• Media type: E-Article
  • Title: Treatment-emergent adverse events occurring early in the treatment course of cladribine tablets in two phase 3 trials in multiple sclerosis
  • Contributor: Oh, Jiwon; Walker, Bryan; Giovannoni, Gavin; Jack, Dominic; Dangond, Fernando; Nolting, Axel; Aldridge, Julie; Lebson, Lori A; Leist, Thomas P
  • imprint: SAGE Publications, 2021
  • Published in: Multiple Sclerosis Journal - Experimental, Translational and Clinical
  • Language: English
  • DOI: 10.1177/20552173211024298
  • ISSN: 2055-2173
  • Keywords: Cellular and Molecular Neuroscience ; Neurology (clinical)
  • Origination:
  • Footnote:
  • Description: <jats:sec><jats:title>Background</jats:title><jats:p> Treatment-emergent adverse events (TEAEs) that occur close to treatment initiation may negatively affect overall tolerability and adherence. It is important to develop a clear understanding of potential early TEAEs after initiating treatment with cladribine tablets. </jats:p></jats:sec><jats:sec><jats:title>Objective</jats:title><jats:p> To identify TEAEs that begin early in the course of treatment in patients enrolled in CLARITY and ORACLE-MS studies. </jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p> This post hoc analysis of CLARITY and ORACLE-MS safety populations assessed the incidence of TEAEs, serious TEAEs, drug-related TEAEs, and TEAEs leading to discontinuation in patients receiving cladribine tablets or placebo within 2, 6, and 12 weeks after treatment initiation. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> By Week 12, 61.3% of patients treated with cladribine tablets 3.5 mg/kg and 55.2% treated with placebo experienced a TEAE. More patients receiving cladribine tablets versus placebo experienced a drug-related TEAE by Week 12 (34.7% vs. 23.2%). The most common TEAEs reported with cladribine tablets were: headache (7.2%), lymphopenia (6.8%), and nausea (6.0%). Patients receiving cladribine tablets and placebo reported similar proportions of serious TEAEs (2.2% vs. 1.7%) and TEAEs leading to treatment discontinuation (1.6% vs. 1.4%). </jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p> Cladribine tablets were well tolerated during the first 12 weeks as evidenced by a low incidence of TEAEs leading to treatment discontinuation. </jats:p></jats:sec>
  • Access State: Open Access