Second-line therapy for patients with relapsing-remitting multiple sclerosis a review of guidelines

There is uncertainty in clinical practice regarding how and when to switch from the first-line therapy to a second-line therapy for relapsing-remitting multiple sclerosis (RRMS). This review seeks to report on the critically appraisal of the evidence-based guidelines regarding switching to a second-...

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Bibliographic Details
Main Authors: Li, Ke Xin, Picheca, Lory (Author)
Corporate Authors: Canadian Agency for Drugs and Technologies in Health, Canadian Agency for Drugs and Technologies in Health Rapid Response Service
Format: eBook
Language:English
Published: Ottawa (ON) CADTH 2019, September 26, 2019
Series:CADTH rapid response report: summary with critical appraisal
Online Access:
Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
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520 |a There is uncertainty in clinical practice regarding how and when to switch from the first-line therapy to a second-line therapy for relapsing-remitting multiple sclerosis (RRMS). This review seeks to report on the critically appraisal of the evidence-based guidelines regarding switching to a second-line therapy in patients with RRMS. One evidence-based guideline was identified with one strong recommendation regarding switching from an interferon or glatiramer acetate to a second-line therapy in patients with relapsing-remitting multiple sclerosis and evidence of disease activity. Consensus statements provided by the guideline suggest that there is insufficient evidence on patient factors or disease activity considerations to make more specific recommendations for switching to second-line treatments. The consensus statements presented in this report should be interpreted with caution based on the limitations and paucity of evidence