Evidence map›Paper›PMID 40957770›Full record

ArticleNeurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics2025

Real-world effectiveness and safety of ofatumumab in relapsing-remitting multiple sclerosis: Insights from naïve and switch patients.

Clara G Chisari, Salvatore Lo Fermo, Salvatore Iacono, Giuseppe Schirò, Francesca Ruscica, Sabrina Realmuto, Sebastiano Bucello, Paolo Ragonese, Giuseppe Salemi, Francesca Matta and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Switching high efficacy therapies in Multiple Sclerosis: Does real world experience support such a strategy?Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Article
  6. Article
  7. Two roads diverged in multiple sclerosis: When is switching therapy effective?Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
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

14 authors.

Clara G ChisariDepartment of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", University of Catania, Catania, Italy; UOS Sclerosi Multipla AOU Policlinico G Rodolico-San Marco, University of Catania, Catania, Italy.
Salvatore Lo FermoUOS Sclerosi Multipla AOU Policlinico G Rodolico-San Marco, University of Catania, Catania, Italy.
Salvatore IaconoNeurology and Multiple Sclerosis Center, Unità Operativa Complessa (UOC), Foundation Institute "G. Giglio", Cefalù, PA, Italy.
Giuseppe SchiròDepartment of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, PA, Italy.
Francesca RuscicaNeurology and Multiple Sclerosis Center, Unità Operativa Complessa (UOC), Foundation Institute "G. Giglio", Cefalù, PA, Italy.
Sabrina RealmutoMultiple Sclerosis Centre, Neurology Unit and Stroke Unit, AOOR "Villa Sofia-Cervello", PA, Italy.
Sebastiano BucelloMultiple Sclerosis Center, "E. Muscatello" Hospital - ASP8, Augusta, SR, Italy.
Paolo RagoneseDepartment of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, PA, Italy.
Giuseppe SalemiDepartment of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, PA, Italy.
Francesca MattaDepartment of Neurology, Ospedale Garibaldi Centro, Catania, Italy.
Simona ToscanoDepartment of Neurology, Ospedale Garibaldi Centro, Catania, Italy.
Salvatore CottoneA.R.N.A.S. CIVICO, PA, Italy.
Luigi Maria Edoardo GrimaldiNeurology and Multiple Sclerosis Center, Unità Operativa Complessa (UOC), Foundation Institute "G. Giglio", Cefalù, PA, Italy.
Francesco PattiDepartment of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", University of Catania, Catania, Italy; UOS Sclerosi Multipla AOU Policlinico G Rodolico-San Marco, University of Catania, Catania, Italy. Electronic address: patti@unict.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ofatumumab (OFA), a fully human anti-CD20 monoclonal antibody, has shown promising efficacy in treating relapsing multiple sclerosis (RMS) by depleting B cells and reducing disease activity. This real-world, prospective, multicenter study evaluated the effectiveness and safety of OFA in treatment-naïve patients and those transitioning from other disease-modifying therapies (DMTs), including natalizumab (NTZ). RRMS patients initiating OFA at seven MS centers in Sicily and treated for at least 12 months were analyzed. Outcomes included annualized relapse rates (ARR), Expanded Disability Status Scale (EDSS), and the percentage of patients free from relapse, MRI activity, and confirmed EDSS worsening (CEW). Of 213 patients, 66 (30.9 ​%) were naïve and 147 (69.1 ​%) were switchers. At 12 months, both groups showed comparable CEW-free (93.9 ​% vs. 93.8 ​%), relapse-free (92.4 ​% vs. 93.2 ​%), and MRI activity-free (84.8 ​% vs. 85.0 ​%) proportions. Within the high-efficacy group, NTZ-switchers showed significantly better MRI outcomes than those switching from other agents, while CEW-free and relapse-free rates remained similar. OFA was well tolerated with no serious adverse events. Predictors of non-response included high baseline MRI activity, disease duration >10 years, and prior NTZ and non-NTZ high-efficacy DMTs. These findings support OFA as a safe and effective option for RRMS across patient subtypes.

Indexed as

Antibodies, Monoclonal, HumanizedImmunologic FactorsMultiple Sclerosis, Relapsing-RemittingAdultFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedProspective StudiesTreatment OutcomeYoung AdultAntibodies, Monoclonal, HumanizedImmunologic FactorsofatumumabMultiple sclerosisOfatumumabSwitch

Identifiers

PMID40957770
PMCPMC12664450

What OpenQuestion holds

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Registered trials

None linked

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.