ECTRIMS eLearning

Teriflunomide and dimethylfumarate: prescription and patients' satisfaction in a real life setting
Author(s): ,
X Moisset
Affiliations:
Neurology, Clermont-Ferrand University Hospital;Clermont Université, Inserm U , NeuroDol
,
M Zuel
Affiliations:
Neurology, Clermont-Ferrand University Hospital
,
S Conde
Affiliations:
Neurology, Clermont-Ferrand University Hospital
,
B Pereira
Affiliations:
Biostatistics unit, Clermont-Ferrand University Hospital, Clermont-Ferrand
,
F Taithe
Affiliations:
Neurology, Clermont-Ferrand University Hospital
,
M Lauxerois
Affiliations:
Neurology, Clermont-Ferrand University Hospital
,
R Colamarino
Affiliations:
Neurology, Centre Hospitalier de Vichy, Vichy
,
P Clavelou
Affiliations:
Neurology, Clermont-Ferrand University Hospital;Clermont Université, Inserm U 1, NeuroDol, Clermont-Ferrand, France
Reseau Neuro-SEP Auvergne
Reseau Neuro-SEP Auvergne
Affiliations:
ECTRIMS Learn. Moisset X. 09/15/16; 146490; P650
Xavier Moisset
Xavier Moisset
Contributions
Abstract

Abstract: P650

Type: Poster

Abstract Category: Therapy - disease modifying - Immunomodulation/Immunosuppression

Background: Oral disease modifying treatments (DMT) take a growing place among MS treatments, but no clear data are available regarding indications in a real-life setting. Knowledges concerning patients" satisfaction about these new DMTs are also scarce.

Goals: To provide data concerning patients receiving teriflunomide or dimethylfumarate (DMF) in an unselected population of patients in France, with a special focus on patients" satisfaction.

Methods: Cross sectional study conducted from January to March 2015 for the DMF (available in France 05/2014) cohort and from January to March 2016 for the teriflunomide (available in France 11/2014) cohort. All the patients treated in Auvergne, an administrative area in the centre of France, have been included thanks to the collaboration of all the neurologists working both in liberal or hospital settings. The patients completed a self-administered postal survey corresponding to the Treatment Satisfaction Questionnaire for Medication (TSQM).

Results: 146 patients receiving teriflunomide (46±11 years old; 86% women; EDSS = 2.1±1.7) and 161 receiving DMF (46±12 years old; 78% women; EDSS = 1.9±1.6) have been included. Patients receiveing DMF had a slightly higher annualised relapse rate at treatment initiation (0.6±0.7 vs 0.4±0.7; p=0.01). Concerning teriflunomide, one third of the patients had never received any DMT before and the median follow-up was 6 months. For those receiving DMF, 24% had received this treatment as a first DMT and the median follow-up was 5 months. At the time of the survey, 10% and 19% had discontinued teriflunomide and DMF, respectively (p=0.04). Detailed results from the TSQM will be presented.

Conclusions: Teriflunomide and DMF were prescribed to the same type of patients in a real life setting. Both treatments were appreciated by the patients, but the discontinuation rate was slightly more important for patients receiving DMF.

Disclosure:

Moisset: non-financial support from Merck-Serono, Biogen, Sanofi-Pasteur-MSD, Roche, GSK, Astrazeneca, Novartis, Pfizer, Teva and Genzyme, personal fees from Astellas and from Institut UPSA de la douleur

Zuel: non-financial support from Genzyme and Novartis

Conde: non-financial support from Lundbeck, Biogen, Genzyme, Bayer, Aguettant, Astrazeneca, Allergan, LFB, GSK and Novartis

Pereira: Nothing to disclose

Taithe: non-financial support from Biogen, Bayer, Merck Serono, Teva, Novartis, LFB and Genzyme.

Lauxerois: non-financial support from Teva, UCB, and Eisai.

Colamarino: non-financial support from Novartis, Genzyme, Teva, Bayer, Biogen, Merck Serono, Lundbeck, Astellas, Abbott, Mundipharma, Impeto medical, Almirall, Pfizer and Grünenthal.

Clavelou: personal fees from Teva-Pharma, Merck-Serono, Novartis, Biogen, Genzyme, Bayer, Roche and Almirall

Abstract: P650

Type: Poster

Abstract Category: Therapy - disease modifying - Immunomodulation/Immunosuppression

Background: Oral disease modifying treatments (DMT) take a growing place among MS treatments, but no clear data are available regarding indications in a real-life setting. Knowledges concerning patients" satisfaction about these new DMTs are also scarce.

Goals: To provide data concerning patients receiving teriflunomide or dimethylfumarate (DMF) in an unselected population of patients in France, with a special focus on patients" satisfaction.

Methods: Cross sectional study conducted from January to March 2015 for the DMF (available in France 05/2014) cohort and from January to March 2016 for the teriflunomide (available in France 11/2014) cohort. All the patients treated in Auvergne, an administrative area in the centre of France, have been included thanks to the collaboration of all the neurologists working both in liberal or hospital settings. The patients completed a self-administered postal survey corresponding to the Treatment Satisfaction Questionnaire for Medication (TSQM).

Results: 146 patients receiving teriflunomide (46±11 years old; 86% women; EDSS = 2.1±1.7) and 161 receiving DMF (46±12 years old; 78% women; EDSS = 1.9±1.6) have been included. Patients receiveing DMF had a slightly higher annualised relapse rate at treatment initiation (0.6±0.7 vs 0.4±0.7; p=0.01). Concerning teriflunomide, one third of the patients had never received any DMT before and the median follow-up was 6 months. For those receiving DMF, 24% had received this treatment as a first DMT and the median follow-up was 5 months. At the time of the survey, 10% and 19% had discontinued teriflunomide and DMF, respectively (p=0.04). Detailed results from the TSQM will be presented.

Conclusions: Teriflunomide and DMF were prescribed to the same type of patients in a real life setting. Both treatments were appreciated by the patients, but the discontinuation rate was slightly more important for patients receiving DMF.

Disclosure:

Moisset: non-financial support from Merck-Serono, Biogen, Sanofi-Pasteur-MSD, Roche, GSK, Astrazeneca, Novartis, Pfizer, Teva and Genzyme, personal fees from Astellas and from Institut UPSA de la douleur

Zuel: non-financial support from Genzyme and Novartis

Conde: non-financial support from Lundbeck, Biogen, Genzyme, Bayer, Aguettant, Astrazeneca, Allergan, LFB, GSK and Novartis

Pereira: Nothing to disclose

Taithe: non-financial support from Biogen, Bayer, Merck Serono, Teva, Novartis, LFB and Genzyme.

Lauxerois: non-financial support from Teva, UCB, and Eisai.

Colamarino: non-financial support from Novartis, Genzyme, Teva, Bayer, Biogen, Merck Serono, Lundbeck, Astellas, Abbott, Mundipharma, Impeto medical, Almirall, Pfizer and Grünenthal.

Clavelou: personal fees from Teva-Pharma, Merck-Serono, Novartis, Biogen, Genzyme, Bayer, Roche and Almirall

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