Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29138536
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Drug+Des+Devel+Ther
2017 ; 11
(ä): 3153-3157
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Spotlight on siponimod and its potential in the treatment of secondary
progressive multiple sclerosis: the evidence to date
#MMPMID29138536
Gajofatto A
Drug Des Devel Ther
2017[]; 11
(ä): 3153-3157
PMID29138536
show ga
Siponimod (BAF312) is a synthetic molecule belonging to the
sphingosine-1-phosphate (S1P) modulator family, which has putative
neuroprotective properties and well-characterized immunomodulating effects
mediated by sequestration of B and T cells in secondary lymphoid organs. Compared
to fingolimod (ie, precursor of the S1P modulators commercially available for the
treatment of relapsing-remitting [RR] multiple sclerosis [MS]), siponimod
exhibits selective affinity for types 1 and 5 S1P receptor, leading to a lower
risk of adverse events that are mainly induced by S1P3 receptor activation, such
as bradycardia and vasoconstriction. In addition, S1P1 and S1P5 receptors are
expressed by neurons and glia and could mediate a possible neuroprotective effect
of the drug. A Phase II clinical trial of siponimod for RR MS showed a
significant effect of the active drug compared to placebo on reducing
gadolinium-enhancing lesions on brain magnetic resonance imaging (MRI) after 3
months of treatment. In a recently completed Phase III trial, treatment with
siponimod was associated with a significant reduction in disability progression
in secondary progressive (SP) MS patients compared to placebo. In this article,
current evidence supporting siponimod efficacy for SP MS is reviewed.