Types of DMT used to treat MS DMT used in country of interest? World Bank category Upper middle income WHO region European Global results
% of countries reporting using each DMT
Alemtuzumab No 62% 72% 60%
Azathioprine No 62% 49% 60%
Cladribine (subcutaneous or IV) No 0% 15% 7%
Cladribine (oral) No 73% 87% 67%
Cyclophosphamide No 50% 49% 48%
Dimethyl fumarate No 73% 90% 72%
Diroximel fumarate No 4% 31% 16%
Fingolimod No 81% 87% 81%
Fludarabine No 0% 10% 4%
Glatiramer acetate Yes 65% 92% 68%
Interferon-beta 1a Yes 88% 97% 88%
Interferon-beta 1b Yes 88% 100% 82%
IV Immunoglobulin (IVIG) Yes 42% 46% 44%
Leflunomide No 12% 13% 9%
Methotrexate Yes 42% 38% 41%
Minocycline No 4% 3% 6%
Mitoxantrone No 42% 59% 42%
Monomethyl fumarate No 0% 0% 3%
Mycophenolate mofetil No 23% 21% 32%
Natalizumab Yes 73% 90% 73%
Ocrelizumab No 85% 92% 75%
Ofatumumab No 31% 56% 39%
Ozanimod No 4% 41% 22%
Peginterferon-beta 1a No 19% 69% 44%
Ponesimod No 4% 41% 20%
Rituximab Yes 69% 74% 78%
Siponimod No 27% 67% 40%
Teriflunomide No 81% 90% 76%

What is the Atlas of MS?

The Atlas of MS is the most comprehensive worldwide study of the epidemiology of MS and the global availability and accessibility of resources for people with MS.

Explore the latest MS data

Access the latest Atlas of MS reports, infographics, slides and datasets to support research, advocacy and policy development. Planning an analysis or publication? Contact the Atlas team at [email protected] for guidance on methodology, data interpretation and related work.

Powerful tool for change

The information in the Atlas of MS can be a powerful advocacy tool, shining a spotlight on MS and raising awareness of the lack of adequate resources available to diagnose, inform, treat, rehabilitate and support people with MS worldwide.

With thanks to…

Worldwide collaboration

The Atlas of MS relies on data supplied by MS organisations from around the world. We are most grateful to the country coordinators and their colleagues for taking the time and effort to gather the information and data.

See contributor list

The Atlas of MS is one of the strongest examples of what the global MS movement can achieve through collaboration. By bringing together evidence from countries around the world, it helps inform policy, strengthen advocacy and guide future investment in research and healthcare. The Atlas also highlights the need for continued investment in surveillance, registries and data systems to strengthen our understanding of the true burden of MS. Better data lead to better decisions and, ultimately, better outcomes for people affected by MS worldwide.

Professor Mario Alberto Battaglia
Chair, MS International Federation (MSIF) and President of the Italian MS Society (Associazione Italiana Sclerosi Multipla [AISM])