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Interferon-beta in pediatric multiple sclerosis patients: safety in short-term prescription
Keivan Basiri1, Masood Etemadifar, Fatemeh Derakhshan
1Neuroscience Research Center, Isfahan University of Medical Sciences, Iran.
Insights
Interferon-beta treatments, including Avonex and Betaferon, show promise for pediatric multiple sclerosis (MS) patients. This study found these therapies effective and safe in children with relapsing-remitting MS (RRMS).
Area of Science:
- Neurology
- Immunology
- Pediatric Medicine
Background:
- Multiple Sclerosis (MS) treatments approved for adults are not officially approved for pediatric patients.
- Pediatric MS patients currently receive off-label immunomodulatory drug therapies.
- There is a need for effective and safe treatments for children with MS.
Purpose of the Study:
- To evaluate the effectiveness and tolerability of interferon beta1-a (Avonex) and interferon beta1-b (Betaferon) in pediatric patients with relapsing-remitting MS (RRMS).
- To assess the safety and short-term complications of these treatments in children.
Main Methods:
- A study involving thirteen pediatric patients (under 16) diagnosed with definite RRMS.
- Six patients received intramuscular interferon beta1-a (Avonex) weekly; seven received subcutaneous interferon beta1-b (Betaferon) every other day.
- Patients were treated with standard adult doses, gradually increased from half dose.
Main Results:
- After nine months, 69.2% of patients experienced no relapses, and the remaining four had only one relapse.
- The mean Expanded Disability Status Scale (EDSS) score significantly decreased post-treatment.
- No short-term complications or safety concerns were reported.
Conclusions:
- Interferon-beta therapy demonstrates reasonable effectiveness and safety in pediatric MS patients.
- Further research with larger sample sizes and longer follow-up is needed to confirm long-term impacts.
- These findings support the consideration of interferon-beta for treating pediatric MS.
Abstract:
None of the approved immunomodulatory drugs in adults Multiple Sclerosis (MS) patients have been officially approved for the pediatric patients and are currently used off-label in this population. In this study, we evaluated the effectiveness and tolerability of intramuscular interferon beta1-a (Avonex(®)) and subcutaneously injected interferon beta1-b (Betaferon(®)) in children with definite relapsing-remitting MS (RRMS). Thirteen patients aged younger than 16, who were recently diagnosed with definite RRMS according to the McDonald's criteria, were enrolled in this study. Six patients were treated with Avonex(®) 30 μg, intramuscularly every week, and seven patients were treated with Betaferon(®) 250 μg, subcutaneously every other day. All patients were treated with adult doses; initially interferon-beta was prescribed with half dose, and it was increased to full adult dose steadily. Eleven girls and two boys, mean (SD) age of 14.7 (1.9) years, were studied. Following nine months of using interferon-beta, nine patients (69.2%) had no relapses and the remaining four, experienced only one relapse. The mean EDSS score was decreased significantly after the study period. The present study provides reasonable data for the use of interferon-beta in Pediatric MS due to lack of short-term complications and safety. Studies with larger sample size and longer follow up duration are required to shed light on the long term impact of the interferon-beta therapy in children.
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