Journal Article10.1016/S0140-6736(12)61768-1
Alemtuzumab for patients with relapsing multiple sclerosis after disease-modifying therapy: A randomised controlled phase 3 trial
Alasdair Coles,Cary Twyman,Douglas L. Arnold,Jeffrey A. Cohen,Christian Confavreux,Edward Fox,Hans Peter Hartung,Eva Havrdova,Krzysztof Selmaj,Howard L. Weiner,Tamara Miller,Elizabeth Fisher,Rupert Sandbrink,Rupert Sandbrink,Stephen Lake,David Margolin,Pedro Oyuela,Michael Panzara,D Alastair S Compston +18 more
TL;DR: This 2 year, rater-masked, randomised controlled phase 3 trial enrolled adults aged 18-55 years with relapsing-remitting multiple sclerosis and at least one relapse on interferon beta or glatiramer and found alemtuzumab could be used to reduce relapse rates and sustained accumulation of disability.
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About: This article is published in The Lancet. The article was published on 24 Nov 2012. The article focuses on the topics: Interferon beta-1a & Alemtuzumab.
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Citations
Treatment decisions in multiple sclerosis — insights from real-world observational studies
Maria Trojano,Mar Tintoré,Xavier Montalban,Jan Hillert,Tomas Kalincik,Pietro Iaffaldano,Tim Spelman,Maria Pia Sormani,Helmut Butzkueven +8 more
TL;DR: This Review focuses on the most recently published observational studies designed to identify predictors of poor outcome and treatment response or failure, and to evaluate the relative and long-term effectiveness of currently used MS treatments.
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B cells in multiple sclerosis - from targeted depletion to immune reconstitution therapies.
Maria Teresa Cencioni,Miriam Mattoscio,Roberta Magliozzi,Roberta Magliozzi,Amit Bar-Or,Paolo A. Muraro +5 more
TL;DR: A review of the development and physiological functions of B cells and the main mechanisms through which B cells are thought to contribute to CNS auto-immunity is provided in this article, with a focus on the effects on B cell subsets.
165
Varicella-zoster virus infections in patients treated with fingolimod: Risk assessment and consensus recommendations for management
Ann M. Arvin,Jerry S. Wolinsky,Ludwig Kappos,Michele I. Morris,Anthony T. Reder,Carlo Tornatore,Anne A. Gershon,Michael D. Gershon,Myron J. Levin,Mauritz Bezuidenhoudt,Norman Putzki +10 more
TL;DR: Overall, in clinical trials, VZV rates of infection were low but higher with fingolimod compared with placebo, and a similar rate was confirmed in the ongoing extension studies.
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Alemtuzumab in the treatment of multiple sclerosis: key clinical trial results and considerations for use
TL;DR: The alemtuzumab clinical development program used an active comparator, subcutaneous interferon beta-1a, to show that alemTuzumAB is a highly efficacious disease-modifying therapy, with benefits on relapses, disability outcomes, and freedom from clinical disease and magnetic resonance imaging activity.
Optimizing treatment success in multiple sclerosis
Tjalf Ziemssen,Tobias Derfuss,Nicola De Stefano,Gavin Giovannoni,Filipe Palavra,Davorka Tomic,Timothy Vollmer,Sven Schippling +7 more
TL;DR: Combining evidence shows that effective intervention during a limited period early in the course of MS is critical for maintaining neurological function and preventing subsequent disability, and the advent of new MS therapies and evolving management strategies offer exciting new opportunities to optimize treatment outcomes.
References
Rating neurologic impairment in multiple sclerosis An expanded disability status scale (EDSS)
TL;DR: A new Expanded Disability Status Scale (EDSS) is presented, with each of the former steps (1,2,3 … 9) now divided into two (1.0, 1.5, 2.0 … 9).
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Diagnostic criteria for multiple sclerosis: 2005 revisions to the "McDonald Criteria".
Chris H. Polman,Stephen C. Reingold,Gilles Edan,Massimo Filippi,Hans-Peter Hartung,Ludwig Kappos,Fred D. Lublin,Luanne M. Metz,Henry F. McFarland,Paul O'Connor,Magnhild Sandberg-Wollheim,Alan J. Thompson,Brian G. Weinshenker,Jerry S. Wolinsky +13 more
TL;DR: New evidence and consensus now strengthen the role of these criteria in the multiple sclerosis diagnostic workup to demonstrate dissemination of lesions in time, to clarify the use of spinal cord lesions, and to simplify diagnosis of primary progressive disease.
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The Robust Inference for the Cox Proportional Hazards Model
Danyu Lin,L. J. Wei +1 more
TL;DR: In this article, the authors derived the asymptotic distribution of the maximum partial likelihood estimator β for the vector of regression coefficients β under a possibly misspecified Cox proportional hazards model.
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Oral fingolimod or intramuscular interferon for relapsing multiple sclerosis.
Jeffrey A. Cohen,Frederik Barkhof,Giancarlo Comi,Hans Peter Hartung,Bhupendra Khatri,Xavier Montalban,Jean Pelletier,Ruggero Capra,Paolo Gallo,Guillermo Izquierdo,Klaus Tiel-Wilck,Ana de Vera,James Jin,Tracy Stites,Stacy Wu,Shreeram Aradhye,Ludwig Kappos +16 more
TL;DR: This trial showed the superior efficacy of oral fingolimod with respect to relapse rates and MRI outcomes in patients with multiple sclerosis, as compared with intramuscular interferon beta-1a.
Diagnostic criteria for multiple sclerosis.
Charles M. Poser,Vesna V. Brinar +1 more
TL;DR: The history of clinical diagnostic criteria demonstrates the evolution from rather tentative classifications of restricted value to the more elaborate 1983 scheme which incorporates some laboratory procedures under the rubric paraclinical tests as well as a new category based on the presence of specific abnormalities of the cerebrospinal fluid (CSF).
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