Neurol. praxi 2020; 21(Suppl.C): 3-10 | DOI: 10.36290/neu.2021.007

Serious infections complicating the treatment of multiple sclerosis

doc. MUDr. Eleonóra Klímová, CSc.
Klinika neurológie FZO Prešovskej univerzity v Prešove
Ambulancia pre sklerózu multiplex FNsP J. A. Reimana, Prešov

In the recent years, we have witnessed a huge increase in treatment options for multiple sclerosis (MS) with various mechanisms of actions that affect the immune system by immunomodulation or immunosuppression. With the advent of new drugs with higher efficacy than we know in interferons-beta or glatiramer acetate, the management of the patient´s treatment with MS with regard to its safety, including the prevention of infections, which can significantly complicate the course of MS. The correct indication of the selected products of the new drugs generation, as well as monitoring of treatment with the chosen medical drug often requires broad multidisciplinary cooperation. The article presents a literary overview of the incidence of most common infections in the treatment with these drugs in the MS indication and how to prevent them.

Keywords: multiple sclerosis, safety of treatment, infections, prevention.

Received: January 27, 2021; Revised: January 27, 2021; Accepted: January 31, 2021; Prepublished online: January 31, 2021; Published: October 1, 2021  Show citation

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Klímová E. Serious infections complicating the treatment of multiple sclerosis. Neurol. praxi. 2020;21(Suppl. C - Závažné infekcie komplikujúce liečbu sclerosis multiplex):3-10. doi: 10.36290/neu.2021.007.
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References

