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    Early Results Promising for MS Drug

    Multiple Sclerosis Patients on Oral Drug Fingolimod Had Few Relapses

    Trapping T Cells continued...

    Fingolimod, also known as FTY720, essentially traps T cells in the lymph nodes, keeping them out of the blood and away from the central nervous system where they do their damage.

    In the newly published study, paid for by the drug's manufacturer, MS patients were treated with one of two fingolimod doses for up to a year.

    In the first six months of the study, 255 patients received either a once-a-day oral dose of 1.25 milligrams of fingolimod, 5 milligrams of the drug, or a placebo. During the second six months the remaining patients on a placebo were switched to the active drug.

    In the patients switched from a placebo to fingolimod, the relapse rate was reduced by at least 70% during the second six-month study phase, compared with the first six months on a placebo.

    The researchers also reported that the number of MS-related brain lesions seen on MRI scans was much lower in the actively treated patients than among those on a placebo.

    Among the 227 patients who remained in the trial for a year, brain lesions and relapse rates remained low in the group taking fingolimod the entire time, and lesions and relapse rates decreased with active treatment in the group switched from a placebo.

    'Undesired Consequences'

    Although fingolimod was well tolerated by most patients, the drug's long-term safety in the treatment of MS will not be known until studies that include thousands of patients are complete, Harvard University professor of pathology Ulrich von Andrian, MD, tells WebMD.

    The most common side effects reported in fingolimod users included shortness of breath, inflammation of the nose and throat, headache, diarrheadiarrhea, and nausea. Fingolimod users also had more cases of elevation in a liver enzyme test. More adverse side effects were noted in the group receiving the higher dose of fingolimod. One case of a serious neurological syndrome was reported in a 52-year-old woman taking the 5-milligram dose for 10 weeks. Although she had improvement of symptoms after the drug was stopped, she had some residual effects after 15 months.

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