CNS Drugs

, Volume 21, Issue 6, pp 483–502 | Cite as

Oral Disease-Modifying Treatments for Multiple Sclerosis

The Story So Far
Review Article

Abstract

Multiple sclerosis (MS) represents the prototypic inflammatory autoimmune disorder of the CNS. It is the most common cause of neurological disability in young adults and exhibits considerable clinical, radiological and pathological heterogeneity. Increased understanding of the immunopathological processes underlying this disease, advances in biotechnology and the development of powerful magnetic resonance imaging (MRI) technologies, together with improvements in clinical trial design, have led to a variety of valuable therapeutic approaches to MS.

Therapy for MS has changed dramatically over the past decade, yielding significant progress in the treatment of relapsing remitting and secondary progressive forms; however, most of the clinically relevant therapeutic approaches are not yet available as oral formulations. A substantial number of preliminary and pivotal reports have provided promising results for oral therapies, and various phase III clinical trials are currently being initiated or are already underway evaluating the efficacy of a variety of orally administered agents, including cladribine, teriflunomide, laquinimod, fingolimod and fumaric acid. It is hoped that these trials will advance the development of oral therapies for MS.

Notes

Acknowledgements

No sources of funding were used to assist in the preparation of this review. The work of Dr Wiendl is supported by the German MS society, the German Research Foundation (DFG) and the Bundesministerium für Bildung und Forschung (BMBF). Drs Kieseier and Wiendl have both received honoraria for lecturing, travel expenses for attending meetings and financial support for research from Biogen Idec, Medac, Sanofi-Aventis, Schering, Serono and Teva Pharmaceuticals.

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Copyright information

© Adis Data Information BV 2007

Authors and Affiliations

  1. 1.Department of NeurologyHeinrich-Heine UniversityDüsseldorfGermany
  2. 2.Department of NeurologyUniversity of WürzburgWürzburgGermany

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