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From Framingham to Facebook: the contagion of controversy

 

Facebook has recently come under fire for conducting an experiment described as “massive-scale” emotional contagion in the social network. While the idea that Facebook views friends as guinea pigs may be unnerving to some, the controversy has centred on the fact that neither Facebook nor researchers from Cornell University obtained informed consent from the study subjects.

The study results were published in the Proceedings of the National Academy of Sciences despite a lack of institutional review board (IRB) approval (Kramer et al. PNAS USA 2014;111:8788-8790; free full text at www.pnas.org/content/111/24/8788.full.pdf). Read More

Optimizing patient assessment in MS: NEDA and beyond

 


Treatment optimization and combining metrics
NEDA – new approach
NeuroSens Survey: How do you assess treatment response in practice?

The proliferation of disease-modifying therapies (DMT) in multiple sclerosis has focused attention on the need for improved measures for evaluating treatment efficacy and response. In part, this is driven by the increasing difficulty of detecting a treatment effect in clinical trials of early MS patients with minimal disease activity, as well as the need to differentiate DMTs with respect to their varying effects on clinical and radiological endpoints. In clinical practice, identifying suboptimal responders is a matter of some urgency since therapies are more likely to provide benefit in the first 2-5 years after diagnosis of CIS/MS. An early treatment effect may be the only effect, so it is important to optimize the drug regimen before the window of opportunity for effective intervention is shuttered. Read More

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NEUROSOUND: CHARCOT 2014 HIGHLIGHTS

 

Dr. Daniel Selchen, Head of the Division of Neurology at the University of Toronto, hosts a discussion of highlights from the ECF meeting that was held last November 19-22, 2014 in Baveno, Italy. Read More

Passive immunotherapies in AD: new data from AAIC

 

View Part 1 on active immunotherapies

Monoclonal antibodies targeting beta-amyloid have produced a series of disappointments. Two phase III trials of bapineuzumab showed no significant effect on ADAS-cog or Disability Assessment for Dementia scores in patients with mild to moderate AD either with or without the APOE4 allele (Salloway et al. N Engl J Med 2014;370:322-333). A similar lack of efficacy was seen in the two phase III EXPEDITION studies of solanezumab (Doody et al. N Engl J Med 2014;370:311-321). Solanezumab is now being studied in patients with early-stage AD. Read More

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