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Future Medicine, Neurodegenerative Disease Management, 4(13), p. 223-234, 2023

DOI: 10.2217/nmt-2022-0032

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Glatiramer acetate or IFN-β bridging therapy in women with relapsing multiple sclerosis planning a pregnancy

Journal article published in 2023 by Kerstin Hellwig ORCID, Sandra Thiel, Sabrina Haben, Andrea I. Ciplea, Anna Kurzeja
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Data provided by SHERPA/RoMEO

Abstract

Aim: To assess bridging glatiramer acetate (GA) or IFN-β for relapse prevention in women with relapsing multiple sclerosis planning pregnancy. Materials & methods: Participants discontinued disease-modifying therapies (DMTs) and received GA/IFN (early- or delayed-start) or no DMT (control) until pregnancy. Results: Annualized relapse rate was lower in delayed-start GA/IFN cohort versus control during washout/bridging. During washout/bridging, bridging with GA/IFN in this cohort reduced clinical activity, while disease activity increased in controls versus baseline. Conclusion: More data on GA/IFN bridging are needed. Women with low relapsing multiple sclerosis activity in the year prior to DMT discontinuation due to pregnancy planning benefited from GA/IFN bridging with lower annualized relapse rate versus no treatment and reduced clinical activity versus baseline during washout/bridging and pregnancy.