The use of high-efficacy immunosuppressive drugs for the treatment of multiple sclerosis (MS) raises concerns about the increased risk of infections. One strategy to address the increased infection risk is to vaccinate patients. However, vaccination during immunosuppression can result in impaired vaccine responses. In highly active patients requiring a rapid treatment initiation, vaccination can delay treatment onset. Mar Tintoré, MD, PhD, Vall d’Hebron University Hospital, Barcelona, Spain, and President of the European Committee for Treatment and Research in Multiple Sclerosis (ECTRIMS), discusses the possibility of using natalizumab, a high-efficacy agent with potential low interference in vaccination responses, as a bridge therapy to achieve an adequate immunization before starting another treatment. In highly active patients who need immunization, this could be a valuable strategy to avoid delays in the onset of high-efficacy treatment. This interview took place at the European Committee for Treatment and Research in Multiple Sclerosis (ECTRIMS) Congress 2022 in Amsterdam, The Netherlands.
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