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Real-World Effectiveness and Safety of Ofatumumab in Relapsing Multiple Sclerosis: Comparison of Treatment-Naïve Patients and Switchers in a Multicenter Cohort - PubMed

4 hours ago
  • #real-world evidence
  • #multiple sclerosis
  • #treatment efficacy
  • Ofatumumab significantly reduced annualized relapse rate by 94.5%, from 0.486 to 0.027 (p < 0.001), across all patient subgroups including treatment-naïve and switchers.
  • At 12 months, 79.3% of evaluable patients achieved NEDA-3 (no evidence of disease activity), with similar rates among treatment-naïve, MET, and HET switchers.
  • Infections were significantly higher in HET switchers (9.5%) compared to MET switchers (1.7%) and naïve patients (0.9%) (p = 0.001), with prior HET exposure as an independent predictor.
  • Ofatumumab was generally well-tolerated with low discontinuation rates, mainly mild injection-related reactions, and discontinuations often due to pregnancy planning with favorable outcomes.
  • The study supports ofatumumab as an effective and safe option for RMS, recommending enhanced infection monitoring in patients switching from high-efficacy therapies.