Aggressive multiple sclerosis (2): Treatment.

Aggressive disability highly active multiple sclerosis relapsing–remitting treatment response

Journal

Multiple sclerosis (Houndmills, Basingstoke, England)
ISSN: 1477-0970
Titre abrégé: Mult Scler
Pays: England
ID NLM: 9509185

Informations de publication

Date de publication:
12 06 2020
Historique:
entrez: 13 6 2020
pubmed: 13 6 2020
medline: 13 6 2020
Statut: aheadofprint

Résumé

The natural history of multiple sclerosis (MS) is highly heterogeneous. A subgroup of patients has what might be termed aggressive MS. These patients may have frequent, severe relapses with incomplete recovery and are at risk of developing greater and permanent disability at the earlier stages of the disease. Their therapeutic window of opportunity may be narrow, and while it is generally considered that they will benefit from starting early with a highly efficacious treatment, a unified definition of aggressive MS does not exist and data on its treatment are largely lacking. Based on discussions at an international focused workshop sponsored by the European Committee for Treatment and Research in Multiple Sclerosis (ECTRIMS), we review our current knowledge about treatment of individuals with aggressive MS. We analyse the available evidence, identify gaps in knowledge and suggest future research needed to fill those gaps. A companion paper details the difficulties in developing a consensus about what defines aggressive MS.

Identifiants

pubmed: 32530366
doi: 10.1177/1352458520924595
pmc: PMC7412878
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1352458520924595

Investigateurs

Maria Pia Amato (MP)
Georgina Arrambide (G)
Joseph Berger (J)
Alexey Boyko (A)
Vesna Brinar (V)
Wallace Brownlee (W)
Lou Brundin (L)
Olga Ciccarelli (O)
Alasdair Coles (A)
Jorge Correale (J)
Gary Cutter (G)
Tobias Derfuss (T)
Gilles Edan (G)
Nikolaos Evangelou (N)
Oscar Fernandez (O)
Jette Frederiksen (J)
Ralf Gold (R)
Yael Hacohen (Y)
Hans-Peter Hartung (HP)
Kerstin Hellwig (K)
Bernhard Hemmer (B)
Jan Hillert (J)
Ellen Iacobaeus (E)
Jaime Imitola (J)
Tomas Kalincik (T)
Ludwig Kappos (L)
Samia Khoury (S)
Ho Jin Kim (HJ)
Eva Kubala Havrdová (E)
Roland Liblau (R)
Jan Lycke (J)
Xavier Montalban (X)
Paolo Muraro (P)
Stephen Reingold (S)
Klaus Schmierer (K)
Finn Sellebjerg (F)
Per Soelberg Sørensen (P)
Alessandra Solari (A)
Maria Pia Sormani (MP)
Alan Thompson (A)
Mar Tintore (M)
Bruce Trapp (B)
Helen Tremlett (H)
Maria Trojano (M)
Carmen Tur (C)
Antonio Uccelli (A)
Vincent van Pesch (V)
Sandra Vukusic (S)
Emmanuelle Waubant (E)

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Auteurs

Georgina Arrambide (G)

Servei de Neurologia-Neuroimmunologia, Centre d'Esclerosi Múltiple de Catalunya (Cemcat), Vall d'Hebron Institut de Recerca, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.

Ellen Iacobaeus (E)

Division of Neurology, Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.

Maria Pia Amato (MP)

Department NEUROFARBA, University of Florence, Florence, Italy/IRCCS Fondazione Don Carlo Gnocchi, Florence, Italy.

Tobias Derfuss (T)

Departments of Neurology and Biomedicine, University Hospital Basel, University of Basel, Basel, Switzerland.

Sandra Vukusic (S)

Service de neurologie, sclérose en plaques, pathologies de la myéline et neuro-inflammation, and Centre de Référence des Maladies Inflammatoires Rares du Cerveau et de la Moelle, Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, Lyon, France/Centre des Neurosciences de Lyon, Observatoire Français de la Sclérose en Plaques, INSERM 1028 et CNRS UMR5292, Lyon, France/Faculté de médecine Lyon Est, Université Claude Bernard Lyon 1, Lyon, France.

Bernhard Hemmer (B)

Department of Neurology, Klinikum rechts der Isar, School of Medicine, Technical University of Munich, Munich, Germany/Munich Cluster for Systems Neurology (SyNergy), Munich, Germany.

Lou Brundin (L)

Division of Neurology, Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.

Mar Tintore (M)

Servei de Neurologia-Neuroimmunologia, Centre d'Esclerosi Múltiple de Catalunya (Cemcat), Vall d'Hebron Institut de Recerca, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.

Classifications MeSH