Real-World Effectiveness and Safety of Ofatumumab in Relapsing Multiple Sclerosis: Comparison of Treatment-Naïve Patients and Switchers in a Multicenter Cohort - Report - MDSpire

Real-World Effectiveness and Safety of Ofatumumab in Relapsing Multiple Sclerosis: Comparison of Treatment-Naïve Patients and Switchers in a Multicenter Cohort

  • By

  • Vincenzo Mangialardi

  • Giuseppe Macchitella

  • Rita Vitobello

  • Antonella Teofilo

  • Nicola Cavalli

  • Caterina Lapucci

  • Marco Vercellino

  • Elisa Idini

  • Jessica Frau

  • Pietro Iaffaldano

  • Paola Cavalla

  • Matilde M. Inglese

  • Eleonora Cocco

  • Damiano Paolicelli

  • May 31, 2026

  • 0 min

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Clinical Report: Real-World Safety and Efficacy of Ofatumumab in MS

Overview

Ofatumumab demonstrated significant reductions in relapse rates and MRI activity in both treatment-naïve patients and those switching from other therapies. The study also found that prior exposure to high-efficacy therapies was the only independent predictor of infection risk under ofatumumab.

Background

Multiple sclerosis (MS) is a leading cause of long-term neurological disability among young adults, necessitating effective treatment strategies. Anti-CD20 monoclonal antibodies like ofatumumab have shown promise in managing relapsing MS by targeting B cells, which play a crucial role in disease pathogenesis. Understanding the real-world efficacy and safety of ofatumumab is essential for optimizing treatment approaches, especially for patients with varying treatment histories.

Data Highlights

No numerical data provided in the source material.

Key Findings

  • Ofatumumab achieved substantial reductions in relapse rates and MRI activity.
  • High rates of NEDA-3 were observed across both treatment-naïve patients and switchers.
  • Disability outcomes remained stable over follow-up with no significant differences across treatment subgroups.
  • Prior exposure to high-efficacy therapies was the only independent predictor of infection risk.
  • Multivariable sensitivity analyses confirmed the robustness of the findings regarding disability outcomes.

Clinical Implications

Clinicians should consider the history of prior treatments when prescribing ofatumumab, as it may influence infection risk. The stability of disability outcomes across treatment subgroups suggests that ofatumumab can be a viable option for diverse patient populations in real-world settings.

Conclusion

This study reinforces the effectiveness and safety of ofatumumab in managing relapsing MS, highlighting the importance of real-world evidence in guiding treatment decisions.

Related Resources & Content

  1. Drugs - Real World Outcomes, Springer, 2026 -- Patient‑Reported Satisfaction in Relapsing-Remitting Multiple Sclerosis: Advantages of At‑Home Self‑Administered Subcutaneous Ofatumumab Versus Other High‑Efficacy Therapies
  2. Frontiers in Immunology, 2026 -- Case Report: Ofatumumab for the treatment of refractory anti-NMDAR-positive autoimmune encephalitis
  3. Frontiers in Immunology, 2026 -- Real-world comparison of anti-CD20 therapies: efficacy, infections, and immune profiles in a German cohort
  4. Drugs - Real World Outcomes, Springer, 2021 -- Analysis of Treatment Trends, Relapse Rates, Resource Utilization, and Costs in Multiple Sclerosis Patients Transitioning to Second-Line Disease-Modifying Therapies: A Retrospective Claims Study
  5. Practice Guideline Recommendations: Disease-modifying Therapies for Adults with Multiple Sclerosis
  6. Ofatumumab versus Teriflunomide in Multiple Sclerosis | New England Journal of Medicine
  7. Real-world effectiveness and safety of ofatumumab in relapsing-remitting multiple sclerosis: Insights from naïve and switch patients - PMC
  8. Practice Guideline Recommendations: Disease-modifying Therapies for Adults with Multiple Sclerosis
  9. Ofatumumab versus Teriflunomide in Multiple Sclerosis | New England Journal of Medicine
  10. Real-world effectiveness and safety of ofatumumab in relapsing-remitting multiple sclerosis: Insights from naïve and switch patients - PMC

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