Retrospective analysis of effectiveness of fingolimod in real life setting in Turkey (REFINE)

During multiple sclerosis (MS) treatment different modes of action such as lateral (interferon beta to glatiramer acetate or glatiramer acetate to interferon beta) or vertical (interferon beta/glatiramer acetate to fingolimod) drug switch can be performed. This study aims to investigate the clinical...

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Veröffentlicht in:Turkish journal of medical sciences 2023-01, Vol.53 (1), p.323-332
Hauptverfasser: Tuncer, Meryem Aslı, Kürtüncü, Murat, Terzi, Murat, Uygunoğlu, Uğur, Göncüoğlu, Cansu, Yüceyar, Ayşe Nur, Ekmekçi, Özgül, Türkoğlu, Recai, Soysal, Aysun, Köseoğlu, Mesrure, Boz, Cavit, Beckmann, Yeşim, Turan, Ömer Faruk, Demirkıran, Duruhan Meltem, Akman, Firdevs Gülşen, Altunrende, Burcu, Cantürk, İlknur Aydın, Birday, Erkingül, Özcan, Abdulcemal, Kamişli, Özden, Özen, Nazire Pinar Acar, Çelik, Rabia Gökçen Gözübatik, Balcı, Fatma Belgin, Efendi, Hüsnü, Sarıkaya, Cansu, Akçalı, Aylin, Toprak, Münire Kılınç, Kabay, Sibel Canbaz, Kızılay, Ferah, Sevim, Mustafa Serhan, Gazaloğlu, Gülcan Baran, Demir, Caner Feyzi, Balgetir, Ferhat, Kıylıoğlu, Nefati, Sarıahmetoğlu, Hande, Ölmez, Çağcan, Mavi, Kamil, Yüksel, Süha, Işık, Nihal, Saip, Sabahattin, Karabudak, Rana, Siva, Aksel, Eraksoy, Mefküre
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container_issue 1
container_start_page 323
container_title Turkish journal of medical sciences
container_volume 53
creator Tuncer, Meryem Aslı
Kürtüncü, Murat
Terzi, Murat
Uygunoğlu, Uğur
Göncüoğlu, Cansu
Yüceyar, Ayşe Nur
Ekmekçi, Özgül
Türkoğlu, Recai
Soysal, Aysun
Köseoğlu, Mesrure
Boz, Cavit
Beckmann, Yeşim
Turan, Ömer Faruk
Demirkıran, Duruhan Meltem
Akman, Firdevs Gülşen
Altunrende, Burcu
Cantürk, İlknur Aydın
Birday, Erkingül
Özcan, Abdulcemal
Kamişli, Özden
Özen, Nazire Pinar Acar
Çelik, Rabia Gökçen Gözübatik
Balcı, Fatma Belgin
Efendi, Hüsnü
Sarıkaya, Cansu
Akçalı, Aylin
Toprak, Münire Kılınç
Kabay, Sibel Canbaz
Kızılay, Ferah
Sevim, Mustafa Serhan
Gazaloğlu, Gülcan Baran
Demir, Caner Feyzi
Balgetir, Ferhat
Kıylıoğlu, Nefati
Sarıahmetoğlu, Hande
Ölmez, Çağcan
Mavi, Kamil
Yüksel, Süha
Işık, Nihal
Saip, Sabahattin
Karabudak, Rana
Siva, Aksel
Eraksoy, Mefküre
description During multiple sclerosis (MS) treatment different modes of action such as lateral (interferon beta to glatiramer acetate or glatiramer acetate to interferon beta) or vertical (interferon beta/glatiramer acetate to fingolimod) drug switch can be performed. This study aims to investigate the clinical effectiveness of switching from the first-line injectable disease modifying treatments (iDMTs) to fingolimod (FNG) compared to switching between first-line iDMTs. This is a multicenter, observational and retrospective study of patients with relapsing-remitting MS who had lateral and vertical switch. The observation period included three key assessment time points (before the switch, at switch, and after the switch). Data were collected from the MS patients' database by neurologists between January 2018 and June 2019. The longest follow-up period of the patients was determined as 24 months after the switch. In 462 MS patients that were included in the study, both treatments significantly decreased the number of relapses during the postswitch 12 months versus preswitch one year while patients in the FNG group experienced significantly fewer relapses compared to iDMT cohort in the postswitch 12 months period. FNG cohort experienced fewer relapses than in the iDMT cohort within the postswitch 2 year. The mean time to first relapse after the switch was significantly longer in the FNG group. The present study revealed superior effectiveness of vertical switch over lateral switch regarding the improvement in relapse outcomes. Patients in the FNG cohort experienced sustainably fewer relapses during the follow-up period after the switch compared the iDMT cohort. Importantly, switching to FNG was more effective in delaying time to first relapse when compared with iDMTs.
