disease progression

The Floodlight MS app, a digital health application used to track dexterity, walking function, and cognition in people with multiple sclerosis (MS), has been deemed cost-effective in a new analysis. Modeling simulations showed MS patients who use the app experience fewer relapses and slower disability progression, which would improve…

Smoking and obesity are both independently associated with faster disease progression in multiple sclerosis (MS), but when both risk factors are present together, a synergistic effect results in faster disease progression than can be explained by either alone. “Smoking and obesity significantly interacted to increase the risk of disability…

For women with multiple sclerosis (MS), disability starts to worsen significantly faster after menopause, according to a new study. “The study shows that menopause represents a unique factor in MS progression, even when we take into consideration the effects of aging,” Riley Bove, MD, study co-author at the University…

Treatment with Tecfidera (dimethyl fumarate) significantly reduces relapse rates for people with multiple sclerosis (MS), and most MS patients on the approved therapy remain free from disability progression for several years. That’s according to a final analysis from the Phase 4 ESTEEM clinical trial (NCT02047097), which tracked…

The incidence of late-onset multiple sclerosis (LOMS), a form of multiple sclerosis (MS) that begins after age 50, has risen steadily between 2005 and 2020, particularly among people in their 60s, scientists in Italy report. “Our study is the first population-based study describing the IR [incidence rate] of LOMS…

About four in five adults with stable multiple sclerosis (MS) for at least five years remained free of disease activity after stopping first-line treatment with a disease-modifying therapy (DMT), according to a study based on data from the DOT-MS clinical trial. Still, disease activity reemerged in roughly 20%…

A specific type of brain lesion called a paramagnetic rim lesion, or PRL, is associated with worse disability over time in people with multiple sclerosis (MS), but available disease-modifying therapies (DMT) can lower the chances of the appearance of these lesions, according to two studies published by scientists…

Activation of a protein called DLK may drive the death of nerve cells that have been demyelinated, or lost their protective myelin coating, in multiple sclerosis (MS), according to a new study from U.S. researchers. The findings shed light on how a failure to repair lost or damaged…

Higher blood levels of bile acids — molecules found in the digestive fluid bile, which helps absorb fat in the gut — are associated with a slower progression of multiple sclerosis (MS), as indicated by imaging scans, a study by U.S. researchers reported. In a small clinical trial in…

The rate of disability progression among people with relapsing-remitting multiple sclerosis (RRMS) has slowed over the years due to advances in disease-modifying therapies (DMTs), according to a long-term analysis. Patients diagnosed in recent decades have experienced fewer progression events associated with relapses, called relapse-associated worsening (RAW), and also…

The company I keep has changed over the past 10 years. I used to associate with people who were much like me. We had a similar way of thinking and faced many of the same challenges in life. I was a part of an upper tier of the U.S. Army,…

People with multiple sclerosis (MS) who have multiple comorbidities, or co-occurring health problems, are more likely to experience disease activity and disability progression, according to a new analysis. Results indicate the risk of MS disease activity rises in patients who have at least one psychiatric diagnosis, as well as…

Anti-CD20 therapies like Ocrevus (ocrelizumab) and rituximab appear to be ineffective at slowing disability progression in people with primary progressive multiple sclerosis (PPMS), a form of the disease characterized by symptoms that steadily worsen over time, according to data from a real-world study in France. The study,…

A revised version of the McDonald criteria, a set of guidelines used to diagnose multiple sclerosis (MS), is expected to include additional features that will help doctors make an accurate diagnosis at an earlier stage of the disease, even if patients have yet to manifest clinical symptoms. The…

Daily treatment with high-dose simvastatin, a widely used cholesterol-lowering medication, failed to slow disability progression in adults with secondary progressive disease or SPMS, according to top-line data from a Phase 3 clinical study. Jeremy Chataway, PhD, a professor of neurology at University College London (UCL) in the U.K.,…

