Neurology

MS trials: Do you SCUBA?*

 

[*seriously consider using bothersome acronyms]

Two decades ago, an alarm was sounded on the exploding use of acronyms in clinical trials. The worst offender at the time was cardiology, which boasted 16 separate trials called HEART (Fred et al. Tex Heart Inst J 2003;30:255-257). With acronyms on the radar, other specialties soon joined in. Within a few years, the estimated prevalence of trial acronyms was 15% (40% in cardiology) (Pottegard et al. Br Med J 2014;349:g7092). For some it filled a GAP (Greater Acceptance by Publishers): studies with good acronyms were more likely to be cited by other researchers (Stanbrook et al. N Engl J Med 2006;355:101-2). Read More

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New failed trials of intrathecal rituximab in PMS

 

The limited benefit of B cell-directed therapies in progressive MS has been attributed in part to poor penetration of the CNS by monoclonal antibodies. However, two new studies have reported that intrathecal administration of rituximab has little effect on CNS inflammation, suggesting that limited drug entry into the brain is not the main problem. Read More

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T25FW useful to identify early progression in MS

 

A new analysis has reported that significant worsening on the Timed 25-Foot Walk (T25FW) is predictive of EDSS progression in a majority of MS cases (Kalinowski et al. Mult Scler 2021; epublished June 8, 2021). Confirmed disability progression (CDP) was defined as >20% change from baseline in T25FW sustained for >90 days. Read More

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Highlights from EAN 2021

 

The following are some of the highlights of research presented at the 7th Congress of the European Academy of Neurology, held 19-22 June 2021.

COVID-19 update
Imaging
DMTs in development
Biomarkers


COVID-19 update

CNS/PNS complications: A Danish study reported that 28 of 61 consecutive COVID-19 patients admitted to hospital had CNS/PNS complications (Nersesjan et al. EAN 2021; OPR-140). The most common complication was encephalopathy (31%); other complications included ischemic stroke, acute necrotizing encephalitis and transverse myelitis. The most common PNS complication was polyneuromyopathy. Most complications were secondary to critical illness or other causes. There was no evidence of CNS infection by CoV-2; laboratory changes implicated autoimmune-mediated mechanisms in some cases. Read More