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Late-breaking news at ECTRIMS 2015: ocrelizumab, minocycline and biotin

…of CIS trials see Freedman et al. Mult Scler Relat Disord 2014;3:147-155; free full text at www.msard-journal.com/article/S2211-0348(13)00085-0/pdf). A pilot study of minocycline in MS (Zhang et al. Can J Neurol Sci 2008;35:185-191), and as add-on therapy to glatiramer acetate (Metz et al. Mult Scler 2009;15:1183-1194) have previously reported some benefits with the antibiotic, most notably in reducing inflammatory activity on MRI. Biotin is part…

Quality of life in schizophrenia: the QUALIFY trial

…shown to be predictive of relapse (Boyer et al. BMC Psychiatry 2013;13:15; free full text at www.ncbi.nlm.nih.gov/pmc/articles/PMC3544732/pdf/1471-244X-13-15.pdf). Quality of life (QoL), generally defined as a composite measure of various dimensions of life satisfaction and level of functioning, remains poor for a sizeable proportion of treated patients. Accordingly, recent clinical practice guidelines have recommended QoL improvement as an import…

Long-term outcomes of HSCT in MS

…9). In that study, 24 RRMS patients with breakthrough disease on treatment received high-dose immunosuppressant therapy (carmustine, etoposide, cytarabine, and melphalan, rabbit antithymocyte globulin) followed by autologous HSCT. Progression-free survival at three years was 90.9%. Overall event-free survival was 78.4%. Improvements were observed in neurologic disability, quality of life and functional scores. Reviewer: Dr. Daniel Selchen, Head of…

Predictive value of NEDA and brain atrophy in MS

…rain volume loss and long-term disability outcomes. A separate analysis of FREEDOMS/FREEDOMS II data reported that fingolimod-treated patients were four-fold more likely to achieve NEDA-4 compared to those on placebo (odds ratio 4.41) (Freedman et al. ECTRIMS 2015; abstract P626). The likelihood of NEDA-4 was higher in patients aged < 30 years (OR 6.37), >2 relapses in the prior two years (OR 5.48), and baseline EDSS score >3.5 (OR 8.20), suggesti…

Beyond remission: redefining the goal of schizophrenia management

…es are not as high as they could be. In addition, quality of life (QoL), a composite measure combining various dimensions of life satisfaction and level of functioning, remains poor for a sizeable proportion of patients. Accordingly, there remains a need to achieve the therapeutic goals of optimizing functional recovery (self-care, social relationships, ability to learn and work) and improving QoL, as recommended in current clinical practice guide…