Evidence map›Paper›PMID 40621862›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2025

Four years on: Pregnancy and birth outcomes reported in the MSBase pregnancy, neonatal outcomes, and Women's Health Registry (2020-2024).

Vilija G Jokubaitis, Raed Alroughani, Ayse Altintas, Sara Eichau, Stella Hughes, Barbara Willekens, Dana Horakova, Eva Kubala Havrdova, Serkan Ozakbas, Cavit Boz and 31 more

Abstract read
In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

41 authors.

Vilija G JokubaitisDepartment of Neuroscience, School of Translational Medicine, Monash University, Melbourne, VIC, Australia.ORCID 0000-0002-3942-4340
Raed AlroughaniAl Amiri Hospital, Sharq, Kuwait.
Ayse AltintasKoc University School of Medicine and Koc University Research Center for Translational Medicine, Istanbul, Turkey.
Sara EichauHospital Universitario Virgen Macarena, Sevilla, Andalucía, Spain.
Stella HughesRoyal Victoria Hospital, Belfast, UK.
Barbara WillekensDepartment of Neurology, Antwerp University Hospital, Edegem, Belgium.
Dana HorakovaDepartment of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University in Prague and General University Hospital, Prague, Czech Republic.ORCID 0000-0003-1915-0036
Eva Kubala HavrdovaDepartment of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University in Prague and General University Hospital, Prague, Czech Republic.
Serkan OzakbasIzmir University of Economics, Medical Point Hospital, Izmir, Turkey.
Cavit BozDepartment of Neurology, Medical Faculty, Karadeniz Technical University, Trabzon, Turkey.
Mario HabekDepartment of Neurology, University Hospital Center Zagreb, Zagreb, Croatia School of Medicine, University of Zagreb, Zagreb, Croatia.
Tomas KalincikNeuroimmunology Centre, Department of Neurology, Royal Melbourne Hospital, Melbourne, VIC, Australia.ORCID 0000-0003-3778-1376
Izanne RoosNeuroimmunology Centre, Department of Neurology, Royal Melbourne Hospital, Melbourne, VIC, Australia.ORCID 0000-0003-0371-3666
Masoud EtemadifarFaculty of Medicine, Isfahan university of Medical sciences, Isfahan, Iran.
Marek PeterkaFaculty of Medicine and University Hospital in Pilsen, Charles University in Pilsen, Plzen, Czech Republic.
Jeannette Lechner-ScottHunter Medical Research Institute, University of Newcastle.
Jose E Meca-LallanaMultiple Sclerosis CSUR, Clinical Neuroimmunology Unit, Neurology Department, Virgen de la Arrixaca Clinical University Hospital, IMIB-Arrixaca and NICEM Cathedra-UCAM-Catholic University San Antonio, Murcia, Spain.
Zuzana RousFaculty of Medicine, Palacky University and University Hospital Olomouc, Czech Republic.
Jana HouskovaHospital Ceske Budejovice, Czech Republic.
Alexandre PratCHUM MS Center and Universite de Montreal, Montreal, QC, Canada.
Marc GirardCHUM MS Center and Universite de Montreal, Montreal, QC, Canada.
Radek AmpapaNemocnice Jihlava, Jihlava, Czech Republic.
Katherine BuzzardDepartment of Neurosciences, Eastern Health Clinical School, Box Hill Hospital, Monash University, Box Hill, VIC, Australia.
Olga SkibinaDepartment of Neurology, Alfred Health, Melbourne, VIC, Australia.
Nevin A JohnDepartment of Medicine, School of Clinical Sciences, Monash University, Clayton, VIC, Australia.ORCID 0000-0002-9834-4498
Allan G KermodePerron Institute for Neurological and Translational Science, University of Western Australia, Nedlands WA, Australia.ORCID 0000-0002-4476-4016
Marzena J Fabis-PedriniPerron Institute for Neurological and Translational Science, University of Western Australia, Nedlands WA, Australia.
Matteo FoschiDepartment of Neuroscience, MS Center, Neurology Unit, S. Maria delle Croci Hospital of Ravenna, Ravenna, Italy.
Andrea SurcinelliDepartment of Neuroscience, MS Center, Neurology Unit, S. Maria delle Croci Hospital of Ravenna, Ravenna, Italy.
Yolanda BlancoCenter of Neuroimmunology, Service of Neurology, Hospital Clinic de Barcelona, Barcelona, Spain.
Seyed Mohammad BaghbanianNeurology Department, Booalisina Hospital, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.ORCID 0000-0002-8138-7504
Oliver GerlachAcademic MS Center Zuyd, Department of Neurology, Zuyderland Medical Center, Sittard-Geleen, the Netherlands.
Richard MacdonellDepartment of Neurology, Austin Health, Melbourne, VIC, Australia.
Zbysek PavelekFaculty of Medicine and University Hospital Hradec Kralove, Charles University in Prague, Hradec Kralove, Czech Republic.ORCID 0000-0002-1772-8781
Pavel StouracMasaryk University Brno and University Hospital, Brno, Czech Republic.
Pamela McCombeDepartment of Neurology, the University of Queensland, Brisbane, QLD, Australia.
Guy LaureysDepartment of Neurology, University Hospital Ghent, Brussels, Belgium.
Helmut ButzkuevenDepartment of Neuroscience, School of Translational Medicine, Monash University, Melbourne, VIC, Australia.
Anneke van der WaltDepartment of Neuroscience, School of Translational Medicine, Monash University, Melbourne, VIC, Australia.ORCID 0000-0002-4278-7003
Orla GraySouth Eastern HSC Trust, Belfast, UK.
MSBase Study Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFamily planning is an important aspect of multiple sclerosis (MS), and neuromyelitis optica spectrum disorder (NMOSD) management. Knowledge gaps remain, including optimal perinatal management strategies, and fetal risks associated with disease-modifying therapy (DMT) exposure.

objectiveTo describe perinatal DMT use, together with pregnancy and neonatal outcomes prospectively recorded in the International MSBase Pregnancy and Women's Health Registry.

methodsWe report summary statistics for data collected between May 2020 and August 2024.

resultsA total of 1887 relapsing-remitting MS (RRMS), 12 primary-progressive MS (PPMS), 2 radiologically isolated syndrome (RIS) and 21 NMOSD completed pregnancies were recorded, including 1644 (85.5%) live births, 208 (10.8%) miscarriages, and 6 (0.3%) neonatal deaths. Most women had unassisted (53.8%) or assisted (7.4%) vaginal births. Seventy five percent of pregnancies had DMT exposures within 6 months preconception; 19% of NMOSD, and 62% of MS pregnancies were DMT-exposed during gestation; 18.1% of pregnancies reported in-pregnancy monoclonal antibody DMT exposure. No overt safety signals were seen.

conclusionThis first report from the newly launched MSBase pregnancy registry, establishes an increasing number of pregnancies being conceived on monoclonal antibody therapies. Although no safety signals were observed, it is important to continue monitoring for safety signals in real-world databases as the use of highly effective therapies continues to increase perinatally.

Indexed as

Immunologic FactorsMultiple SclerosisNeuromyelitis OpticaPregnancy ComplicationsPregnancy OutcomeRegistriesAdultFemaleHumansInfant, NewbornMultiple Sclerosis, Relapsing-RemittingPregnancyYoung AdultImmunologic Factorsdisease-modifying therapyMultiple sclerosisneonatal outcomesneuromyelitis optica spectrum disorderpregnancy

Identifiers

PMID40621862
PMCPMC12357973

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.