Preview

Current Pediatrics

Advanced search

SAFETY OF INTERFERON BETA 1A FOR A SUBCUTANEOUS ADMINISTRATION IN CHILDREN AND ADOLESCENTS WITH DISSEMINATED SCLEROSIS

Abstract

The onset of disseminated sclerosis occurs in childhood and juvenile age in 10% of patients. nevertheless, all immunomodulatory drugs for a treatment of this disease intended for adult population of patients, and there's an age limitation to the administration of these medications. There's only one interferon beta in group of «changing the clinical course of disseminated sclerosis medications», that was annotated to the administration in patients from 16 years. It's interferon betab1a (Rebif) for subcutaneous administration in 22 ?g and 44 ?g dosage. This drug was well known as an effective and safe medication for a long term administration for a long time in adult neurological practice. But doctors have to use interferon betab1a «off label» yet in patients younger 16 years in Russia and in other countries, comparing risk of changing the regimen of age limitation and risk of deprivation of un derbaged patient of years of qualitative life.
Key words: children, disseminated sclerosis, interferon beta 1a, treatment.

About the Authors

O.V. Bykova
Scientific Center of Children's Health, Russian Academy of Medical Sciences, Moscow
Russian Federation


A.N. Platonova
Scientific Center of Children's Health, Russian Academy of Medical Sciences, Moscow
Russian Federation


N.V. Gol'tsova
Scientific Center of Children's Health, Russian Academy of Medical Sciences, Moscow
Russian Federation


L.M. Kuzenkova
Scientific Center of Children's Health, Russian Academy of Medical Sciences, Moscow
Russian Federation


A.N. Boiko
Chair of Neurology and Neurosurgery, Russian State Medical University, Moscow
Russian Federation


References

1. Rosati G. The prevalence of multiple sclerosis in the world: an update. Neurol. Science. 2001; 22: 117–139.

2. Sadovnick A.D., Ebers G.C. Epidemiology of multiple sclerosis: a critical overview. Can J. Neurol. Sci. 1993; 20: 17–29.

3. Boiko F., Vorobeychik G., Paty D. et al. Early onset of multiple sclerosis: a longitudinal study. Neurology. 2002; 59 (7): 1006–1010.

4. Ghezzi A., Pozzilli C., Liguori M. et al. Prospective study of multiple sclerosis with early onset? Multiple sclerosis. 2002; 8 (2): 115–118.

5. Pinhas-Hamiel O., Sarova–Pinhas I., Achrion A. Multiple sclerosis in childhood and adolescence: Clinical features and management. Paediatr. Drugs. 2001; 3 (5): 329–336.

6. Shaw C.M., Alvord E.C. Multiple sclerosis beginning in infancy. J. Child. Neurology. 1987; 2: 252–256.

7. Waubant E., Hietpas J., Stewart T. et al. Interferon beta–1ᾳ in children with multiple sclerosis is well tolerated. Neuropediatrics. 2001; 32 (4): 211–213.

8. Быкова О.В., Маслова О.И., Гусева М.Р. и др. Рассеянный склероз у детей и подростков: история изучения проблемы и современный опыт иммуномодулирующего лечения. Журнал неврологии и психиатрии. 2004; 4: 4–10.

9. Bosley E.B., Capildeo R. Early use of interferon  in patients with multiple sclerosis. Clinical Practice. 2002; Suppl.131: 17–22.

10. Panitch H., Goodin D.S., Francis G. et al. Randomized, comparative study of interferon-b-1a treatment regimens in MS. The Evidence Trial. Neurology. 2002; 59: 1496–1506.

11. Durelli L., Ferrero B., Ghezzi A. et al. The Independent Comparison of Interferon (INCOMIN) Trial: a multicenter randomized trial comparing clinical and MRI efficacy of IFN beta-1a and beta-1b in multiple sclerosis (abstract). Neurology. 2001; 56 (Suppl. 3): 148.

12. Fischer J.S., Rudick R.A., Cutter G.R. et al. The Multiple Sclerosis Functional Composite Measure (MSFC): an integrated approach to MS clinical outcome assessment. National MS Society Clinical Outcomes Assessment Task Force. Mult. Scler. 1999; 5: 244–250.

13. Cборник стандартов оказания дорогостоящей (высокотехнологической) медицинской помощи Минздравсоцразвития России.


Review

For citations:


Bykova O., Platonova A., Gol'tsova N., Kuzenkova L., Boiko A. SAFETY OF INTERFERON BETA 1A FOR A SUBCUTANEOUS ADMINISTRATION IN CHILDREN AND ADOLESCENTS WITH DISSEMINATED SCLEROSIS. Current Pediatrics. 2008;7(3):108-112.

Views: 875


ISSN 1682-5527 (Print)
ISSN 1682-5535 (Online)