Ponesimod

Evidence-based neurology checklist on ponesimod: Mechanism Ponesimod is a selective sphingosine-1-phosphate receptor (S1PR) modulator It sequesters lymphocytes in lymphoid organs Its effect is rapidly reversible on discontinuation Dose Cardiorespiratory side effects Neurological side effects…

Mechanism

  • Ponesimod is a selective sphingosine-1-phosphate receptor (S1PR) modulator
  • It sequesters lymphocytes in lymphoid organs
  • Its effect is rapidly reversible on discontinuation

Dose

Cardiorespiratory side effects

Neurological side effects

Systemic effects

Infectious side effects

Laboratory side effects

Infection screen

Monitoring investigations

Other investigations

Indications to discontinue treatment

References

  1. D'Ambrosio D, Freedman MS, Prinz J. Ponesimod, a selective S1P1 receptor modulator: a potential treatment for multiple sclerosis and other immune-mediated diseases. Ther Adv Chronic Dis 2016; 7:18-33.
  2. Olsson T, Boster A, Fernández Ó, et al. Oral ponesimod in relapsing-remitting multiple sclerosis: a randomised phase II trial. JNNP 2014; 85:1198-208.
  3. Kappos L, Fox RJ, Burcklen M, et al. Ponesimod compared with teriflunomide in patients with relapsing multiple sclerosis in the active-comparator phase 3 OPTIMUM study: a randomized clinical trial. JAMA Neurol 2021; 78:558-567. 
  4. Wiendl H, Gold R, Berger T, et al. Multiple Sclerosis Therapy Consensus Group (MSTCG): position statement on disease-modifying therapies for multiple sclerosis (white paper). Ther Adv Neurol Disord 2021; 14:17562864211039648.

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