Mavenclad (cladribine) vs Fleqsuvy (baclofen)

Mavenclad (cladribine) vs Fleqsuvy (baclofen)

Mavenclad (cladribine) is an oral medication specifically approved for the treatment of relapsing forms of multiple sclerosis (MS), designed to reduce the frequency of flare-ups and slow the progression of physical disability. Fleqsuvy (baclofen) is a medication primarily used to treat spasticity, which is muscle stiffness and spasms often associated with conditions like MS, spinal cord injuries, or cerebral palsy, and it does not directly alter the course of MS. When deciding between these medications, it is crucial to consider the specific medical condition being treated: Mavenclad is chosen for its disease-modifying properties in MS, while Fleqsuvy is selected for symptom management of spasticity.

Difference between Mavenclad and Fleqsuvy

Metric Mavenclad (cladribine) Fleqsuvy (baclofen)
Generic name Cladribine Baclofen
Indications Multiple sclerosis Spasticity
Mechanism of action Immunosuppressant; purine analog GABA receptor agonist
Brand names Mavenclad Fleqsuvy, Lioresal
Administrative route Oral Oral, intrathecal
Side effects Lymphopenia, infection, leukopenia Drowsiness, dizziness, weakness
Contraindications HIV infection, active chronic infections, pregnancy Kidney impairment, epilepsy, stroke
Drug class Antineoplastic agent Muscle relaxant, antispastic agent
Manufacturer Merck Supernus Pharmaceuticals

Efficacy

Mavenclad (Cladribine) for Multiple Sclerosis

Mavenclad (cladribine) is an oral medication that has been approved for the treatment of certain forms of multiple sclerosis (MS), specifically relapsing-remitting MS (RRMS) and active secondary progressive MS (SPMS). The efficacy of Mavenclad in reducing relapse rates was demonstrated in clinical trials, where it showed a significant reduction in the annualized relapse rate compared to placebo. Furthermore, Mavenclad has been found to slow the progression of disability associated with MS, which is a critical aspect of treatment effectiveness for patients with this chronic condition.

Another important measure of efficacy for MS treatments is the reduction in the number of lesions visible on magnetic resonance imaging (MRI) scans, which are indicative of disease activity. Mavenclad has been shown to reduce the number of these lesions. This effect suggests that the drug has a positive impact on controlling the underlying disease process. The benefits of Mavenclad must be weighed against its safety profile, as it can have serious side effects, including a reduction in white blood cell counts, which can increase the risk of infections.

Fleqsuvy (Baclofen) for Multiple Sclerosis

Fleqsuvy (baclofen) is not primarily used to treat the disease course of multiple sclerosis but is instead utilized to manage symptoms associated with MS, particularly spasticity. Spasticity is a common symptom in MS patients, characterized by muscle stiffness and involuntary muscle spasms. Baclofen is a muscle relaxant that acts on the central nervous system to alleviate these symptoms. While baclofen does not directly affect the progression of MS, its efficacy in improving patient quality of life by managing spasticity is well-documented.

It is important to note that Fleqsuvy (baclofen) does not have a direct effect on the relapse rate or the progression of disability in MS. Its use is considered symptomatic treatment, aimed at improving the day-to-day functioning and comfort of individuals living with MS. The efficacy of baclofen in the management of MS-related spasticity has been established through various studies, which report improvements in muscle tone and a reduction in the frequency and severity of muscle spasms.

Regulatory Agency Approvals

Mavenclad
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)
Fleqsuvy
  • Food and Drug Administration (FDA), USA

Access Mavenclad or Fleqsuvy today

If Mavenclad 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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