Improvement in relapse recovery with peginterferon beta-1a in patients with multiple sclerosis

Thomas F. Scott, Bernd C. Kieseier, Scott D. Newsome, Douglas L. Arnold, Xiaojun You, Serena Hung, Bjoern Sperling

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Subcutaneous peginterferon beta-1a every 2 weeks significantly affects clinical outcomes in patients with relapsing–remitting multiple sclerosis (RRMS). Objectives: To explore relationships between relapses and worsening of disability in patients with RRMS, and assess the treatment effect of peginterferon beta-1a on relapse recovery. Methods: Post-hoc analysis of the 2-year, randomized, double-blind, parallel-group, Phase 3 ADVANCE study. The severity of relapses, proportion of patients with relapses associated with residual disability (onset of 24-week confirmed disability progression (CDP) within 90 days following a relapse), and persistence of changes in Functional Systems Scores, were compared between treatment groups. Results: Subcutaneous peginterferon beta-1a every 2 weeks significantly reduced the proportion of patients experiencing relapse associated with CDP over 2 years (6.6%, compared with 15.1% of patients who received placebo in Year 1; p = 0.02). Reduction in relapses associated with residual disability was greater than the treatment effect on overall relapse rate, and occurred despite similar relapse severity across treatment groups. Conclusions: The beneficial effect of peginterferon beta-1a on risk of CDP may be attributable to the combination of an overall reduction in the risk of relapses and improvement in recovery from relapses, thus limiting further disability progression. Trial registration: ClinicalTrials.gov identifier: NCT00906399

Original languageEnglish (US)
JournalMultiple Sclerosis Journal - Experimental, Translational and Clinical
Volume2
DOIs
StatePublished - Jan 14 2016

Keywords

  • Clinical trial
  • peginterferon beta-1a
  • relapsing–remitting multiple sclerosis

ASJC Scopus subject areas

  • Clinical Neurology
  • Cellular and Molecular Neuroscience

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