Long-term results of immunomodulatory treatment in children and adolescents with multiple sclerosis: The Italian experience

Angelo Ghezzi, Maria Pia Amato, Pietro Annovazzi, Marco Capobianco, Paolo Gallo, Loredana La Mantia, Maria Giovanna Marrosu, Vittorio Martinelli, Nicoletta Milani, Lucia Moiola, Francesco Patti, Carlo Pozzilli, Maria Trojano, Mauro Zaffaroni, Giancarlo Comi, I. L. Simone, Elisabetta Di Monte, R. Ardito, S. Stecchi, C. ScandellariM. G. Marrosu, G. Spinicci, F. Patti, E. D'Amico, E. Portaccio, S. Lori, G. F. Costantino, V. Pilato, M. Zaffaroni, A. Bellantonio, R. Fantozzi, C. Milanese, E. Scarpini, M. De Riz, P. Sola, E. Merelli, A. Guerra, P. Perini, M. Atzori, R. Bergamaschi, P. Veggiottii, L. Prosperini, A. Bertolotto, M. Capobianco, S. Malucchi, P. Cavalla

Research output: Contribution to journalArticlepeer-review


The main objective of this study is to evaluate the effect of immunomodulatory agents (IMAs) (Interferon-Beta, Glatiramer Acetate) in a large cohort of multiple sclerosis (MS) patients with disease onset in childhood or adolescence, treated before 16 years of age, after a long-term follow-up. A total of 130 patients were identified, 77 were treated with Avonex, 39 with Rebif/Betaferon, 14 with Copaxone. After a mean (SD) treatment duration of 53.6 ± 27.0, 59.9 ± 39.5 and 74.6 ± 35.5 months, respectively, the relapse rate decreased significantly. The final EDSS score was unchanged with respect to the initial score. Similar results were also observed in subjects who continued a long-term follow-up after they were included in an observational study in 2004, and in subjects who were treated before 12 years of age. The frequency of clinical and laboratory adverse events was similar to that observed in adult patients. To conclude, IMAs were effective and well tolerated in paediatric patients with MS.

Original languageEnglish
Pages (from-to)193-199
Number of pages7
JournalNeurological Sciences
Issue number3
Publication statusPublished - 2009


  • Adolescence
  • Childhood
  • Glatiramer acetate
  • Immunomodulatory agents
  • Interferon-beta
  • Multiple sclerosis
  • Paediatric multiple sclerosis

ASJC Scopus subject areas

  • Clinical Neurology
  • Psychiatry and Mental health
  • Dermatology


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