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Treatment Strategies

Giovannoni G, Cook S, Rammohan K et al.; CLARITY study group.

Barts and The London School of Medicine and Dentistry, London, UK.

 Lancet Neurol 2011;10:329–37.

Editor’s note: Establishing an orally available drug for the treatment of multiple sclerosis (MS) has recently received extra-ordinary efforts. An oral compound will facilitate treatment for affected patients and also promises a significant market for the promoting pharmaceutical company. Fingolimod and cladribine – two drugs recently tested in large Phase III clinical trial programs – competed to become the first oral treatment for relapsing–remitting MS. Fingolimod has been approved as first- and second-line therapy in the US and Europe, respectively; however, its competitor cladribine has been declined approval because of an inadequate safety profile and – as has been communicated by the company – will not be developed further.

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