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1 dead in phase I trial

 

One person is dead and five others are hospitalized in a phase I trial that went badly wrong. Three of the survivors may have suffered irreversible brain damage, according to Dr. Gilles Edan, head of neurology at the Centre Hospitalier Universitaire de Rennes, France, as quoted in the New York Times (Chanjan S. NY Times, Jan. 15, 2016). Preliminary MRI results showed cerebral hemorrhage and brain necrosis in some study participants. Read More

Increased cardiovascular risk in Parkinson’s disease

 

Patients with Parkinson’s disease have a significantly elevated risk of acute myocardial infarction and cardiovascular death, according to a population-based longitudinal study (Liang et al. Am Heart J 2015;169:508-514). The analysis included 3,211 PD patients and 3,211 propensity score-matched subjects without PD. During the three-year follow-up, there were 83 fatal or non-fatal AMIs in the PD group compared to 53 in the non-PD group (hazard ratio 1.67). There were also significant differences in the PD versus non-PD groups for the combined endpoint of AMI or cardiovascular death (HR 1.46), and for AMI or all-cause mortality (HR 1.42). Read More

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High-efficacy MAbs in MS: an update

 

ECTRIMS highlights

Efficacy results
Monitoring and safety issues
Commentary by Dr. Paul S. Giacomini, Associate Director, MS Clinic, Montreal Neurological Hospital and Institute, Assistant Professor, Department of Neurology and Neurosurgery, McGill University

Natalizumab and alemtuzumab are the two high-efficacy monoclonal antibodies typically used to treat aggressive multiple sclerosis and patients with an inadequate response to prior therapies. New data on the use of these agents were presented at the 31st congress of the European Committee for Treatment and Research in MS (ECTRIMS). The following summarizes some of the research addressing efficacy, mode of action and safety considerations. Read More