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. 2023 Jun 30;32(2):59–67. doi: 10.5114/ppn.2023.129048

Table 5.

Reasons for discontinuation of first-line treatment (cases where the drug was discontinued are shown; multi-answer question)

Total,
n (%)
Interferon β-1b Interferon β-1a Glatiramer acetate Dimethyl fumarate Peginterferon β-1a
Treatment failure* (total or partial) 10 (62.5) 3 2 2 2 1
SPMS conversion 3 (18.8) 2 0 0 1 0
Pregnancy/planned pregnancy/breastfeeding 1 (6.3) 0 0 0 1 0
Clinically significant skin lesions 1 (6.3) 1 0 0 0 0
Other reasons (different from SmPC) 2 (12.5) 0 0 1 1 0
All terminated therapies 16 (100)** 5 2 3 5 1

SmPC – Summary of Product Characteristics, SPMS – secondary progressive multiple sclerosis

*

Total failure was defined as lack of response to a full 12-month course of first-line treatment: 1) at least two moderate relapses (increase of 1-2 EDSS points) or one severe relapse after 6 months of treatment (increase of > 2 EDSS points) and 2) new lesions on MRI performed after month 12 (> 1 Gd+ lesion or > 2 T2 lesions); the two conditions must be met simultaneously. Partial failure was defined as the occurrence of only one of the above criteria.

**

The total numbers/percentages of terminated therapies do not add up because in one case termination of therapy was due to two reasons.