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New data for daclizumab in MS

…. François Grand’Maison: These phase II results are quite similar to those obtained in the recently completed phase III trial, the DECIDE study, as reported by the sponsor (see Update below). In the DECIDE study, over 1,800 patients received either monthly SC daclizumab 150 mg or weekly IM interferon beta-1a for 2-3 years. Annualized relapse rate, the primary endpoint, was 45% lower in the daclizumab cohort. The number of new or enlarging T2 lesio…

NEDA: an emerging concept in MS

…gnitive disability. This metric was used in an analysis of patients in the FREEDOMS and FREEDOMS II trials (Kappos et al. ECTRIMS 2014; abstract FC1.5). Since annual percentage brain volume change (PBVC) in healthy individuals is estimated to be -0.1 to -0.3%/year, a cut-off PBVC value of -0.4%/year was used. At two years, the proportion of patients with NEDA-4 was 19.7% with fingolimod versus 5.3% with placebo. Between-group differences were sign…

Dietary salt may worsen MS

…96:518-522; free full text at www.ncbi.nlm.nih.gov/pmc/articles/PMC3746493/pdf/nihms500370.pdf). This effect is specific to Th17, with little or no effect on Th1 or Th2 differentiation or proliferation. Moreover, salt-induced Th17 cells demonstrate increased production of pro-inflammatory cytokines, such as TNF-alpha and IL-2. A new study reports that higher salt consumption is associated with increased clinical and radiological disease activity i…

Disease-modifying therapies: long-term results

…ntinued (39%; 9-fold more common) or interrupted therapy (23%; 4-fold more common) compared to those continuing on treatment (6%). However, the odds of disability progression did not differ significantly for patients temporarily interrupting therapy compared to those continuing on treatment. Fingolimod: Data from the FREEDOMS phase III trial and its extension were analysed to determine if the extent of brain volume loss at 24 months was predictive…

Atacicept: the aftermath

…:1693-1697; free full text at www.ncbi.nlm.nih.gov/pmc/articles/PMC1739469/pdf/v076p01693.pdf) does suggest that MS immunology is also heterogeneous. It follows that patients with different immunological pathologies will likely not respond to the same drugs. Furthermore, B-cell and T-cell function are highly intertwined so that a B-cell inhibitor may greatly interfere with T-cell activation or proliferation, depending on the targeted B-cell subtyp…