doi_str_mv 10.55730/1300-0144.5588
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FNG cohort experienced fewer relapses than in the iDMT cohort within the postswitch 2 year. The mean time to first relapse after the switch was significantly longer in the FNG group. The present study revealed superior effectiveness of vertical switch over lateral switch regarding the improvement in relapse outcomes. Patients in the FNG cohort experienced sustainably fewer relapses during the follow-up period after the switch compared the iDMT cohort. 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FNG cohort experienced fewer relapses than in the iDMT cohort within the postswitch 2 year. The mean time to first relapse after the switch was significantly longer in the FNG group. The present study revealed superior effectiveness of vertical switch over lateral switch regarding the improvement in relapse outcomes. Patients in the FNG cohort experienced sustainably fewer relapses during the follow-up period after the switch compared the iDMT cohort. Importantly, switching to FNG was more effective in delaying time to first relapse when compared with iDMTs.</description><subject>Fingolimod Hydrochloride - therapeutic use</subject><subject>Glatiramer Acetate - therapeutic use</subject><subject>Humans</subject><subject>Immunosuppressive Agents - therapeutic use</subject><subject>Interferon-beta - therapeutic use</subject><subject>Multiple Sclerosis - drug therapy</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Turkey</subject><issn>1300-0144</issn><issn>1303-6165</issn><issn>1300-0144</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkM1LAzEQxYMotlbP3iRHPayd3exHchIprRaKQqlHCelmUqPb3bLZFvrfm-1q0VMm7828GX6EXIdwnyQZg2HIAAII49j_OT8hfS-wIA3T5PRQd2aPXDj3CRCxOBHnpMdS4YtI9Mn7HJu6chvMG7tDqkpV7J11tDIUjenUEt1BMLZcVYVdV5raktaoClpYg9Rh03irFRfb-gv39HY-nkxfxneX5MyowuHVzzsgb5PxYvQczF6fpqPHWZCzmDdBCJlQeabBQBYLzVAbzXkWcc1SpiMQSwWg_T1poo1QGQqVqpiZFFGnyxzYgDx0uZvtco06x7KpVSE3tV2rei8rZeV_p7QfclXtZAiMc-DCJwy7hNzTcDWa43AI8oBatjRlS1O2qP3Ezd-dx_5ftuwb9qd7vQ</recordid><startdate>20230101</startdate><enddate>20230101</enddate><creator>Tuncer, Meryem Aslı</creator><creator>Kürtüncü, Murat</creator><creator>Terzi, Murat</creator><creator>Uygunoğlu, Uğur</creator><creator>Göncüoğlu, Cansu</creator><creator>Yüceyar, Ayşe Nur</creator><creator>Ekmekçi, Özgül</creator><creator>Türkoğlu, Recai</creator><creator>Soysal, Aysun</creator><creator>Köseoğlu, Mesrure</creator><creator>Boz, Cavit</creator><creator>Beckmann, Yeşim</creator><creator>Turan, Ömer Faruk</creator><creator>Demirkıran, Duruhan Meltem</creator><creator>Akman, Firdevs Gülşen</creator><creator>Altunrende, Burcu</creator><creator>Cantürk, İlknur Aydın</creator><creator>Birday, Erkingül</creator><creator>Özcan, Abdulcemal</creator><creator>Kamişli, Özden</creator><creator>Özen, Nazire Pinar Acar</creator><creator>Çelik, Rabia Gökçen Gözübatik</creator><creator>Balcı, Fatma Belgin</creator><creator>Efendi, Hüsnü</creator><creator>Sarıkaya, Cansu</creator><creator>Akçalı, Aylin</creator><creator>Toprak, Münire Kılınç</creator><creator>Kabay, Sibel Canbaz</creator><creator>Kızılay, Ferah</creator><creator>Sevim, Mustafa Serhan</creator><creator>Gazaloğlu, Gülcan Baran</creator><creator>Demir, Caner Feyzi</creator><creator>Balgetir, Ferhat</creator><creator>Kıylıoğlu, Nefati</creator><creator>Sarıahmetoğlu, Hande</creator><creator>Ölmez, Çağcan</creator><creator>Mavi, Kamil</creator><creator>Yüksel, Süha</creator><creator>Işık, Nihal</creator><creator>Saip, Sabahattin</creator><creator>Karabudak, Rana</creator><creator>Siva, Aksel</creator><creator>Eraksoy, Mefküre</creator><general>Scientific and Technological Research Council of Turkey (TUBITAK)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20230101</creationdate><title>Retrospective