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ECTRIMS 2019 DAILY REPORT – FRIDAY EDITION

…s. 36%). Real-world studies would be expected to enroll more patients with comorbid medical conditions, but few studies provided data on comorbidities. Back to top Clinical Tip of the day Women with RRMS who are contemplating pregnancy should be counselled to try to conceive during a period of relative clinical stability. An analysis of 335 pregnancies over a 5.7-year follow-up period found that a higher number of relapses in the year before pregn…

ECTRIMS 2019 DAILY REPORT – THURSDAY EDITION

…Relapse risk was reduced 55% with active treatment. The proportion relapse-free at week 96 was 72.1% with satralizumab versus 51.2% with placebo. Back to top Cladribine and time to SPMS A post-hoc analysis of the CLARITY trial found that the proportion of patients who progressed to SPMS was 54% lower with cladribine 3.5 mg compared to placebo (6.7% vs. 13.5%) (Vermersch P. ECTRIMS 2019; abstract P385). A proxy definition of SPMS was used since SPM…

Progressive MS trials – design and interpretation

…cts within the CNS (recently reviewed in Behrangi et al. Cells 2019;8:E24; free full text at www.ncbi.nlm.nih.gov/pmc/articles/PMC6356776/pdf/cells-08-00024.pdf). This suggestion of a putative neuroprotective effect is supported by the early and significant reduction in brain atrophy reported with siponimod in EXPAND. Additional data on the effects of siponimod in the CNS and on grey-matter atrophy will be presented at ECTRIMS 2019 (abstracts P382…

Three new trials of novel headache drugs

…cebo. In addition, 37.6% of rimegepant-treated patients reported they were free from their most bothersome symptom compared to 25.2% receiving placebo. The 7.6% treatment difference reported in the trial would appear to be less than what is seen with subcutaneous or oral sumatriptan (Derry et al. Cochrane database Syst Rev: CD009108). A network meta-analysis of rimegepant and other oral CGRP antagonists in acute migraine found that olcegepant was…

MS highlights from EAN 2019

…incidence rate for all-cause mortality was two-fold higher in MS patients compared to the general population (Persson et al. EAN 2019; abstract O1206). The most common cause of death was pneumonia; the incidence of cancer deaths was not elevated in MS patients. Sustained NEDA with cladribine: In the CLARITY study, 47% of patients treated with cladribine 3.5 mg/kg achieved no evidence of disease activity (NEDA) at 96 weeks (Giovannoni et al. Lance…