Transition from anti-CD20 therapies to fumarates as a treatment strategy: A multicenter, retrospective observational experience

We present real-world data on patients switching from anti-CD20s to fumarates for various motivations in this retrospective observational study of 43 patients from three multiple sclerosis centers. Recurrent infections on anti-CD20s were the most common reason for switching to fumarates. Patients experienced limited disease activity on fumarates (83.7% were free from relapse and new MRI lesions), suggesting effectiveness was maintained. Of the 16.3% with disease activity on fumarates, 57.1% also had disease activity on anti-CD20s. Tolerability was the main reason for discontinuing fumarates. Future studies will provide additional insight into how to effectively and safely transition from anti-CD20s to fumarates.

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Publication Details

Journal
Multiple Sclerosis Journal - Experimental Translational and Clinical
Published
2025-10-01
DOI
https://doi.org/10.1177/20552173251371808
Primary Topic
Multiple Sclerosis Research Studies
Type
article
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article

Transition from anti-CD20 therapies to fumarates as a treatment strategy: A multicenter, retrospective observational experience

T. Eoin West, Josef Gutman, Jason P. Mendoza, Tammy Hoyt et al.
Multiple Sclerosis Journal - Experimental Translational and Clinical
Multiple Sclerosis Research Studies
article

Transition from anti-CD20 therapies to fumarates as a treatment strategy: A multicenter, retrospective observational experience

T. Eoin West, Josef Gutman, Jason P. Mendoza, Tammy Hoyt, Enrique Álvarez, James B. Lewin, Brandi Vollmer, Evan L. Riddle, Monica Benitez
article en

Abstract

We present real-world data on patients switching from anti-CD20s to fumarates for various motivations in this retrospective observational study of 43 patients from three multiple sclerosis centers. Recurrent infections on anti-CD20s were the most common reason for switching to fumarates. Patients experienced limited disease activity on fumarates (83.7% were free from relapse and new MRI lesions), suggesting effectiveness was maintained. Of the 16.3% with disease activity on fumarates, 57.1% also had disease activity on anti-CD20s. Tolerability was the main reason for discontinuing fumarates. Future studies will provide additional insight into how to effectively and safely transition from anti-CD20s to fumarates.

Multiple Sclerosis Journal - Experimental Translational and ClinicalVol. 11(4)
Intermountain Healthcare (US), Biogen (United States) (US), NYU Langone Health (US), Rocky Mountain Multiple Sclerosis Clinic (US), Multiple Sclerosis Center Of Northeastern New York (US), Rocky Mountain MS Center (US), University of Colorado Anschutz Medical Campus (US), Columbia University (US)
Openalex Percentile: Top 61%
Multiple Sclerosis Research Studies
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Transition from anti-CD20 therapies to fumarates as a treatment strategy: A multicenter, retrospective observational experience — T. Eoin West, Josef Gutman, et al. · Multiple Sclerosis Journal - Experimental Translational and Clinical (2025) | TGRS Research Map | TGRS