Real-World Safety and Patient Profile of Fingolimod in Relapsing-Remitting Multiple Sclerosis: A Prospective Analysis in Buenos Aires, Argentina

Clin Neuropharmacol. 2017 Nov/Dec;40(6):251-254. doi: 10.1097/WNF.0000000000000240.

Abstract

Objective: The aim was to evaluate fingolimod safety and patient profiles in a real-world setting in Buenos Aires, Argentina.

Methods: Relapsing-remitting patients with multiple sclerosis who had been prescribed fingolimod and at least 18 months or more of follow-up were included. Demographic, clinical, and safety issues were described during first dose and follow-up.

Results: A total of 145 patients were included, 68% female; mean age, 30 ± 10.5 years; mean disease duration, 6.5 ± 3.1 years; mean fingolimod use, 25 ± 13 months. Eleven patients (7.6%) discontinued fingolimod (7 owing to disease activity/4 owing to desire of pregnancy and personal decisions). Forty-two percent of patients experienced adverse events: headache, fatigue, liver enzyme elevation, and lymphopenia were the most commonly found. No serious cardiac event was reported during the first dose.

Conclusions: The safety and patient profile of fingolimod in a new real-world setting were consistent with information provided from phase III clinical trials.

Publication types

  • Pragmatic Clinical Trial

MeSH terms

  • Adult
  • Argentina / epidemiology
  • Female
  • Fingolimod Hydrochloride / pharmacology
  • Fingolimod Hydrochloride / therapeutic use*
  • Follow-Up Studies
  • Heart Rate / drug effects
  • Heart Rate / physiology
  • Humans
  • Immunosuppressive Agents / pharmacology
  • Immunosuppressive Agents / therapeutic use*
  • Male
  • Multiple Sclerosis, Relapsing-Remitting / drug therapy*
  • Multiple Sclerosis, Relapsing-Remitting / epidemiology*
  • Multiple Sclerosis, Relapsing-Remitting / physiopathology
  • Prospective Studies
  • Young Adult

Substances

  • Immunosuppressive Agents
  • Fingolimod Hydrochloride