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Treatment effect on brain atrophy correlates with treatment effect on disability in multiple sclerosis

Sormani, Maria Pia, Arnold, Douglas L., De Stefano, Nicola·2014·Annals of Neurology

Abstract

Objective: To evaluate the extent to which treatment effect on brain atrophy is able to mediate, at the trial level, the treatment effect on disability progression in relapsing–remitting multiple sclerosis (RRMS). Methods: We collected all published randomized clinical trials in RRMS lasting at least 2 years and including as endpoints disability progression (defined as 6 or 3 months confirmed 1‐point increase on the Expanded Disability Status Scale), active magnetic resonance imaging (MRI) lesions (defined as new/enlarging T2 lesions), and brain atrophy (defined as change in brain volume between month 24 and month 6–12). Treatment effects were expressed as relative reductions. A linear regression, weighted for trial size and duration, was used to assess the relationship between the treatment effects on MRI markers and on disability progression. Results: Thirteen trials including >13,500 RRMS patients were included in the meta‐analysis. Treatment effects on disability progression were correlated with treatment effects both on brain atrophy ( R 2 = 0.48, p = 0.001) and on active MRI lesions ( R 2 = 0.61, p < 0.001). When the effects on both MRI endpoints were included in a multivariate model, the correlation was higher ( R 2 = 0.75, p < 0.001), and both variables were retained as independently related to the treatment effect on disability progression. Interpretation: In RRMS, the treatment effect on brain atrophy is correlated with the effect on disability progression over 2 years. This effect is independent of the effect of active MRI lesions on disability; the 2 MRI measures predict the treatment effect on disability more closely when used in combination. ANN NEUROL 2014;75:43–49

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Metadata

Authors
Sormani, M. P., Arnold, D. L., & De Stefano, N.
Venue
Annals of Neurology
Publisher
Wiley
Published
2014-01
Volume
75
Issue
1
Pages
43-49
ISSN
  • 0364-5134 (ISSN-L)
  • 1531-8249
OpenAlex
W1567125068
Cited by
297
References
27
FWCI
19.79
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Treatment effect on brain atrophy correlates with treatment effect on disability in multiple sclerosis. https://app.cochat.ai/papers/10.1002/ana.24018
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Sormani, M. P., Arnold, D. L., & De Stefano, N. (2014). Treatment effect on brain atrophy correlates with treatment effect on disability in multiple sclerosis. Annals of Neurology. https://doi.org/10.1002/ana.24018

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