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

Author:

Fragoso Yara Dadalti1,Alves-Leon Soniza Vieira2,Becker Jefferson3,Brooks Joseph Bruno Bidin1,Correa Eber Castro4,Damasceno Alfredo5,Gama Paulo Diniz da6,Gama Rodrigo Assad da6,Matta Andre Palma da Cunha7,Maciel Ernane Pires8,Winckler Thereza Cristina d’Avila9

Affiliation:

1. Universidade Metropolitana de Santos, Brasil

2. Universidade Federal do Estado do Rio de Janeiro, Brasil

3. Pontifícia Universidade Católica do Rio Grande do Sul, Brasil

4. Clinica de Neurologia e Endocrinologia, Brasil

5. Universidade Estadual de Campinas, Brasil

6. Pontifícia Universidade Católica Sorocaba, Brasil

7. Universidade Federal Fluminense, Brasil

8. Hospital de Base do Distrito Federal, Brasil

9. Universidade Positivo, Brasil

Abstract

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.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Clinical Neurology

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