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#AAN2018 ā€“ Stem Cell Transplant is Effective Treatment for ‘Aggressive’ MS, Study Shows

Autologous hematopoietic stem cell transplantation, also known as aHSCT, has been shown to be safe and highly effective to treat patients with "aggressive" multiple sclerosis. Tested in 19 patients, transplantation of stem cells was found to induce clinically meaningful improvements in disability. These findings were shared at the 2018 Annual Meeting of the American Academy of Neurology (AAN) in Los Angeles, California. aHSCT uses a patientā€™s own healthy bone marrow stem cells, in combination with a much less aggressive chemotherapy and/or radiation regimen, to prepare the patient for the transplant. Previous studies have suggested that aHSCT is an effective strategy to treat patients with highly active relapsing-remitting MS (RRMS) who do not respond to available disease-modifying therapies (DMTs), and international guidelines advocate for its use in patients with "aggressive" MS. To further demonstrate the potential of aHSCT as a treatment for "aggressive" MS, a research team evaluated its safety and effectiveness in MS patients who had not been treated previously with DMTs. A total of 19 patients were treated across several clinical centers: seven patients were from Sheffield, U.K., seven from Uppsala, Sweden, four from Ottawa, Canada, and one patient was from Florence, Italy. All patients received aHSCT between May 2004 and May 2017. In addition to aHSCT, patients were treated with BEAM (carmustine, etoposide, cytarabine, melphalan) chemotherapy plus antithymocyte globulin (ATG) to reduce transplant rejection, or with Cytoxan (cyclophosphamide) with ATG, or the triple combination of Cytoxan, ATG, plus busulfan as conditioning regimens. Patients had a median age of 33 years at diagnosis and received the aHSCT by a median time of nine years after symptom onset. They had a median disability score of 6.5 before the treatment, as determined by the Expanded Disability Status Scale (EDSS). After a median follow-up period of 30 months, patients had a median EDSS score of 2.0, which represented a median improvement of 2 points (the higher the score, the worse the patient's disability level). None of the patients had clinical relapse following the transplant of stem cells. Only three patients developed new brain lesions detectable by magnetic resonance imaging (MRI) at the first six-month follow-up evaluation, but no additional new lesions were detected in the following scans. The adverse effects reported during the study were comparable to those previously observed in similar treatments. No deaths related to the treatment were reported. Based on these preliminary results, the researchers concluded that aHSCT is ā€œsafe and highly effective in inducing rapid and sustain remissionā€ in highly active MS, and "was associated with a significant improvement of [patientā€™s] level of disability.ā€ ā€œaHSCT should be considered as first line therapy in patients with ā€˜aggressiveā€™ MS,ā€ the team concluded. Another study presented at the AAN 2018 meeting further supports these findings, demonstrating the superior effectiveness of aHSCT over conventional DMTs for RRMS.

#AAN2018 – CladribineĀ Injections Deplete Number of Memory B-cells in RRMS, Study Shows

CladribineĀ treatment leads to a selective depletion of memory B-cells in patients with relapsing-remittingĀ multiple sclerosisĀ (RRMS), researchers report. The results are in the presentation ā€œCladribine for the Effective Control of Multiple Sclerosis via Memory B Cell Depletionā€ being given Friday, the final day of the 2018 Annual MeetingĀ of theĀ …

#AAN2018 – High Fish Consumption Linked to Lower MS Risk

A diet rich in fish consumption and supplemented with omega-3 polyunsaturated fatty acidsĀ (PUFAs) is linked to a reduction of 45 percent in the risk of developing multiple sclerosis, a study shows. The results confirming previous research will be shared April 26 at theĀ 2018 Annual MeetingĀ of theĀ American Academy of…

Epstein-Barr Virus May Increase Risk of MS, Other Diseases, Study Reports

Infection with the common Epstein-Barr virus (EBV) may increase the risk of developing multiple sclerosis (MS), a new report from theĀ Ā Cincinnati Childrenā€™s Hospital Medical CenterĀ says. Besides MS, the Epstein-Barr virus also raises the risk for six other disorders: systemic lupus erythematosus, rheumatoid arthritis, juvenile idiopathic arthritis, inflammatory…

#AAN2018 – Blood Stem Cell Transplant Superior to DMDs in Highly Active RRMS, MIST Trial Shows

Autologous non-myeloablative hematopoietic stem cell transplant was found to be significantly better at reducing risks for disability in relapsing-remitting multiple sclerosis (RRMS) patients compared to disease-modifying drug (DMD) therapies, interim results of the MIST clinical trial show. The results will be shared at the 2018 Annual MeetingĀ of theĀ American…

#AAN2018 – Switching from Rebif to Ocrevus Improves MS, Extension Study Shows

Continuous treatment with Ocrevus (ocrelizumab) or switching from Rebif (interferon beta-1a)Ā to Ocrevus leads to aĀ significant long-term reduction in relapsing multiple sclerosis activity, a two-year extension study shows. Ocrevus’s maker, Genentech,Ā drew the results from anĀ open-label extension of the Phase 3 OPERA trials. Researchers will present the findings at…

#AAN2018 – Biogen Data Covers Work into an MS Blood Biomarker, Cognition and Life Quality

Research that points to aĀ potential blood biomarker ofĀ multiple sclerosis (MS) severity, relates cognitive difficulties to patients’ employment and other measures of socioeconomic status, and one-year results of an ongoing clinical trial are among data presentations planned byĀ BiogenĀ for theĀ annual meeting of the American Academy of Neurology (AAN). This year’s…

#AAN2018 – Ocrevus Decreases Biomarkers of MS Patients’ Nerve Cell Damage, Phase 3 Trial Shows

Genentech’sĀ Ocrevus (ocrelizumab)Ā reduces levels of cerebrospinal fluid biomarkers that denote nerve cell damage in multiple sclerosis patients, a Phase 3 clinical trial shows. Researchers will present the results at theĀ American Academy of Neurology’s annual meetingĀ in Los Angeles, April 21-27. The presentation will be titled ā€œInterim Analysis of the…

5 MS Patients Across US Talk About How Ocrevus Has Changed Their Lives

Itā€™s been a little over a year since U.S. regulators approved Genentechā€™sĀ Ocrevus (ocrelizumab)Ā as the first treatment for both relapsing and progressive forms of multiple sclerosis (MS) ā€” a disabling neurological diseaseĀ now believed to affect nearly one million Americans. While the juryā€™s still outĀ regarding the therapyā€™s…

US, Australia Issue Patents on Sonde’s Voice-analysis Technology for Diagnosing Diseases

The United States and Australia have issued patents on Sonde Health‘s voice-analysis technology for diagnosing and monitoringĀ multiple sclerosisĀ and other diseases that affect speech. Sonde, which has dubbed its invention vocal biomarker technology, said the U.S. patent is Ā 9,936,914 and the Australian oneĀ 2014374349. Both patents cover Sonde’s…