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Krasnov V.S.
Pavlov First St. Petersburg State Medical University
Kolontareva Yu.M.
Novartis Pharma LLC
Siponimod: a new view at the therapy of secondary progressive multiple sclerosis
Krasnov VS, Kolontareva YuM. Siponimod: a new view at the therapy of secondary progressive multiple sclerosis. S.S. Korsakov Journal of Neurology and Psychiatry.
2021;121(7):124‑129. (In Russ.)
https://doi.org/10.17116/jnevro2021121071124
Siponimod is a selective modulator of sphingosine-1-phosphate (S1P) receptors of types 1 and 5, registered in the Russian Federation for the treatment of patients with secondary progressive multiple sclerosis (SPMS), regardless of the presence or absence of exacerbations. The effectiveness of the drug in comparison with placebo was demonstrated in patients with SPMS in the international clinical trial EXPAND (phase III). This review devotes actual problems in the treatment of patients with SPMS, discusses the pathophysiology of multiple sclerosis progression, describes the peripheral and central mechanisms of siponimod action and its differences from fingolimod. According to analysis of scientific literature experimental, clinical and neuroimaging data are presented, which could explain the reasons for the successful use of siponimod in patients with SPMS, taking into account the pathophysiological mechanisms of the development of progression and the mechanisms of drug action.
Pavlov First St. Petersburg State Medical University
Kolontareva Yu.M.
Novartis Pharma LLC
Received:
20.04.2021
Accepted:
04.06.2021
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This article explores why such terms are dangerous, details the high stakes of digital piracy, and provides safe, legal ways to watch the film while supporting the creators.
If you meant something else, or want a lawful, constructive alternative, I can help with:
In the era of digital entertainment, movie enthusiasts are constantly on the lookout for reliable platforms to stream their favorite films. With the rise of online streaming services, the way we consume movies has undergone a significant transformation. One such platform that has gained immense popularity among movie buffs is Moviezguruvip Kalki2898ad2024orghindi. In this article, we will explore the features, benefits, and legitimacy of this platform, and why it has become the go-to destination for movie lovers.
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