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.

Abstract

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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