PMID- 37694381 OWN - NLM STAT- Publisher LR - 20231024 IS - 1744-8409 (Electronic) IS - 1744-666X (Linking) VI - 19 IP - 11 DP - 2023 Jul-Dec TI - Interferon beta-1a sc at 25 years: a mainstay in the treatment of multiple sclerosis over the period of one generation. PG - 1343-1359 LID - 10.1080/1744666X.2023.2248391 [doi] AB - INTRODUCTION: Interferon beta (IFN beta) preparations are an established group of drugs used for immunomodulation in patients with multiple sclerosis (MS). Subcutaneously (sc) applied interferon beta-1a (IFN beta-1a sc) has been in continuous clinical use for 25 years as a disease-modifying treatment. AREAS COVERED: Based on data published since 2018, we discuss recent insights from analyses of the pivotal trial PRISMS and its long-term extension as well as from newer randomized studies with IFN beta-1a sc as the reference treatment, the use of IFN beta-1a sc across the patient life span and as a bridging therapy, recent data regarding the mechanisms of action, and potential benefits of IFN beta-1a sc regarding vaccine responses. EXPERT OPINION: IFN beta-1a sc paved the way to effective immunomodulatory treatment of MS, enabled meaningful insights into the disease process, and remains a valid therapeutic option in selected vulnerable MS patient groups. FAU - Zettl, Uwe Klaus AU - Zettl UK AUID- ORCID: 0000-0002-6348-1759 AD - Department of Neurology, Rostock University Medical Center, Rostock, Germany. FAU - Rommer, Paulus Stefan AU - Rommer PS AUID- ORCID: 0000-0001-5209-6647 AD - Department of Neurology, Rostock University Medical Center, Rostock, Germany. AD - Department of Neurology, Medical University of Vienna, Vienna, Austria. FAU - Aktas, Orhan AU - Aktas O AUID- ORCID: 0000-0002-2020-9210 AD - Department of Neurology, Medical Faculty, Heinrich Heine University Dusseldorf, Dusseldorf, Germany. FAU - Wagner, Torsten AU - Wagner T AD - Merck Healthcare Germany GmbH, Weiterstadt, Germany. FAU - Richter, Joachim AU - Richter J AD - Merck Healthcare Germany GmbH, Weiterstadt, Germany. FAU - Oschmann, Patrick AU - Oschmann P AUID- ORCID: 0000-0003-1480-0896 AD - Department of Neurology, Bayreuth Hospital, Bayreuth, Germany. FAU - Cepek, Lukas AU - Cepek L AD - Neurological Group Practice, Ulm, Germany. FAU - Elias-Hamp, Birte AU - Elias-Hamp B AD - Neurological Private Practice, Hamburg, Germany. FAU - Gehring, Klaus AU - Gehring K AUID- ORCID: 0009-0005-5799-1612 AD - Neurocenter Itzehoe, Itzehoe, Germany. FAU - Chan, Andrew AU - Chan A AUID- ORCID: 0000-0003-3434-7283 AD - Department of Neurology, Inselspital Bern, University Hospital Bern, Bern, Switzerland. FAU - Hecker, Michael AU - Hecker M AUID- ORCID: 0000-0001-7015-3094 AD - Department of Neurology, Rostock University Medical Center, Rostock, Germany. LA - eng PT - Journal Article PT - Review DEP - 20230911 PL - England TA - Expert Rev Clin Immunol JT - Expert review of clinical immunology JID - 101271248 SB - IM OTO - NOTNLM OT - 25 years OT - Interferon beta-1a OT - disease-modifying therapy OT - generation OT - long-term efficacy OT - long-term safety OT - mechanisms of action OT - multiple sclerosis EDAT- 2023/09/11 06:43 MHDA- 2023/09/11 06:43 CRDT- 2023/09/11 05:27 PHST- 2023/09/11 06:43 [pubmed] PHST- 2023/09/11 06:43 [medline] PHST- 2023/09/11 05:27 [entrez] AID - 10.1080/1744666X.2023.2248391 [doi] PST - ppublish SO - Expert Rev Clin Immunol. 2023 Jul-Dec;19(11):1343-1359. doi: 10.1080/1744666X.2023.2248391. Epub 2023 Sep 11.