Is there any difference in the effectiveness and treatment persistence between dimethyl fumarate, fingolimod, and ocrelizumab among patients with relapsing-remitting multiple sclerosis who switched from natalizumab?In this cohort study, including 1386 patients with RRMS who ceased natalizumab, a switch to ocrelizumab was associated with the lowest annualized relapse rate and discontinuation rates and the longest time to first relapse compared with dimethyl fumarate and fingolimod.
Secondary outcomes were confirmed disability accumulation, disability improvement, and subsequent treatment discontinuation, with the comparisons for the first 2 limited to fingolimod and ocrelizumab due to the small number of patients taking dimethyl fumarate. The associations were analyzed after balancing covariates using an inverse probability of treatment weighting method.
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