natalizumab to fingolimod. Expertise on multiple sclerosis management, however, is essential for drug switching.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000800650&lng=en&tlng=enesclerose múltiplanatalizumabcloridrato de fingolimodeterapêutica
spellingShingle Yara Dadalti Fragoso
Soniza Vieira Alves-Leon
Jefferson Becker
Joseph Bruno Bidin Brooks
Eber Castro Correa
Alfredo Damasceno
Paulo Diniz da Gama
Rodrigo Assad da Gama
Andre Palma da Cunha Matta
Ernane Pires Maciel
Thereza Cristina d’Avila Winckler
Safety of switching from natalizumab straight into fingolimod in a group of JCV-positive patients with multiple sclerosis
Arquivos de Neuro-Psiquiatria
esclerose múltipla
natalizumab
cloridrato de fingolimode
terapêutica
title Safety of switching from natalizumab straight into fingolimod in a group of JCV-positive patients with multiple sclerosis
title_full Safety of switching from natalizumab straight into fingolimod in a group of JCV-positive patients with multiple sclerosis
title_fullStr Safety of switching from natalizumab straight into fingolimod in a group of JCV-positive patients with multiple sclerosis
title_full_unstemmed Safety of switching from natalizumab straight into fingolimod in a group of JCV-positive patients with multiple sclerosis
title_short Safety of switching from natalizumab straight into fingolimod in a group of JCV-positive patients with multiple sclerosis
title_sort safety of switching from natalizumab straight into fingolimod in a group of jcv positive patients with multiple sclerosis
topic esclerose múltipla
natalizumab
cloridrato de fingolimode
terapêutica
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000800650&lng=en&tlng=en
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