Ocrelizumab slows disability progression in advanced multiple sclerosis

Ocrelizumab slows disability even in advanced stages of multiple sclerosis. Is Briumvi a better option? A look at the data and costs.

English · Original discussion in Spanish · Published

Ocrelizumab shows efficacy in advanced stages of multiple sclerosis

A new clinical analysis, reported by Infosalus, suggests that ocrelizumab (Ocrevus) can slow disability pogre even in patients with advanced-stage multiple sclerosis. The finding reopens the debate over which biological treatment offers the best risk-benefit profile in this neurodegenerative disease.

Is Briumvi a superior alternative?

In the data analysis, a comparison with Briumvi (ublituximab), from TG Therapeutics, comes to the fore. Its advocates point out that it has a smaller "crap gap" —the window of symptom rebound between infusions— and, according to trials, does not raise the risk of breast cancer, an adverse effect that has hovered over ocrelizumab. The discussion includes a conflict-of-interest disclosure: one of the participants admits to holding shares in TG Therapeutics, introducing a well-known bias into the comparison.

The cost of the alternatives

Meanwhile, Sativex is mentioned, a THC-based drug approved in the UK for spasticity, priced at £500 per small pack. Its effectiveness, although proven, runs into an economic barrier that puts it out of reach for many patients.

The final message is one of skepticism: while the industry competes for the best label, patients are still waiting for answers about which brand actually slows the disease without hidden side effects.

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Summary of a discussion on Burbuja.info - Foro de economía, actualidad y política., translated from Spanish and reviewed before publication. Read the full discussion (16 replies).

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