Sanofi’s tolebrutinib significantly delayed disability progression, by 31%, and increased the rates of disability improvement compared with a placebo in people with nonrelapsing secondary progressive multiple sclerosis (SPMS), according to new data from the HERCULES Phase 3 clinical trial. The investigational BTK inhibitor also was found to significantly…

Taking high-dose cholecalciferol (vitamin D) as a supplement is safe and can nearly double the time it takes for people with clinically isolated syndrome (CIS), a first manifestation of neurological symptoms suggestive of multiple sclerosis (MS), to experience new disease activity. That’s according to data from D-Lay-MS…

Treatment with the investigational BTK inhibitor tolebrutinib significantly delayed the onset of confirmed disability progression in people with nonrelapsing secondary progressive multiple sclerosis (SPMS) compared with a placebo, meeting the primary goal of the HERCULES Phase 3 trial. A preliminary analysis of liver safety was consistent with previous…

Glial cells, which mostly support the function of nerve cells, play key roles in multiple sclerosis (MS) disease progression and development, according to a stem cell-based study. “Most research and therapeutic strategies have so far focused on blocking the overactive immune system, but how cells in the brain itself,…

Two weeks ago, I was notified that one of the lesions on my brain has grown. This led me and my care team to decide it was time to switch multiple sclerosis (MS) treatments. Soon after I was diagnosed with relapsing-remitting multiple sclerosis in 2017,…

Note: This column refers to the author’s own experience with Gilenya (fingolimod). Not everyone will have the same response to treatment. Consult your doctor before starting or stopping a therapy. On a recent Friday, all was calm and peaceful in my household. I was bundled up in my bed watching…

A machine learning algorithm may be able to accurately predict whether or not people with multiple sclerosis (MS) will experience a worsening of disability in the near term — which may help tailor treatment decisions and improve patient quality of life — according to the findings of a new…

Inflammation outside of the brain and spinal cord, which can be caused by infections like the common cold, flu, or urinary tract infections (UTIs), is associated with more damage to the nervous system in people with progressive forms of multiple sclerosis (MS). That’s according to the study “…

My last magnetic resonance imaging (MRI) scan was on May 1, just ahead of an appointment with my multiple sclerosis (MS) healthcare provider six days later. The MRI showed that my MS was stable, meaning I had no new or active lesions. I was pleasantly surprised by these…

Levels of the immune cell protein CHIT1 at diagnosis, taken from the spinal fluid via a spinal tap, may strongly predict how fast disability progression will occur in people with multiple sclerosis (MS), a new study suggests. Compared with standard clinical measures used to predict disease progression — such…

Most patients with nonactive secondary progressive multiple sclerosis (SPMS) who took foralumab nasal spray for at least six months saw a decrease in microglial activity in their brains, according to its developer Tiziana Life Sciences. The results were gleaned from PET imaging data from 10 nonactive SPMS patients…

Certain biomarkers in the cerebrospinal fluid (CSF) — the fluid surrounding the brain and spinal cord — around the time of a multiple sclerosis (MS) diagnosis may help predict the time to reaching certain disability milestones among people with a relapsing-remitting (RRMS) disease course, according to findings from…

I have several big milestone events coming up, all within a week. My son is graduating from college and my daughter from high school. Additionally, we have my son’s nurse pinning ceremony, a graduation lunch, two graduation parties, Mother’s Day, and lots of family and friends in town for these…

A specialized imaging approach was able to detect signs of persistent inflammation in the brains of people with multiple sclerosis (MS) that aren’t readily captured by standard MRI scans. This so-called smoldering inflammation was also observed among those patients taking high-efficacy disease-modifying therapies (DMTs), where a higher degree…

Even as a small child, I enjoyed watching nature shows. They didn’t come on television often, but when they did, I absorbed every word. At school, I might not have been able to recite the Pythagorean theorem, but I could say with confidence that butterflies taste with their feet. That…