Identification of targets and new developments in the treatment of multiple sclerosis – focus on cladribine

Clemens Warnke1, Heinz Wiendl2, Hans-Peter Hartung1, Olaf Stüve3, Bernd C Kieseier11Department of Neurology, Heinrich-Heine University Düsseldorf, Germany; 2Department of Neurology – Inflammatory Disorders of the Nervous System and Neurooncology, University of...

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Main Authors: Clemens Warnke, Heinz Wiendl, Hans-Peter Hartung, et al
Format: Article
Language:English
Published: Dove Medical Press 2010-06-01
Series:Drug Design, Development and Therapy
Online Access:http://www.dovepress.com/identification-of-targets-and-new-developments-in-the-treatment-of-mul-a4614
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author Clemens Warnke
Heinz Wiendl
Hans-Peter Hartung
et al
author_facet Clemens Warnke
Heinz Wiendl
Hans-Peter Hartung
et al
author_sort Clemens Warnke
collection DOAJ
description Clemens Warnke1, Heinz Wiendl2, Hans-Peter Hartung1, Olaf Stüve3, Bernd C Kieseier11Department of Neurology, Heinrich-Heine University Düsseldorf, Germany; 2Department of Neurology – Inflammatory Disorders of the Nervous System and Neurooncology, University of Münster, Germany; 3Department of Neurology, Dallas VA Medical Center and UT Southwestern Medical Center, Dallas, Texas, USAAbstract: Orally available disease-modifying drugs for relapsing-remitting multiple sclerosis (MS) represent an unmet need for this chronic and debilitating disease. Among 5 currently investigated drugs at phase 3 clinical stage, promising efficacy data for fingolimod and oral cladribine have recently been published. However, benefits need to be weighed against the risks to define the role of these compounds within current treatment regimens. In this review, data on the efficacy of a promising compound, oral cladribine, are discussed and balanced with known and anticipated risks in a postmarketing era, and finally gives an outlook on the potential place of this drug in treatment algorithms for MS in the future.Keywords: immunosuppressant, oral drugs, risk–benefit, safety
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spelling doaj.art-3dec1dd88fe24d3086dcd101f0f7cfff2022-12-21T21:52:41ZengDove Medical PressDrug Design, Development and Therapy1177-88812010-06-012010default117126Identification of targets and new developments in the treatment of multiple sclerosis – focus on cladribineClemens WarnkeHeinz WiendlHans-Peter Hartunget alClemens Warnke1, Heinz Wiendl2, Hans-Peter Hartung1, Olaf Stüve3, Bernd C Kieseier11Department of Neurology, Heinrich-Heine University Düsseldorf, Germany; 2Department of Neurology – Inflammatory Disorders of the Nervous System and Neurooncology, University of Münster, Germany; 3Department of Neurology, Dallas VA Medical Center and UT Southwestern Medical Center, Dallas, Texas, USAAbstract: Orally available disease-modifying drugs for relapsing-remitting multiple sclerosis (MS) represent an unmet need for this chronic and debilitating disease. Among 5 currently investigated drugs at phase 3 clinical stage, promising efficacy data for fingolimod and oral cladribine have recently been published. However, benefits need to be weighed against the risks to define the role of these compounds within current treatment regimens. In this review, data on the efficacy of a promising compound, oral cladribine, are discussed and balanced with known and anticipated risks in a postmarketing era, and finally gives an outlook on the potential place of this drug in treatment algorithms for MS in the future.Keywords: immunosuppressant, oral drugs, risk–benefit, safetyhttp://www.dovepress.com/identification-of-targets-and-new-developments-in-the-treatment-of-mul-a4614
spellingShingle Clemens Warnke
Heinz Wiendl
Hans-Peter Hartung
et al
Identification of targets and new developments in the treatment of multiple sclerosis – focus on cladribine
Drug Design, Development and Therapy
title Identification of targets and new developments in the treatment of multiple sclerosis – focus on cladribine
title_full Identification of targets and new developments in the treatment of multiple sclerosis – focus on cladribine
title_fullStr Identification of targets and new developments in the treatment of multiple sclerosis – focus on cladribine
title_full_unstemmed Identification of targets and new developments in the treatment of multiple sclerosis – focus on cladribine
title_short Identification of targets and new developments in the treatment of multiple sclerosis – focus on cladribine
title_sort identification of targets and new developments in the treatment of multiple sclerosis amp ndash focus on cladribine
url http://www.dovepress.com/identification-of-targets-and-new-developments-in-the-treatment-of-mul-a4614
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AT hanspeterhartung identificationoftargetsandnewdevelopmentsinthetreatmentofmultiplesclerosisampndashfocusoncladribine
AT etal identificationoftargetsandnewdevelopmentsinthetreatmentofmultiplesclerosisampndashfocusoncladribine