B cell-depleting agents are emerging as important disease-modifying drugs for multiple sclerosis, but their effectiveness in relation to established treatments remains uncertain. To cast light on this issue, several studies have provided head-to-head comparisons of the anti-CD20 antibody rituximab with natalizumab, fingolimod and dimethyl fumarate in patients with multiple sclerosis.
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References
Vollmer, B. L. et al. Rituximab versus natalizumab, fingolimod, and dimethyl fumarate in multiple sclerosis treatment. Ann. Clin. Transl Neurol. https://doi.org/10.1002/acn3.51111 (2020).
Alping, P. et al. Rituximab versus fingolimod after natalizumab in multiple sclerosis patients. Ann. Neurol. 79, 950–958 (2016).
Boremalm, M. et al. Natalizumab, rituximab and fingolimod as escalation therapy in multiple sclerosis. Eur. J. Neurol. 26, 1060–1067 (2019).
Granqvist, M. et al. Comparative effectiveness of rituximab and other initial treatment choices for multiple sclerosis. JAMA Neurol. 75, 320–327 (2018).
Scotti, B. et al. Effectiveness and safety of rituximab in multiple sclerosis: an observational study from Southern Switzerland. PLoS ONE 13, e0197415 (2018).
Roos, I. et al. Delay from treatment start to full effect of immunotherapies for multiple sclerosis. Brain https://doi.org/10.1093/brain/awaa231 (2020).
Austin, P. C. & Stuart, E. A. The performance of inverse probability of treatment weighting and full matching on the propensity score in the presence of model misspecification when estimating the effect of treatment on survival outcomes. Stat. Methods Med. Res. 26, 1654–1670 (2017).
Funk, M. J. et al. Doubly robust estimation of causal effects. Am. J. Epidemiol. 173, 761–767 (2011).
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T.K. is the chair of the MSBase Scientific Leadership Group, has served on scientific advisory boards for Roche, Celgene, Sanofi Genzyme, Novartis, Merck and Biogen and the steering committee for Brain Atrophy Initiative by Sanofi Genzyme, has received conference travel support and/or speaker honoraria from WebMD Global, Novartis, Biogen, Sanofi Genzyme, Teva, BioCSL and Merck and has received research support from Biogen. M.P.S. has received consulting fees from Biogen, Sanofi Genzyme, Roche, Novartis, Merck, GeNeuro, Celgene, TEVA and Medday.
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Kalincik, T., Sormani, M.P. Comparative effectiveness of rituximab in multiple sclerosis. Nat Rev Neurol 17, 3–4 (2021). https://doi.org/10.1038/s41582-020-00412-5
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DOI: https://doi.org/10.1038/s41582-020-00412-5
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