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Preliminary Results of the FASM Study, an On-Going Italian Active Pharmacovigilance Project
Giorgia Teresa Maniscalco1,2, Vincenzo Brescia Morra3, Ciro Florio1,2
1Multiple Sclerosis Center, "A. Cardarelli" Hospital, 80131 Naples, Italy.
Background And Aim:
Disease-modifying therapies (DMTs) used in multiple sclerosis (MS) have distinct safety profiles. In this paper, we report preliminary results of an on-going pharmacovigilance project (the FASM study).
Results:
Neurologists working at involved multiple sclerosis centers collected 272 Individual Case Safety Reports (ICSRs). Adverse drug reactions (ADRs) mainly occurred in adult patients and in a higher percentage of women compared to men. No difference was found in ADRs distribution by seriousness. The outcome was reported as favorable in 61% of ICSRs. Out of 272 ICSRs, almost 53% reported dimethyl fumarate, fingolimod and IFN beta 1a as suspected. These medications were commonly associated to the occurrence of ADRs related hematological, gastrointestinal, general, infective or cancer disorders. The median time to event (days) was 177 for dimethyl fumarate, 1058 for fingolimod and 413 for IFN beta 1a. The median time to event for the remaining suspected drugs was 226.
Conclusion:
We believe that our results, together with those that will be presented at the end of the study, may bring new knowledge concerning the safety profile of DMTs and their proper use. This will provide the opportunity to draw new recommendations both for neurologists and patients.
Insights
Preliminary findings from the FASM study reveal adverse drug reactions (ADRs) associated with multiple sclerosis (MS) disease-modifying therapies (DMTs), primarily affecting women and linked to specific treatments like dimethyl fumarate and fingolimod.
Area of Science:
- Pharmacovigilance
- Neurology
- Drug Safety
Background:
- Multiple sclerosis (MS) treatments, known as disease-modifying therapies (DMTs), possess varied safety profiles.
- Understanding these safety profiles is crucial for effective patient management.
Purpose of the Study:
- To present preliminary findings from the FASM pharmacovigilance study.
- To analyze adverse drug reactions (ADRs) associated with DMTs in MS patients.
Main Methods:
- Collection of 272 Individual Case Safety Reports (ICSRs) from multiple sclerosis centers.
- Analysis of ADRs, patient demographics, drug associations, and time to event.
Main Results:
- ADRs were more frequent in adult women. No significant difference in ADR seriousness was observed.
- Dimethyl fumarate, fingolimod, and IFN beta 1a were the most frequently suspected drugs, associated with hematological, gastrointestinal, and other disorders.
- Median time to event varied among suspected drugs, with fingolimod showing the longest median time (1058 days).
Conclusions:
- Preliminary results offer insights into DMT safety profiles in MS.
- Further data will enhance understanding of DMTs' proper use and inform clinical recommendations for neurologists and patients.
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