People taking rituximab had fewer MS relapses, but those who switched to it had more serious infections.
Disability worsened at similar rates with rituximab and approved MS treatments. After three years, about 9% of people who started with rituximab had worsening disability. About 5% of those who switched to rituximab had worsening disability. People taking rituximab had fewer relapses and were more likely to stay on treatment. Infections needing hospital care were more common after switching to rituximab, but not when it was the first treatment.
The study followed adults in Sweden with relapsing-remitting MS who started or switched treatment. It compared rituximab with approved MS treatments. The findings are relevant to people weighing relapse control against infection risk. Disability worsening was mostly unrelated to relapses among people taking rituximab. Scores for the physical and emotional impact of MS improved slightly with rituximab and were mostly similar across treatments.
Researchers observed 2,449 people starting their first treatment and 2,463 switching treatments. You should know this was an observational study, not a trial that assigned treatments. Researchers accounted for health differences, but the study cannot prove rituximab caused the outcomes.
AI-generated summary — for informational purposes only, not medical advice
11/1/2026
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Read MoreWhether you’ve recently been diagnosed with Multiple Sclerosis (MS) or are seeking to broaden your understanding of this complex, neurodegenerative disease, navigating the latest research can feel overwhelming. Studies published in respected medical journals like Annals of neurology often range from early-stage, exploratory work to advanced clinical trials. These evidence-based findings help shape new disease-modifying therapies, guide symptom management techniques, and deepen our knowledge of MS progression.
However, not all research is created equal. Some clinical research studies may have smaller sample sizes, evolving methodologies, or limitations that warrant careful interpretation. For a more comprehensive, accurate understanding, we recommend reviewing the original source material—accessible via the More Details section above—and consulting with healthcare professionals who specialize in MS care.
By presenting a wide range of MS-focused studies—spanning cutting-edge treatments, emerging therapies, and established best practices—we aim to empower patients, caregivers, and clinicians to stay informed and make well-informed decisions when managing Multiple Sclerosis.