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Beyond remission: redefining the goal of schizophrenia management

…tisfaction despite self-descriptions of being moderately ill, with moderate-to-severe symptoms and severe functional deficits (Fervaha et al. J Nerv Ment Dis 2015;203:187-193). Furthermore, a study of 72 outpatients with chronic, non-remitted schizophrenia reported that the factors associated with an overall sense of happiness were not substantially different from those seen in healthy controls (Palmer et al. Schizophr Res 2014;159:151-156). Level…

Natalizumab in progressive MS: Phase II results

…ne mineralization. Once referred to as early T-cell lymphocyte activatation-1 (ETA-1), osteopontin is also secreted by activated T cells, stimulating IL-12 release from macrophages and dendritic cells (Weber et al. Science 1996;271:509-512; Ashkar et al. Science 2000;287:860-864). Consistent with this pro-inflammatory effect, a number of studies have reported elevated CSF osteopontin levels in patients with CIS, RRMS and PPMS (Braitch et al. Arch…

ACTH revisited: melanocortins and MS

…1; free full text at www.ncbi.nlm.nih.gov/pmc/articles/PMC3591751/pdf/fneur-04-00021.pdf). In vitro studies have demonstrated that ACTH and other MC peptides reduce production of inflammatory cytokines/chemokines, such as IL-1, IL-8, and tumour necrosis factor (TNF)-alpha (Delgado et al. J Leukoc Biol 1998;63:740-745; Taherzadehetal et al. Am J Physiol 1999;276:R1289-1294). IL-1β has been proposed as a link between inflammation and neurodegenerati…

Use of high-efficacy agents in MS: Updated data from AAN 2015

…ed at AAN 2015 on the use of high-efficacy agents. Switching studies Direct-comparison studies of fingolimod versus interferon-beta-1a IM (TRANSFORMS) and alemtuzumab versus interferon-beta-1a (CARE-MS I, CARE-MS II) have shown that high-efficacy agents are significantly more effective than interferons. A post-hoc analysis of fingolimod phase III data reported that annualized relapse rates (ARR) were significantly reduced in the subgroups with a p…

Efficacy and effectiveness of first-line oral medications in MS

…TOPIC (HR 0.660). About 57% of teriflunomide-treated patients were relapse-free in TEMSO and TOWER compared to about 46% of patients in the placebo group. A separate post-hoc analysis of TEMSO and TOWER reported that teriflunomide 14 mg was significantly more effective then placebo in reducing severe relapses defined according to different criteria (Macdonell et al. AAN 2015; abstract P7.212). In TEMSO, there was a 59% reduction in relapses leadi…