Title |
Different clinical response to interferon beta and glatiramer acetate related to the presence of oligoclonal IgM bands in CSF in multiple sclerosis patients
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Published in |
Neurological Sciences, June 2018
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DOI | 10.1007/s10072-018-3442-y |
Pubmed ID | |
Authors |
Bonaventura Casanova, Laura Lacruz, María Luisa Villar, José Andrés Domínguez, María Carcelén Gadea, Francisco Gascón, Javier Mallada, David Hervás, María Simó-Castelló, José Carlos Álvarez-Cermeño, Carmen Calles, Javier Olascoaga, Lluís Ramió-Torrentà, Carmen Alcalá, Angeles Cervelló, Isabel Boscá, Francisco Carlos Pérez-Mirallles, Francisco Coret |
Abstract |
To study the efficacy of interferon beta (IFNβ) and glatiramer acetate (GA) related to the presence of oligoclonal M bands (OCMB) in the cerebrospinal fluid in relapsing-remitting multiple sclerosis (RRMS). This is an observational, multicenter and retrospective study with prospectively collected data of patients that started treatment with IFNβ or GA. Treatment decision was made blinded to the OCMB status. Time to first attack after starting therapy was compared by using Kaplan-Meier curves, and adjustment by Cox regression analysis was performed. Two hundred and fifty-six patients entered in the study (141-55% received IFNβ; 115-45% received GA). After a mean follow-up of 41 and 65 months, 54.7% of patients remained free from further attacks (RF). The proportion of RF patients was higher in the GA group than in the IFNβ group (72.2 vs. 40.4%, p < 0.001). The IFNβ patients with OCMB+ presented the poorest response, 31.3% RF vs. 48.1% in IFNβ without OCMB, p = 0.03. OCMB in CSF could be a biomarker of treatment response in multiple sclerosis. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Spain | 2 | 33% |
Unknown | 4 | 67% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 4 | 67% |
Practitioners (doctors, other healthcare professionals) | 2 | 33% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 38 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 8 | 21% |
Researcher | 7 | 18% |
Student > Doctoral Student | 4 | 11% |
Other | 3 | 8% |
Student > Bachelor | 2 | 5% |
Other | 7 | 18% |
Unknown | 7 | 18% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 15 | 39% |
Neuroscience | 4 | 11% |
Arts and Humanities | 1 | 3% |
Psychology | 1 | 3% |
Unspecified | 1 | 3% |
Other | 2 | 5% |
Unknown | 14 | 37% |