PMID- 27989217 OWN - NLM STAT- MEDLINE DCOM- 20170310 LR - 20220408 IS - 1744-764X (Electronic) IS - 1474-0338 (Linking) VI - 16 IP - 2 DP - 2017 Feb TI - Long-term safety and tolerability of glatiramer acetate 20 mg/ml in the treatment of relapsing forms of multiple sclerosis. PG - 247-255 LID - 10.1080/14740338.2017.1274728 [doi] AB - ​Introduction: Glatiramer acetate (GA) is a first-line therapy for the treatment of relapsing-remitting multiple sclerosis (RRMS). It has a well-characterized long-term safety profile and established efficacy, with over 2 million patient-years of exposure. Areas covered: To present long-term safety and tolerability findings for GA 20 mg/mL daily in the management of patients with multiple sclerosis (MS). A database analysis of all patients with MS who have ever been exposed to GA 20 mg/mL daily in clinical trials, including patients with up to 20 years of continuous treatment.Total exposure to GA in the clinical trials analyzed was 10,017 patient-years, and treatment duration ranged from 0 to 23.1 years (median 1.8 years). No unexpected adverse events (AEs) were recorded. The most common AEs were injection-site related (ISR), affecting 49% of patients receiving GA in clinical trials. Development of erythema at the injection site was the most common ISR, affecting 29.2% of study patients. Immediate post-injection reactions (IPIRs) were experienced by 24.0% of study patients; dyspnea was the most common IPIR, affecting 12.1% of patients. Expert opinion: The results of this analysis are consistent with long-term studies showing GA to be safe and generally well tolerated. FAU - Ziemssen, Tjalf AU - Ziemssen T AD - a Center of Clinical Neuroscience , University Hospital , Dresden , Germany. FAU - Ashtamker, Natalia AU - Ashtamker N AD - b Teva Pharmaceuticals , Netanya , Israel ​. FAU - Rubinchick, Svetlana AU - Rubinchick S AD - b Teva Pharmaceuticals , Netanya , Israel ​. FAU - Knappertz, Volker AU - Knappertz V AD - c Teva Pharmaceuticals , Frazer , PA , USA. AD - d Heinrich-Heine Universitat Dusseldorf , Dusseldorf , Germany ​. FAU - Comi, Giancarlo AU - Comi G AD - e Department of Neurology and INSPE , Vita-Salute San Raffaele University , Milan , Italy. LA - eng PT - Journal Article PT - Review PL - England TA - Expert Opin Drug Saf JT - Expert opinion on drug safety JID - 101163027 RN - 0 (Adjuvants, Immunologic) RN - 5M691HL4BO (Glatiramer Acetate) SB - IM MH - Adjuvants, Immunologic/administration & dosage/*adverse effects MH - Animals MH - Databases, Factual MH - Glatiramer Acetate/administration & dosage/*adverse effects MH - Humans MH - Injections MH - Multiple Sclerosis, Relapsing-Remitting/*drug therapy/physiopathology MH - Time Factors OTO - NOTNLM OT - Glatiramer acetate OT - multiple sclerosis OT - safety OT - tolerability EDAT- 2016/12/19 06:00 MHDA- 2017/03/11 06:00 CRDT- 2016/12/20 06:00 PHST- 2016/12/19 06:00 [pubmed] PHST- 2017/03/11 06:00 [medline] PHST- 2016/12/20 06:00 [entrez] AID - 10.1080/14740338.2017.1274728 [doi] PST - ppublish SO - Expert Opin Drug Saf. 2017 Feb;16(2):247-255. doi: 10.1080/14740338.2017.1274728.