  1. Berger JR. Classifying PML risk with disease modifying therapies. Multiple sclerosis and Related Disorders, 2017; 12: 59-63. Go to original source... Go to PubMed...
  2. Berger JR, Cree BA, Greenberg B, Hemmer B, Ward BJ, Dong VM, Merschhemke M. Progressive multifocal leukoencephalopathy after fingolimod treatment. Neurology 2018; 90: 1-7. doi: 10.1212/WNL.00000000000005529. Go to original source...
  3. Biogen Slovakia: Tysabri - globálne údaje o PML. Aktualizácia od uvedenia na trh, marec 2018.
  4. Biogen Slovakia: PML/dimetylfumarát. 2019.
  5. Brew BJ, Davies NW, Cinque P, et al. Progressive multifocal leukoencephalopathy and other forms of JC virus disease. Nat Rev Neurol. 2010; 6: 667-79. Go to original source... Go to PubMed...
  6. Buc M. Autoimunita a autoimunitné choroby. 2. prepravované vydanie. Bratislava: VEDA 2016: s. 143. s. 401-408.
  7. Centers for Disease Control and Prevention. Division of Tuberculosis Elimination. Latent Tuberculosis infection: A Guide for Primary Health Care Providers. Treatment of latent TB infection. Centers for Disease Control and Prevention. 2016. Dostupné na: http://www.cdc.gov/tb/publications/ltbi/treatment.htm.
  8. Cohen JA, Coles AJ, Arnold DL, et al. CARE-MS I investigators. Alemtuzumab versus interferon beta 1a as first-line treatment for patients with relapsing remitting multiple sclerosis: a randomised controlled phase 3 trial. Lancet 2012; 380: 1819-28. Go to original source... Go to PubMed...
  9. Coles AJ, Twyman CL, Arnold DL, et al. CARE-MS II investigators. Alemtuzumab for patients with relapsing multiple sclerosis after disease-modifying therapy, a randomised controlled phase 3 trial. Lancet 2012; 380: 1829-39. Go to original source... Go to PubMed...
  10. Comi G, Freedman MS, Kappos L, Olsson TP, Miller AE, Wolinsky JS, O´Connor PW, Benamor M, Dukovic D, Truffinet P, Leist TP. Pooled safety and tolerability data from four placebo-controlled teriflunomide studies and extensions. Multiple Sclerosis and Related Disorders 2016, 5: 97-104. Go to original source... Go to PubMed...
  11. Cook S, Leist T, Comi C, et al. Safety of cladribine tablets in the treatment of patient with multiple sclerosis: An integrated analysis. Multiple sclerosis and related disorders 2019; 29: 157-167. Go to original source... Go to PubMed...
  12. Epstein DJ, Dunn J, Deresinski S. Infectious Complications of Multiple Sclerosis Therapies: Implications for Screening, Prophylaxis, and Management. Open Forum Infectious Diseases (OFID) 2018; p. 1-8. doi: 10.1093/ofid/ofy174. Go to original source... Go to PubMed...
  13. Ho PR, Koendgen H, Cambell N, et al. Risk of natalizumab-associated progressive multifocal leukoencephalopathy in patients with multiple sclerosis: a retrospective analysis of data from four clinical studies. Lancet Neurol. 2017; 16: 925-33. Go to original source... Go to PubMed...
  14. Chitnis T, et al. (17co-authors) for PARADIGMS Group. Trial of Fingolimod versus Interferon Beta-1a in Pediatric Multiple Sclerosis. N Engl J Med. 2018; 379: 1017-27. doi: 10.1056/NEJMoa1800149. Go to original source... Go to PubMed...
  15. Lisý Ľ. 5-ročné výsledky liečby okrelizumabom u pacientov s relapsujúcou sclerosis multiplex. Neurológia pre prax 2019; 20: suppl. 3.
  16. Ma BB, Ostrow LW, Newsome SD. Disseminated zoster with paresis in a multiple sclerosis patient treated with dimethyl fumarate. Neurol Neuroimmunol Neuroinfamm. 2016; 3: e203. Go to original source... Go to PubMed...
  17. McGuigan C, Craner M, Guadagno J, et al. Stratification and monitoring of natalizumab-associated progressive multifocal leucoencephalopathy risk: recommendation from an expert group. J Neurol Neurosurg Psychiatry. 2016; 87: 117-25.
  18. Reddy KR, Beavers KL, Hammond SP, Lim JK, Falck-Ytter YT: American Gastroenterological Association Institute. American Gastroenterological Association Institue guideline on the prevention and treatment of hepatitis B virus reactivation during immunosuppressive drug therapy. Gastroenterology 2015; 148: 215-9., quiz e16-7. Go to original source... Go to PubMed...
  19. Sanofi Genzyme 2019. Internal data on file.
  20. Sanofi Genzyme 2016. Internal data on file.
  21. Súhrn charakteristických vlastností lieku Ocrevus. Roche Slovensko, s. r. o. 2018. Dostupné na www.ema.europa.eu.
  22. Schwab N, Schneider-Hohendorf T, Melzer N, et al. Natalizumab-associated PML: challenges with incidence, resulting risk, and risk stratification. Neurology 2017; 88: 1197-205. Go to original source... Go to PubMed...
  23. Schwab N, Schneider-Hohendorf T, Pignolet B, Spandaro M, Gorlich D, Meinl I, Windhagen S, Tackenberg B, Breuer J, Canto J, Kumpfel E, Hohlfeld R, Siffrin V, Luessi F, Posevitz-Fejfar A, Montalban X, Meuth SG, Zipp F, Golg R, Du Pasquier RA, Kleinschnitz C, Jacobi A, Comabella M, Bertolotto A, Brassat D, Wiendl H. PML risk stratification using anti-JCV antibody index and L-selectin. Mult Scler. 2016; 22(8): 1048-1060. Go to original source... Go to PubMed...
  24. SPC lieku Aubagio [online]. Dostupné na www.sukl.sk.
  25. SPC lieku Mavenclad [online]. Dostupné na www.sukl.sk.
  26. SPC lieku Ocrevus [online]. Dostupné na www.sukl.sk.
  27. Vermersch P, Czlonkowska A, ME Grimaldi L, † Convfavreux CH, Comi G, Kappos L, Olson TP, Benamor M, Bauer D, Truffinet P, Churg M, Miller AE, Wolinsky JS, Freedman MS and O`Connor P for the TENERE Trial Group. Mult Scler Journal. 2014; 20: 705-716. DOI: 10.1177/1352458513507821. Go to original source... Go to PubMed...
  28. Villar ML, et al. (45 spoluautorov). Lipid-specific immunoglobulin M bands in cerebrospinal fluid are associated with a reduced risk of developing progressive multifocal leukoencephalopathy during treatment with natalizumab. Ann Neurol. 2015; 77(3): 447-457. Go to original source... Go to PubMed...




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