Ponvory (ponesimod) vs Fleqsuvy (baclofen)
Ponvory (ponesimod) vs Fleqsuvy (baclofen)
Ponvory (ponesimod) is a selective sphingosine-1-phosphate receptor modulator used for the treatment of relapsing forms of multiple sclerosis (MS) to reduce the frequency of flare-ups and slow the progression of physical disability. Fleqsuvy (baclofen) is a muscle relaxer and an antispastic agent used to treat muscle symptoms caused by multiple sclerosis, including spasm, pain, and stiffness. When deciding between Ponvory and Fleqsuvy, a patient should consider that Ponvory is specifically for managing MS relapses and disease course, while Fleqsuvy is aimed at relieving certain muscle-related symptoms and may not have an impact on the overall progression of MS.
Difference between Ponvory and Fleqsuvy
Metric | Ponvory (ponesimod) | Fleqsuvy (baclofen) |
---|---|---|
Generic name | Ponesimod | Baclofen |
Indications | Relapsing forms of multiple sclerosis (MS) | Spasticity due to multiple sclerosis or spinal cord injury, may also be used off-label for muscle spasticity in cerebral palsy |
Mechanism of action | S1P receptor modulator | GABA-B receptor agonist |
Brand names | Ponvory | Fleqsuvy, Lioresal |
Administrative route | Oral | Oral, Intrathecal |
Side effects | Upper respiratory infection, elevated liver enzymes, high blood pressure, etc. | Drowsiness, dizziness, weakness, fatigue, headache, insomnia, nausea, etc. |
Contraindications | CYP2C9*3/*3 genotype, recent (within the last 6 months) myocardial infarction, stroke, or heart failure | Hypersensitivity to baclofen, patients with epilepsy not adequately controlled by anticonvulsants, and in patients with psychotic disorders, Parkinson's disease, or rheumatic diseases |
Drug class | Sphingosine 1-phosphate receptor modulator | Muscle relaxant, Antispastic agent |
Manufacturer | Janssen Pharmaceuticals, Inc. | Various manufacturers |
Efficacy
Ponvory (ponesimod) for Multiple Sclerosis
Ponvory (ponesimod) is an oral medication approved by the U.S. Food and Drug Administration (FDA) for the treatment of adults with relapsing forms of multiple sclerosis (MS), which include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease. Ponesimod works as a selective sphingosine-1-phosphate receptor modulator, which is believed to function by trapping certain white blood cells in lymph nodes, thus preventing them from reaching the central nervous system where they could cause inflammation and damage associated with MS. Clinical trials have demonstrated that Ponvory can significantly reduce the annual relapse rate in patients with relapsing forms of MS compared to a placebo, highlighting its efficacy in managing this condition.
Efficacy of Ponvory in Clinical Trials
The efficacy of Ponvory was established in a large, phase 3 clinical trial known as OPTIMUM. In this study, Ponvory was compared to another MS medication, teriflunomide, in people with relapsing MS. Results showed that Ponvory reduced the annual relapse rate by 30.5% more than teriflunomide. Moreover, Ponvory also demonstrated a reduction in the number of new or enlarging brain lesions seen on MRI scans, suggesting a beneficial effect on the neuroinflammatory activity of the disease. These findings provide strong evidence for the efficacy of Ponvory in reducing disease activity in MS patients.
Fleqsuvy (baclofen) for Multiple Sclerosis
Fleqsuvy (baclofen) is a medication that is commonly used off-label for the treatment of spasticity, a symptom often associated with multiple sclerosis (MS). Baclofen acts as a muscle relaxer and an antispastic agent. It is believed to work by inhibiting the transmission of reflexes at the spinal level, which can help alleviate the muscle stiffness, spasms, and pain experienced by MS patients. While baclofen is not specifically approved for MS, its efficacy in managing spasticity related to MS has been supported by numerous clinical experiences and studies, making it a valuable part of the symptomatic treatment arsenal for this condition.
Efficacy of Fleqsuvy in Managing MS Symptoms
The efficacy of baclofen in the treatment of MS-related spasticity has been evaluated in various studies. These studies have generally found that baclofen can lead to improvements in spasticity and is often well-tolerated by patients. However, the degree of benefit can vary among individuals, and some may experience side effects that require careful management. It is important for patients to work closely with their healthcare provider to adjust the dosage of baclofen to achieve the best balance between reducing spasticity and minimizing side effects. Despite these considerations, baclofen remains a widely used and effective treatment option for managing spasticity in MS patients.
Regulatory Agency Approvals
Ponvory
Fleqsuvy
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If Ponvory or Fleqsuvy are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.
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