Fingolimod for the treatment of relapsing multiple sclerosis.

Abstract:

:Fingolimod is the first oral agent approved in the USA for the treatment of relapsing forms of multiple sclerosis. Fingolimod is a sphingosine 1-phosphate receptor modulator that binds to sphingosine 1-phosphate receptors on lymphocytes, resulting in a downregulation of the receptor and a reversible sequestration of lymphocytes in lymphoid tissue. Effector memory T cells are not sequestered so that immune surveillance may be minimally affected. Two large-scale Phase III clinical trials have demonstrated the efficacy of fingolimod compared with placebo and intramuscular interferon β-1a in relapsing-remitting multiple sclerosis. Due to its mechanism of action, fingolimod administration may be associated with first-dose bradycardia and macular edema. Therefore, patients should be observed for 6 h at the time of their first dose and undergo ophthalmologic evaluation prior to treatment initiation and at 3-4 months after initiation.

journal_name

Expert Rev Neurother

authors

Jeffery DR,Markowitz CE,Reder AT,Weinstock-Guttman B,Tobias K

doi

10.1586/ern.10.193

subject

Has Abstract

pub_date

2011-02-01 00:00:00

pages

165-83

issue

2

eissn

1473-7175

issn

1744-8360

journal_volume

11

pub_type

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