analysis of effectiveness of fingolimod in real life setting in Turkey (REFINE)</title><author>Tuncer, Meryem Aslı ; Kürtüncü, Murat ; Terzi, Murat ; Uygunoğlu, Uğur ; Göncüoğlu, Cansu ; Yüceyar, Ayşe Nur ; Ekmekçi, Özgül ; Türkoğlu, Recai ; Soysal, Aysun ; Köseoğlu, Mesrure ; Boz, Cavit ; Beckmann, Yeşim ; Turan, Ömer Faruk ; Demirkıran, Duruhan Meltem ; Akman, Firdevs Gülşen ; Altunrende, Burcu ; Cantürk, İlknur Aydın ; Birday, Erkingül ; Özcan, Abdulcemal ; Kamişli, Özden ; Özen, Nazire Pinar Acar ; Çelik, Rabia Gökçen Gözübatik ; Balcı, Fatma Belgin ; Efendi, Hüsnü ; Sarıkaya, Cansu ; Akçalı, Aylin ; Toprak, Münire Kılınç ; Kabay, Sibel Canbaz ; Kızılay, Ferah ; Sevim, Mustafa Serhan ; Gazaloğlu, Gülcan Baran ; Demir, Caner Feyzi ; Balgetir, Ferhat ; Kıylıoğlu, Nefati ; Sarıahmetoğlu, Hande ; Ölmez, Çağcan ; Mavi, Kamil ; Yüksel, Süha ; Işık, Nihal ; Saip, Sabahattin ; Karabudak, Rana ; Siva, Aksel ; Eraksoy, Mefküre</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c348t-1079ac7d0f0749d3edfd88728d363d209ba00deff65df9a7e9a6a43f6eed6bc03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Fingolimod Hydrochloride - therapeutic use</topic><topic>Glatiramer Acetate - therapeutic use</topic><topic>Humans</topic><topic>Immunosuppressive Agents - therapeutic use</topic><topic>Interferon-beta - therapeutic use</topic><topic>Multiple Sclerosis - drug therapy</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Turkey</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tuncer, Meryem Aslı</creatorcontrib><creatorcontrib>Kürtüncü, Murat</creatorcontrib><creatorcontrib>Terzi, Murat</creatorcontrib><creatorcontrib>Uygunoğlu, Uğur</creatorcontrib><creatorcontrib>Göncüoğlu, Cansu</creatorcontrib><creatorcontrib>Yüceyar, Ayşe Nur</creatorcontrib><creatorcontrib>Ekmekçi, Özgül</creatorcontrib><creatorcontrib>Türkoğlu, Recai</creatorcontrib><creatorcontrib>Soysal, Aysun</creatorcontrib><creatorcontrib>Köseoğlu, Mesrure</creatorcontrib><creatorcontrib>Boz, Cavit</creatorcontrib><creatorcontrib>Beckmann, Yeşim</creatorcontrib><creatorcontrib>Turan, Ömer Faruk</creatorcontrib><creatorcontrib>Demirkıran, Duruhan Meltem</creatorcontrib><creatorcontrib>Akman, Firdevs Gülşen</creatorcontrib><creatorcontrib>Altunrende, Burcu</creatorcontrib><creatorcontrib>Cantürk, İlknur Aydın</creatorcontrib><creatorcontrib>Birday, Erkingül</creatorcontrib><creatorcontrib>Özcan, Abdulcemal</creatorcontrib><creatorcontrib>Kamişli, Özden</creatorcontrib><creatorcontrib>Özen, Nazire Pinar Acar</creatorcontrib><creatorcontrib>Çelik, Rabia Gökçen Gözübatik</creatorcontrib><creatorcontrib>Balcı, Fatma Belgin</creatorcontrib><creatorcontrib>Efendi, Hüsnü</creatorcontrib><creatorcontrib>Sarıkaya, Cansu</creatorcontrib><creatorcontrib>Akçalı, Aylin</creatorcontrib><creatorcontrib>Toprak, Münire Kılınç</creatorcontrib><creatorcontrib>Kabay, Sibel Canbaz</creatorcontrib><creatorcontrib>Kızılay, Ferah</creatorcontrib><creatorcontrib>Sevim, Mustafa Serhan</creatorcontrib><creatorcontrib>Gazaloğlu, Gülcan Baran</creatorcontrib><creatorcontrib>Demir, Caner Feyzi</creatorcontrib><creatorcontrib>Balgetir, Ferhat</creatorcontrib><creatorcontrib>Kıylıoğlu, Nefati</creatorcontrib><creatorcontrib>Sarıahmetoğlu, Hande</creatorcontrib><creatorcontrib>Ölmez, Çağcan</creatorcontrib><creatorcontrib>Mavi, Kamil</creatorcontrib><creatorcontrib>Yüksel, Süha</creatorcontrib><creatorcontrib>Işık, Nihal</creatorcontrib><creatorcontrib>Saip, Sabahattin</creatorcontrib><creatorcontrib>Karabudak, Rana</creatorcontrib><creatorcontrib>Siva, Aksel</creatorcontrib><creatorcontrib>Eraksoy, Mefküre</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Turkish journal of medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tuncer, Meryem Aslı</au><au>Kürtüncü, Murat</au><au>Terzi, Murat</au><au>Uygunoğlu, Uğur</au><au>Göncüoğlu, Cansu</au><au>Yüceyar, Ayşe