Interferon beta-1a sc at 25 years: a mainstay in the treatment of multiple sclerosis over the period of one generation

Uwe Klaus Zettl, Paulus Stefan Rommer, Orhan Aktas, Torsten Wagner, Joachim Richter, Patrick Oschmann, Lukas Cepek, Birte Elias-Hamp, Klaus Gehring, Andrew Chan, Michael Hecker

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations

Abstract

Introduction: Interferon beta (IFN beta) preparations are an established group of drugs used for immunomodulation in patients with multiple sclerosis (MS). Subcutaneously (sc) applied interferon beta-1a (IFN beta-1a sc) has been in continuous clinical use for 25 years as a disease-modifying treatment. Areas covered: Based on data published since 2018, we discuss recent insights from analyses of the pivotal trial PRISMS and its long-term extension as well as from newer randomized studies with IFN beta-1a sc as the reference treatment, the use of IFN beta-1a sc across the patient life span and as a bridging therapy, recent data regarding the mechanisms of action, and potential benefits of IFN beta-1a sc regarding vaccine responses. Expert opinion: IFN beta-1a sc paved the way to effective immunomodulatory treatment of MS, enabled meaningful insights into the disease process, and remains a valid therapeutic option in selected vulnerable MS patient groups.

Original languageEnglish
Pages (from-to)1343-1359
Number of pages17
JournalExpert Review of Clinical Immunology
Volume19
Issue number11
DOIs
StatePublished - 2023
Externally publishedYes

Keywords

  • 25 years
  • Interferon beta-1a
  • disease-modifying therapy
  • generation
  • long-term efficacy
  • long-term safety
  • mechanisms of action
  • multiple sclerosis

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