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. 2021 May 18;16(5):e0250820. doi: 10.1371/journal.pone.0250820

Table 4. Teriflunomide discontinuations and treatment switches during the study period (2013–2019).

Patients
(n = 3239)
Was teriflunomide treatment discontinued before the end of follow-up? n (%)
 No 1701 (52.5)
 Yes 1538 (47.5)
  Because of side effects 645 (41.9)
  Because of disease breakthrough 658 (42.7)
  Because of death 7 (0.4)
  Because of pregnancy 49 (3.2)
  Because of other/unknown reasons 181 (11.8)
Which drugs did discontinuing patients switch to?
 Did not switch to any DMT, n (%) 234 (15.2)
 Switched to another DMT, n (%) 1304 (84.8)
  Switched to moderate efficacy DMT, n (%) 604 (46.3)
   Dimethyl fumarate 401 (30.8)
   Glatiramer acetate 68 (5.2)
   Teriflunomide* 52 (4.0)
   Peginterferon beta-1 43 (3.3)
   Interferon beta-1a im. 30 (2.3)
   Interferon beta-1a sc. 10 (0.8)
  Switched to high efficacy DMT, n (%) 692 (53.0)
   Fingolimod 316 (24.2)
   Natalizumab 230 (17.6)
   Ocrelizumab 95 (7.3)
   Cladribine 21 (1.6)
   Alemtuzumab 14 (1.1)
   Rituximab 9 (0.7)
   Daclizumab 5 (0.4)
   Ofatumumab 2 (0.2)
  Other 8 (0.6)

DMT: Disease-modifying treatment, im: Intramuscular, sc: Subcutaneous.

*these patients re-started teriflunomide treatment after initial discontinuation for various reasons.