Nur</au><au>Ekmekçi, Özgül</au><au>Türkoğlu, Recai</au><au>Soysal, Aysun</au><au>Köseoğlu, Mesrure</au><au>Boz, Cavit</au><au>Beckmann, Yeşim</au><au>Turan, Ömer Faruk</au><au>Demirkıran, Duruhan Meltem</au><au>Akman, Firdevs Gülşen</au><au>Altunrende, Burcu</au><au>Cantürk, İlknur Aydın</au><au>Birday, Erkingül</au><au>Özcan, Abdulcemal</au><au>Kamişli, Özden</au><au>Özen, Nazire Pinar Acar</au><au>Çelik, Rabia Gökçen Gözübatik</au><au>Balcı, Fatma Belgin</au><au>Efendi, Hüsnü</au><au>Sarıkaya, Cansu</au><au>Akçalı, Aylin</au><au>Toprak, Münire Kılınç</au><au>Kabay, Sibel Canbaz</au><au>Kızılay, Ferah</au><au>Sevim, Mustafa Serhan</au><au>Gazaloğlu, Gülcan Baran</au><au>Demir, Caner Feyzi</au><au>Balgetir, Ferhat</au><au>Kıylıoğlu, Nefati</au><au>Sarıahmetoğlu, Hande</au><au>Ölmez, Çağcan</au><au>Mavi, Kamil</au><au>Yüksel, Süha</au><au>Işık, Nihal</au><au>Saip, Sabahattin</au><au>Karabudak, Rana</au><au>Siva, Aksel</au><au>Eraksoy, Mefküre</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Retrospective analysis of effectiveness of fingolimod in real life setting in Turkey (REFINE)</atitle><jtitle>Turkish journal of medical sciences</jtitle><addtitle>Turk J Med Sci</addtitle><date>2023-01-01</date><risdate>2023</risdate><volume>53</volume><issue>1</issue><spage>323</spage><epage>332</epage><pages>323-332</pages><issn>1300-0144</issn><eissn>1303-6165</eissn><eissn>1300-0144</eissn><abstract>During multiple sclerosis (MS) treatment different modes of action such as lateral (interferon beta to glatiramer acetate or glatiramer acetate to interferon beta) or vertical (interferon beta/glatiramer acetate to fingolimod) drug switch can be performed. This study aims to investigate the clinical effectiveness of switching from the first-line injectable disease modifying treatments (iDMTs) to fingolimod (FNG) compared to switching between first-line iDMTs. This is a multicenter, observational and retrospective study of patients with relapsing-remitting MS who had lateral and vertical switch. The observation period included three key assessment time points (before the switch, at switch, and after the switch). Data were collected from the MS patients' database by neurologists between January 2018 and June 2019. The longest follow-up period of the patients was determined as 24 months after the switch. In 462 MS patients that were included in the study, both treatments significantly decreased the number of relapses during the postswitch 12 months versus preswitch one year while patients in the FNG group experienced significantly fewer relapses compared to iDMT cohort in the postswitch 12 months period. FNG cohort experienced fewer relapses than in the iDMT cohort within the postswitch 2 year. The mean time to first relapse after the switch was significantly longer in the FNG group. The present study revealed superior effectiveness of vertical switch over lateral switch regarding the improvement in relapse outcomes. Patients in the FNG cohort experienced sustainably fewer relapses during the follow-up period after the switch compared the iDMT cohort. Importantly, switching to FNG was more effective in delaying time to first relapse when compared with iDMTs.</abstract><cop>Turkey</cop><pub>Scientific and Technological Research Council of Turkey (TUBITAK)</pub><pmid>36945929</pmid><doi>10.55730/1300-0144.5588</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Fingolimod Hydrochloride - therapeutic use
Glatiramer Acetate - therapeutic use
Humans
Immunosuppressive Agents - therapeutic use
Interferon-beta - therapeutic use
Multiple Sclerosis - drug therapy
Recurrence
Retrospective Studies
Turkey
title Retrospective analysis of effectiveness of fingolimod in real life setting in Turkey (REFINE)
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