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ECTRIMS 2018 DAILY REPORT – WEDNESDAY EDITION

…on therapy, although a delay in treatment was associated with a poorer outcome. The dropout rate was high (64.7%), primarily due to withdrawal of consent and lack of efficacy. Back to top Increased myocardial infarction risk in MS A Canadian epidemiological study reports that the risk of acute myocardial infarction (AMI) is elevated in MS patients compared to the general population (Marrie et al. ECTRIMS 2018; abstract P408). The study used healt…

Heart disease associated with atrophy in MS

…rols. Smoking (51.7% vs 36.5%) and hypertension (33.9% vs 24.7%) were more common in MS patients compared to healthy controls. Overall, 49.9% of MS patients had 2 or more cardiovascular risk factors (vs. 36.0% of healthy controls); 18.8% had 3 or more CV risk factors (vs. 8.6%). In MS patients, hypertension and heart disease were associated with decreased grey-matter and cortical volumes; obesity was associated with increased T1 lesion volume; and…

Exploring therapeutic inertia in multiple sclerosis

…about who is at risk of early disease worsening. Therapeutic inertia may become less common once the risks of MS are better characterized, and the probabilities of long-term benefits and risks associated with different treatment approaches are better quantified. Comment Dr. Daniel Selchen: The concept of therapeutic inertia is very important for understanding treatment dynamics associated with current MS care. Treating MS was very simple until abo…

‘Seduced by significance” – the p-value controversy

…were statistically significant (p<0.05). Other statistical methods were uncommon, such as confidence intervals (2.3%), Bayesian analysis (0%), and effect size (13.9%). Questions about the validity of scientific findings prompted the American Statistical Society to take the unprecedented step of issuing a formal statement on the use of p-values (Wasserstein et al. American Statistician 2016;70:129-133). The statement included six core principles t…

MS therapeutics: 1 withdrawal, 1 setback

…nt drug (Zenopax); its approval in 1997 made it the first humanized MAb to come to market. Zenopax was discontinued in 2009. PDL began collaborating with Biogen in 2005 to develop daclizumab in MS. The deal was one of the assets of Facet Biotech, a spin-off company created by PDL, when it was purchased by AbbVie in 2010. Ozanimod A second announcement just prior to the Zinbryta withdrawal will also have an impact on MS therapeutics. Celgene Corp….