The Benefits and Risks of Switching from Fingolimod to Siponimod for the Treatment of Relapsing-Remitting and Secondary Progressive Multiple Sclerosis

© 2023. The Author(s)..

Multiple sclerosis (MS) is a chronic neurodegenerative disease that affects the central nervous system (CNS). Currently, MS treatment is limited to several Food and Drug Administration (FDA)- and European Medicines Agency (EMA)-approved medications that slow disease progression by immunomodulatory action. Fingolimod and siponimod have similar mechanisms of action, and consequently, their therapeutic effects may be comparable. However, while fingolimod is mainly used for relapsing-remitting MS (RRMS), siponimod, according to EMA label, is recommended for active secondary progressive MS (SPMS). Clinicians and scientists are analysing whether patients can switch from fingolimod to siponimod and identifying the advantages or disadvantages of such a switch from a therapeutic point of view. In this review, we aim to discuss the therapeutic effects of these two drugs and the advantages/disadvantages of switching treatment from fingolimod to siponimod in patients with the most common forms of MS, RRMS and SPMS.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

Drugs in R&D - 23(2023), 4 vom: 28. Dez., Seite 331-338

Sprache:

Englisch

Beteiligte Personen:

Vališ, Martin [VerfasserIn]
Achiron, Anat [VerfasserIn]
Hartung, Hans Peter [VerfasserIn]
Mareš, Jan [VerfasserIn]
Tichá, Veronika [VerfasserIn]
Štourač, Pavel [VerfasserIn]
Halusková, Simona [VerfasserIn]
Angelucci, Francesco [VerfasserIn]
Pavelek, Zbyšek [VerfasserIn]

Links:

Volltext

Themen:

Fingolimod Hydrochloride
G926EC510T
Immunosuppressive Agents
Journal Article
RR6P8L282I
Review
Siponimod

Anmerkungen:

Date Completed 27.11.2023

Date Revised 28.11.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s40268-023-00434-6

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM361388594