The first cases of using targeted therapy for secondary progressive multiple sclerosis in Russia. Case report

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Abstract

Siponimod (Kajendra) is a sphingosine-1-phosphate receptor modulator type 1 and 5 (S1P1,5), the first targeted agent for the treatment of patients with secondary progressive multiple sclerosis, both with and without exacerbations and/or activity according to magnetic resonance imaging. The drug was approved in Russia at the end of December 2020. The efficacy of siponimod was confirmed in EXPAND study, a large, randomized, double-blind phase III clinical study. This article presents three clinical cases of patients with secondary progressive multiple sclerosis from the practice of specialists of the Novosibirsk Center for Multiple Sclerosis and Other Autoimmune Diseases of the Nervous System with an analysis of patients’ selection for siponimod treatment and an assessment of the therapy effectiveness.

About the authors

Denis S. Korobko

State Novosibirsk Regional Clinical Hospital; Novosibirsk State Medical University

Author for correspondence.
Email: denis.s.korobko@gmail.com
ORCID iD: 0000-0002-7938-3782

Cand. Sci. (Med.)

Russian Federation, Novosibirsk; Novosibirsk

Ivan Ie. Arkhipov

State Novosibirsk Regional Clinical Hospital

Email: denis.s.korobko@gmail.com
ORCID iD: 0000-0003-2740-6388

Neurologist

Russian Federation, Novosibirsk

Anna I. Prokaeva

State Novosibirsk Regional Clinical Hospital

Email: denis.s.korobko@gmail.com
ORCID iD: 0000-0003-2541-9302

Neurologist

Russian Federation, Novosibirsk

Ekaterina V. Tret'iakova

State Novosibirsk Regional Clinical Hospital

Email: denis.s.korobko@gmail.com

Neurologist

Russian Federation, Novosibirsk

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