REPORT FROM THE 13TH CONGRESS OF THE EUROPEAN FEDERATION OF NEUROLOGICAL SOCIETIES (EFNS), FLORENCE, ITALY, SEPTEMBER 12-15, 2009 – A 33-week comparison of extended-release (once-daily) and immediate-release (TID) pramipexole reports that the two formulations are comparable in patients with early Parkinsons disease (Poewe et al. EFNS 2009). A total of 539 patients were randomized to pramipexole ER, pramipexole IR or placebo. Doses were titrated up to 4.5 mg/day followed by maintenance at the optimized dose. Levodopa was permitted as a rescue medication.
Neurology
Assessing the nocebo effect in MS trials
January 5, 2010REPORT FROM THE 25th CONGRESS OF THE ECTRIMS Dusseldorf, Germany, September 9-12, 2009 A majority of patients in the placebo arm of MS treatment trials report nocebo reactions, defined as the development of nonspecific adverse effects following administration of a placebo (Kennedy WP. Med World 1961; 95: 203-205), according to an analysis of 60 trials of disease-modifying drugs (Papadopoulos & Mitsikostas. ECTRIMS 2009).
Read More
Pulsed methylprednisolone: MECOMBIN trial results
January 5, 2010REPORT FROM THE 25th CONGRESS OF THE ECTRIMS Dusseldorf, Germany, September 9-12, 2009 The results of the MECOMBIN trial of pulsed methylprednisolone plus intramuscular beta-interferon-1a indicate that the combination is not more effective in delaying the onset of disability progression, although improvements in relapse rate and functional scores were observed (Ravnborg et al. ECTRIMS 2009).
Read More
Teriflunomide in combination with beta-IFN: preliminary results
January 5, 2010REPORT FROM THE 25th CONGRESS OF THE ECTRIMS Dusseldorf, Germany, September 9-12, 2009 Teriflunomide is an immunosuppressant currently being tested in four large phase III trials in clinically isolated syndrome (estimated enrollment 780), MS with relapses (TEMSO trial, estimated n=1080), relapsing-remitting MS (planned n=1110) and versus beta-interferon-1a in RRMS (TENERE trial, estimated n=300). The drug is the active metabolite of leflunomide that is used in the treatment of rheumatoid arthritis.
Read More
Cognitive impairment in adolescent MS: follow-up results
December 15, 2009REPORT FROM THE 25th CONGRESS OF THE ECTRIMS Dusseldorf, Germany, September 9-12, 2009 In 2008, the MS Study Group of the Italian Neurological Society reported that one-third of children/adolescents with MS demonstrated cognitive impairments (Amato et al. Neurology 2008; 70: 1891-1897).
Read More