Recommendations for clinical use of data on neutralising antibodies to interferon-beta therapy in multiple sclerosis
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Recommendations for clinical use of data on neutralising antibodies to interferon-beta therapy in multiple sclerosis. / Polman, Chris H; Bertolotto, Antonio; Deisenhammer, Florian; Giovannoni, Gavin; Hartung, Hans-Peter; Hemmer, Bernhard; Killestein, Joep; McFarland, Henry F; Oger, Joel; Pachner, Andrew R; Petkau, John; Reder, Anthony T; Reingold, Stephen C; Schellekens, Huub; Sørensen, Per Soelberg.
I: Lancet Neurology, Bind 9, Nr. 7, 01.07.2010, s. 740-50.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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T1 - Recommendations for clinical use of data on neutralising antibodies to interferon-beta therapy in multiple sclerosis
AU - Polman, Chris H
AU - Bertolotto, Antonio
AU - Deisenhammer, Florian
AU - Giovannoni, Gavin
AU - Hartung, Hans-Peter
AU - Hemmer, Bernhard
AU - Killestein, Joep
AU - McFarland, Henry F
AU - Oger, Joel
AU - Pachner, Andrew R
AU - Petkau, John
AU - Reder, Anthony T
AU - Reingold, Stephen C
AU - Schellekens, Huub
AU - Sørensen, Per Soelberg
N1 - Copyright 2010 Elsevier Ltd. All rights reserved.
PY - 2010/7/1
Y1 - 2010/7/1
N2 - The identification of factors that can affect the efficacy of immunomodulatory drugs in relapsing-remitting multiple sclerosis (MS) is important. For the available interferon-beta products, neutralising antibodies (NAb) have been shown to affect treatment efficacy. In June, 2009, a panel of experts in MS and NAbs to interferon-beta therapy convened in Amsterdam, Netherlands, under the auspices of the Neutralizing Antibodies on Interferon beta in Multiple Sclerosis consortium, a European-based project of the 6th Framework Programme of the European Commission, to review and discuss data on NAbs and their practical consequences for the treatment of patients with MS on interferon beta. The panel believed that information about NAbs and other markers of biological activity of interferons (ie, myxovirus resistance protein A [MxA]) can be integrated with clinical and imaging indicators to guide individual treatment decisions. In cases of sustained high-titre NAb positivity and/or lack of MxA bioactivity, a switch to a non-interferon-beta therapy should be considered. In patients who are doing poorly clinically, therapy should be switched irrespective of NAb or MxA bioactivity.
AB - The identification of factors that can affect the efficacy of immunomodulatory drugs in relapsing-remitting multiple sclerosis (MS) is important. For the available interferon-beta products, neutralising antibodies (NAb) have been shown to affect treatment efficacy. In June, 2009, a panel of experts in MS and NAbs to interferon-beta therapy convened in Amsterdam, Netherlands, under the auspices of the Neutralizing Antibodies on Interferon beta in Multiple Sclerosis consortium, a European-based project of the 6th Framework Programme of the European Commission, to review and discuss data on NAbs and their practical consequences for the treatment of patients with MS on interferon beta. The panel believed that information about NAbs and other markers of biological activity of interferons (ie, myxovirus resistance protein A [MxA]) can be integrated with clinical and imaging indicators to guide individual treatment decisions. In cases of sustained high-titre NAb positivity and/or lack of MxA bioactivity, a switch to a non-interferon-beta therapy should be considered. In patients who are doing poorly clinically, therapy should be switched irrespective of NAb or MxA bioactivity.
U2 - http://dx.doi.org/10.1016/S1474-4422(10)70103-4
DO - http://dx.doi.org/10.1016/S1474-4422(10)70103-4
M3 - Journal article
VL - 9
SP - 740
EP - 750
JO - The Lancet Neurology
JF - The Lancet Neurology
SN - 1474-4422
IS - 7
ER -
ID: 34093155