The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.
Treatment effect on brain atrophy correlates with treatment effect on disability in multiple sclerosis
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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A Randomized, Placebo-Controlled Trial of Natalizumab for Relapsing Multiple Sclerosis
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Self-citationPlacebo-Controlled Phase 3 Study of Oral BG-12 or Glatiramer in Multiple Sclerosis
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Self-citationA Placebo-Controlled Trial of Oral Cladribine for Relapsing Multiple Sclerosis
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Cited by
Reich, D. S., Lucchinetti, C. F., & Calabresi, P. A. (2018) · New England Journal of Medicine · doi:10.1056/nejmra1401483 · Cited by 2,491
Filippi, M., Bar-Or, A., Piehl, F., Preziosa, P., Solari, A., Vukusic, S., & Rocca, M. A. (2018) · Nature Reviews Disease Primers · doi:10.1038/s41572-018-0041-4 · Cited by 1,562
on behalf of the MAGNIMS study group (2015) · Nature Reviews Neurology · doi:10.1038/nrneurol.2015.157 · Cited by 473
Clinical Relevance of Brain Volume Measures in Multiple Sclerosis
De Stefano, N., Airas, L., Grigoriadis, N., Mattle, H. P., O’Riordan, J., Oreja-Guevara, C., Sellebjerg, F., Stankoff, B., Walczak, A., Wiendl, H., et al. (2014) · CNS Drugs · doi:10.1007/s40263-014-0140-z · Cited by 301
Self-citationProgressive multiple sclerosis: prospects for disease therapy, repair, and restoration of function
Ontaneda, D., Thompson, A. J., Fox, R. J., & Cohen, J. A. (2017) · The Lancet · doi:10.1016/s0140-6736(16)31320-4 · Cited by 298
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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