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Rapidly increasing off-label use of rituximab in multiple sclerosis in Sweden : Outlier or predecessor?

Berntsson, Shala G., 1964- (author)
Uppsala universitet,Neurologi,Uppsala Univ, Sweden
Kristoffersson, A (author)
Uppsala universitet,Neurologi,Neurology Policlinic, Department of Medical Specialist, Motala General Hospital, Motala, Sweden,Uppsala Univ, Sweden; Motala Gen Hosp, Sweden
Boström, Inger (author)
Linköpings universitet,Avdelningen för neuro- och inflammationsvetenskap,Medicinska fakulteten,Region Östergötland, Neurologiska kliniken i Linköping
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Feresiadou, Amalia (author)
Uppsala universitet,Neurologi,Uppsala Univ, Sweden
Burman, Joachim, 1974- (author)
Uppsala universitet,Neurologi,Uppsala Univ, Sweden
Landtblom, Anne-Marie (author)
Linköpings universitet,Uppsala universitet,Neurologi,Department of Clinical and Experimental Medicine, Neurology, Medical Faculty, University of Linköping, Linköping, Sweden; Neurology Policlinic, Department of Medical Specialist, Motala General Hospital, Motala, Sweden,Avdelningen för neuro- och inflammationsvetenskap,Medicinska fakulteten,Region Östergötland, Neurologiska kliniken i Linköping,Uppsala Univ, Sweden; Motala Gen Hosp, Sweden
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 (creator_code:org_t)
2018-05-24
2018
English.
In: Acta Neurologica Scandinavica. - : Hindawi Limited. - 0001-6314 .- 1600-0404. ; 138:4, s. 327-331
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • OBJECTIVES: Off-label use of rituximab to treat MS patients in Sweden is high, and the need for long-term safety data may not be met. Our objectives were to assess the rate of rituximab prescription in patients with multiple sclerosis in Sweden and, in addition, to evaluate the safety of rituximab in a single centre for patients with multiple sclerosis.MATERIAL AND METHODS: Review of the Swedish MS register was performed to study the number of MS patients treated with rituximab during the last 6 years. Investigation also included a retrospective review of medical files in search for possible side effects/adverse events in all adult patients with MS treated with rituximab at Uppsala University Hospital.RESULTS: Presently, in Sweden the rate of rituximab prescriptions in relation to other annually started of disease- modifying drugs in MS is 53.5%.CONCLUSIONS: The share of MS patients in Sweden who are treated with rituximab is very high, and also rapidly increasing. Taken into account the off-label use, cases with adverse medical conditions that could possibly be related to rituximab use should be reported thoroughly.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Neurologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Neurology (hsv//eng)

Keyword

adverse events
immunomodulatory drugs
multiple sclerosis
off-label prescription
pharmacotherapy
rituximab side effects

Publication and Content Type

ref (subject category)
art (subject category)

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