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It is a mixture of four amino acid polymers that bind to myelin-specific autoantibodies to reduce autoreactivity and promote a predominant Th2 phenotype ( Long-term outcomes for up to seven years for relapsing MS patients enrolled in the Glatiramer Acetate Low-frequency Administration (GALA) study demonstrated a 0.26 adjusted annualized relapse rate in the early-start GA group (randomized to GA in the placebo-controlled trial) compared to 0.31 in the delayed start GA group (switched to GA in the open label phase), with a risk ratio of 0.83 (95% CI 0.700.99, p = 0.04) with no differences between the two groups in terms of EDSS (expanded disability status scale) progression ( Interferons vs