People with relapsing-remitting multiple sclerosis (RRMS) have elevated levels of the lipocalin 2 (Lcn-2) protein in their stool samples, a marker for intestinal inflammation, compared with healthy controls, a study demonstrated. Among patients, findings also demonstrated those with high fecal Lcn-2 had changes in their gut microbiome, the collection…
disease progression
Continuous treatment with Tecfidera (dimethyl fumarate) for more than two years did not slow clinical and radiological measures of disease progression in people with primary progressive multiple sclerosis (PPMS) compared with patients who started treatment after one year. In fact, most PPMS patients remained stable with or without…
A machine learning algorithm that incorporates genetic data alongside clinical and demographic information may be able to more accurately predict the severity of multiple sclerosis (MS), according to a new study. “Once independently validated, the machine learning algorithm could enable clinicians to provide patients with more accurate prognostic information,…
This is one of my “nobody ever told me that” columns. I was amazed when I read a comment from one of my “MS Wire” readers recently about brain shrinkage. “I’ve had MS since 2011. I had no idea about brain shrinkage,” she wrote. I guess I shouldn’t have…
Assessing disease activity from the first to second year after a diagnosis of multiple sclerosis (MS), once treatment has been initiated and stabilized, can help predict long-term disability outcomes. That’s according to the study, “Rebaseline no evidence of disease activity (NEDA-3) as a predictor of long-term…
What’s in a name? Does it really matter if your multiple sclerosis (MS) is called relapsing or progressive, or secondary rather than primary? I’ve never thought so, and the International Advisory Committee on Clinical Trials in MS agrees with me. The panel is calling for new methods…
People with good immune responses against the human cytomegalovirus (CMV), a common herpes virus, around the time of their first symptoms of multiple sclerosis (MS) may go on to have a slower disease course, a study has found. Compared with people showing weaker immune responses to CMV, these patients…
Almost two-thirds of a group of 108 secondary progressive multiple sclerosis (SPMS) patients being treated with Mayzent (siponimod) remained stable for at least one year, and about 1 in 5 of them showed improvements, a real-world study from Germany found. Nearly one-third of the total 227 SPMS patients evaluated…
Welcome to “MS News Notes,” where I comment on multiple sclerosis (MS) news stories that caught my eye last week. Here’s a look at what’s happening: Study reports climate change makes MS symptoms worse Climate change may lead to more perils than rising oceans, harsher storms, and melting ice…
Individuals with primary progressive multiple sclerosis (PPMS) have significantly higher concentrations of specific inflammation biomarkers in their spinal fluid than healthy people, an exploratory study shows. For most biomarkers, levels in PPMS patients were comparable to or lower than those seen in people with relapsing-remitting multiple sclerosis (RRMS).
Most adults with relapsing-remitting multiple sclerosis (RRMS) who received Immunic Therapeutics‘ investigational therapy vidofludimus calcium have had no confirmed disability progression after two years of treatment. That’s according to new interim data from the open-label extension portion of the EMPhASIS trial, which has been running for nearly…
Insurer Fountain Health now will fully cover Combinostics’ artificial intelligence (AI)-based tools to support the early detection, differential diagnosis, and prediction of progression in patients with neurodegenerative disorders such as multiple sclerosis (MS). The decision to cover the company’s cloud-based AI platforms, cMRI and cDSI,…
You get used to … Hold on there, matey boy. Be honest and write “I.” This column has a reputation for brutal honesty (I’m sure someone has referred to it that way over the past five years), so don’t get all coy now that you’re not the center of medical…
Measuring how lesions get bigger over time in multiple sclerosis (MS) can predict long-term disability progression more accurately than other lesion-based assessments, a new study reports. “Enlargement of T2 [total] lesions, and specifically of its volume, … is more strongly associated with long-term disability progression compared to other…
Multiple sclerosis (MS) patients with minimal to moderate disability live about 30 additional years after their diagnosis, but life expectancy steadily decreases as patients reach more advanced levels of disability, a new study suggests. For example, average life expectancy drops to just over a decade when patients become unable to…
