Efficacité et tolérance de l'azathioprine lors du traitement de base de la sclérose en plaques: cas du Maroc
2024

Effectiveness of Azathioprine for Multiple Sclerosis in Morocco

Sample size: 31 publication Evidence: moderate

Author Information

Author(s): Ali Mirhani, Nabila Auajjar, Chouki Slimani, Benaissa Attarassi

Primary Institution: Faculté des Sciences, Université Ibn-Tofail, Kenitra, Maroc

Hypothesis

The study aims to evaluate the efficacy of azathioprine as a first-line treatment for multiple sclerosis patients who could not access beta-interferons.

Conclusion

The study confirms that azathioprine is beneficial in treating different types of multiple sclerosis in Morocco.

Supporting Evidence

  • 82.4% of patients with relapsing-remitting MS were stable or improved.
  • 54.5% of patients with primary progressive MS showed stability or improvement.
  • 66.7% of patients with secondary progressive MS were stable or improved.

Takeaway

This study shows that azathioprine can help people with multiple sclerosis feel better, especially those who couldn't get other treatments.

Methodology

A retrospective cohort analysis was conducted on 31 patients with different types of multiple sclerosis who received azathioprine for 2 years, with efficacy assessed using the Expanded Disability Status Scale (EDSS).

Potential Biases

Potential bias due to the retrospective nature of the study and limited generalizability.

Limitations

The study is limited to a specific region in Morocco and only included patients treated with azathioprine without prior treatments.

Participant Demographics

Among the 31 patients, 55% had relapsing-remitting MS, 35% had primary progressive MS, and 10% had secondary progressive MS.

Statistical Information

P-Value

0.000 for RRMS, 0.005 for PPMS, 0.1 for SPMS

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.11604/pamj.2024.49.16.38051

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