Sativex in the management of multiple sclerosis-related spasticity: An overview of the last decade of clinical evaluation.

作者: Sabrina Giacoppo , Placido Bramanti , Emanuela Mazzon

DOI: 10.1016/J.MSARD.2017.06.015

关键词: Quality of lifeSafety profilePhysical therapyClinical effectivenessMedicineClinical evaluationMultiple sclerosisManagement of multiple sclerosisSpasticityTolerability

摘要: Abstract Background Spasticity is a common symptom of multiple sclerosis (MS) affecting about 80% MS patients. Numerous lines evidence suggest that spasticity due to its complexity not adequately managed with conventional anti-spastic therapies. Therefore, in order improve the outcomes for majority patients, alternative approaches are needed be discovered. Over last years, use cannabinoid compounds as potential treatment MS-related symptoms has aroused great interest, owing encouraging preclinical and clinical studies. To date, Sativex, an oromucosal spray containing tetrahydrocannabinol cannabidiol approximately 1:1 ratio, only commercially available formulation cannabinoids used add-on therapy adult patients who responding antispastic Methods Here, by performing literature search, we provided overview decade evaluations well post-marketing studies effectiveness safety Sativex management spasticity. Results was proven effective treating also improving patient's quality life. In addition, low incidence adverse reactions Sativex-related supports good profile tolerability. Conclusion This review recognizing management, opened new opportunity many resistant drugs.

参考文章(49)
G. Coghe, M. Pau, F. Corona, J. Frau, L. Lorefice, G. Fenu, G. Spinicci, E. Mamusa, L. Musu, S. Massole, R. Massa, M. G. Marrosu, E. Cocco, Walking improvements with nabiximols in patients with multiple sclerosis Journal of Neurology. ,vol. 262, pp. 2472- 2477 ,(2015) , 10.1007/S00415-015-7866-5
William G. Notcutt, Clinical Use of Cannabinoids for Symptom Control in Multiple Sclerosis. Neurotherapeutics. ,vol. 12, pp. 769- 777 ,(2015) , 10.1007/S13311-015-0383-5
Volker Siffrin, Alexander U. Brandt, Josephine Herz, Frauke Zipp, New insights into adaptive immunity in chronic neuroinflammation. Advances in Immunology. ,vol. 96, pp. 1- 40 ,(2007) , 10.1016/S0065-2776(07)96001-0
C. Collin, P. Davies, I. K. Mutiboko, S. Ratcliffe, , Randomized controlled trial of cannabis‐based medicine in spasticity caused by multiple sclerosis European Journal of Neurology. ,vol. 14, pp. 290- 296 ,(2007) , 10.1111/J.1468-1331.2006.01639.X
A. Novotna, J. Mares, S. Ratcliffe, I. Novakova, M. Vachova, O. Zapletalova, C. Gasperini, C. Pozzilli, L. Cefaro, G. Comi, P. Rossi, Z. Ambler, Z. Stelmasiak, A. Erdmann, X. Montalban, A. Klimek, P. Davies, , A randomized, double-blind, placebo-controlled, parallel-group, enriched-design study of nabiximols* (Sativex®), as add-on therapy, in subjects with refractory spasticity caused by multiple sclerosis European Journal of Neurology. ,vol. 18, pp. 1122- 1131 ,(2011) , 10.1111/J.1468-1331.2010.03328.X
S Paisley, S Beard, A Hunn, J Wight, Clinical effectiveness of oral treatments for spasticity in multiple sclerosis: a systematic review. Multiple Sclerosis Journal. ,vol. 8, pp. 319- 329 ,(2002) , 10.1191/1352458502MS795RR
Michael G. Serpell, William Notcutt, Christine Collin, Sativex long-term use: an open-label trial in patients with spasticity due to multiple sclerosis. Journal of Neurology. ,vol. 260, pp. 285- 295 ,(2013) , 10.1007/S00415-012-6634-Z
Giacomo Koch, Francesco Mori, Claudia Codecà, Hajime Kusayanagi, Fabrizia Monteleone, Fabio Buttari, Stefania Fiore, Giorgio Bernardi, Diego Centonze, Cannabis-based treatment induces polarity-reversing plasticity assessed by theta burst stimulation in humans. Brain Stimulation. ,vol. 2, pp. 229- 233 ,(2009) , 10.1016/J.BRS.2009.03.001
Jordi Pérez, Combined cannabinoid therapy via an oromucosal spray Drugs of Today. ,vol. 42, pp. 495- 503 ,(2006) , 10.1358/DOT.2006.42.8.1021517