In an early clinical trial, Atara Biotherapeutics’ investigational treatment ATA188 stabilized or eased disability in most people with nonactive, progressive forms of multiple sclerosis (MS) — with those benefits now having been sustained for up to four years. For MS patients, in whom disability progressively accumulates over time,…
Early use of disease-modifying therapies (DMTs) among people with secondary progressive multiple sclerosis (SPMS) may lead to overall lower levels of disability, according to a new analysis. But staying on treatment does not appear to significantly slow disability progression over time. People with SPMS who used DMTs early…
Recently diagnosed multiple sclerosis (MS) patients with two forms of chronic active brain lesions — slowly expanding lesions (SELs) and paramagnetic rim lesions (PRLs) — on their MRI scans experience greater disability progression than those with SELs only, a small study suggests. Also, the slowly expanding lesions are…
Disability progression in the absence of relapses is less common in children and adolescents with multiple sclerosis (MS) than among people with adult-onset disease, according to data covering more than 5,000 patients with relapsing forms of MS. Nevertheless, this form of progression — called progression independent of relapse activity,…
The investigational immunotherapy ATA188 continues to ease disability and prevent brain tissue shrinkage in people with progressive forms of multiple sclerosis, according to the data, now reaching up to four years, on patients in an ongoing clinical trial. People who achieved confirmed disability improvement also showed potential signs of remyelination, or…
Ah, one of the classic setups for a Christmas cracker joke. Others include, “Why did the chicken cross the road?” and “How many ____ does it take to change a lightbulb?” While these gags are popular in Britain, I’m not sure if they exist in the rest of the English-speaking…
Tap speed — or how quickly one types on a smartphone keyboard — may be a useful tool for monitoring multiple sclerosis (MS) severity and detecting the transition to a progressive form of the disease, according to new research data. Results demonstrated that slower tapping speeds were linked to…
Remyelination, or regeneration of the myelin sheath that’s progressively damaged and lost in multiple sclerosis (MS), may be less effective for those who develop MS later in life, new research suggests. People with late-onset MS (LOMS) whose disease appears after age 50 have significantly fewer oligodendrocytes – the…
Measuring disability progression every time it occurs, rather than just tracking whether it occurs, could improve the statistical power of clinical trials in multiple sclerosis (MS), particularly for progressive forms of the disease. That’s according to scientists at Roche and several academic institutions who published their findings in…
The levels of two cerebrospinal fluid (CSF) biomarkers, CHI3L1 and CXCL13, were significantly elevated in people with relapsing and progressive multiple sclerosis (MS) relative to control groups without this disease, and are most likely to predict how relapsing MS will progress, a study reported. Higher levels of these biomarkers were also…
Note: This column has been updated Oct. 18, 2022, to correct the name of the cholesterol medicine the columnist uses to Pravachol. Here are a few multiple sclerosis (MS) stories that caught my eye last week: Low cholesterol and aggressive MS progression The story “Low Cholesterol May Reflect More…
High adherence to a Mediterranean diet is associated with a lower risk of disability outcomes, as well as reported disease symptoms, in people with multiple sclerosis (MS), a new study shows. The data provide important information for further studies to guide clinical recommendations in MS. The study, “Mediterranean…
People with relapsing-remitting multiple sclerosis (RRMS) or clinically isolated syndrome (CIS) have lower cholesterol levels in their blood and cerebrospinal fluid (CSF), the fluid that surrounds the brain and spinal cord, compared with those without MS, a study reports. These lower cholesterol levels might correlate with a more…
The risk of transitioning from relapsing-remitting multiple sclerosis (RRMS) to secondary progressive multiple sclerosis (SPMS) declined significantly after the introduction of disease-modifying therapies (DMT), according to a large nationwide Swedish study. Data showed that SPMS conversion risk rose by 3% each year before the first generation of…
Multiple sclerosis (MS) patients who started taking Tysabri (natalizumab) long after their diagnosis were found to have worsened disease progression. But those who began using it earlier showed less aggravated clinical and radiological outcomes of the disease than participants who started treatment later, a study showed. The study,…