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Severity of COVID19 infection among patients with multiple sclerosis treated with interferon-β
Steve Simpson-Yap1, Ashkan Pirmani2, Edward De Brouwer3
1CORe, Department of Medicine, The University of Melbourne, Australia; Neuroepidemiology Unit, Melbourne School of Population & Global Health, The University of Melbourne, Australia; Menzies Institute for Medical Research, University of Tasmania, Australia.
Background:
Interferon-β, a disease-modifying therapy (DMT) for MS, may be associated with less severe COVID-19 in people with MS.
Results:
Among 5,568 patients (83.4% confirmed COVID-19), interferon-treated patients had lower risk of severe COVID-19 compared to untreated, but not to glatiramer-acetate, dimethyl-fumarate, or pooled other DMTs.
Conclusions:
In comparison to other DMTs, we did not find evidence of protective effects of interferon-β on the severity of COVID-19, though compared to the untreated, the course of COVID19 was milder among those on interferon-β. This study does not support the use of interferon-β as a treatment to reduce COVID-19 severity in MS.
Insights
Interferon-beta (IFNβ) treatment for multiple sclerosis (MS) showed a milder COVID-19 course compared to no treatment. However, IFNβ did not reduce COVID-19 severity compared to other disease-modifying therapies (DMTs).
Area of Science:
- Neurology
- Immunology
- Infectious Diseases
Background:
- Multiple sclerosis (MS) patients often use disease-modifying therapies (DMTs).
- Investigating the impact of DMTs on COVID-19 severity in MS is crucial.
- Interferon-beta (IFNβ) is a common DMT for MS.
Discussion:
- This study compared COVID-19 severity in MS patients on IFNβ versus untreated patients and those on other DMTs.
- Results indicate IFNβ was associated with less severe COVID-19 than no treatment.
- No significant difference in COVID-19 severity was observed between IFNβ and glatiramer acetate, dimethyl fumarate, or other pooled DMTs.
Key Insights:
- Interferon-beta (IFNβ) treatment in multiple sclerosis (MS) patients was linked to a milder COVID-19 outcome compared to untreated individuals.
- No protective effect of IFNβ against severe COVID-19 was found when compared to other common MS DMTs.
- The findings do not support using IFNβ specifically to mitigate COVID-19 severity in MS patients.
Outlook:
- Further research may explore differential impacts of various DMTs on viral infections.
- Understanding drug interactions between DMTs and antiviral treatments is warranted.
- Clinical decisions regarding DMTs should prioritize MS management over COVID-19 prevention based on current data.
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