RT Journal Article T1 Four-year safety and effectiveness data from patients with multiple sclerosis treated with fingolimod: The Spanish GILENYA registry A1 Meca-Lallana, J. E. A1 Oreja-Guevara, C. A1 Munoz, D. A1 Olascoaga, J. A1 Pato, A. A1 Ramio-Torrenta, L. A1 Meca-Lallana, V. A1 Hernandez, M. A. A1 Marzo, M. E. A1 Alvarez- Cermeno, J. C. A1 Rodriguez-Antigueedad, A. A1 Montalban, X. A1 Fernandez, O. A1 Spanish Gilenya Registry Investi, K1 Real-world evidence K1 Clinical-practice K1 Oral fingolimod K1 Efficacy K1 Persistence K1 Experience K1 Therapy K1 Trial K1 Rwe AB Objective To describe the profile of patients with multiple sclerosis (MS) treated with fingolimod in Spain and to assess the effectiveness and safety of fingolimod after 4 years of inclusion in the Spanish Gilenya Registry.Methods An observational, retrospective/prospective, multicenter case registry, including all patients with relapsing-remitting MS (RRMS) starting treatment with fingolimod in 43 centers in Spain. Analyses were performed in the overall population and in subgroups according to prior disease-modifying therapy (DMT): glatiramer acetate/interferon beta-1 (BRACE), natalizumab, other treatment, or naive.Results Six hundred and sixty-six evaluable patients were included (91.1% previously treated with at least one DMT). The mean annualized relapse rate (ARR) prior to fingolimod was 1.12, and the mean EDSS at fingolimod initiation was 3.03. Fingolimod reduced the ARR by 71.4%, 75%, 75.5%, and 80.3%, after 1, 2, 3 and 4 years, respectively (p PB Public library science SN 1932-6203 YR 2021 FD 2021-10-13 LK https://hdl.handle.net/10668/28225 UL https://hdl.handle.net/10668/28225 LA en DS RISalud RD Apr 12, 2025