Risk of new disease activity in patients with multiple sclerosis who continue or discontinue disease-modifying therapies (DISCOMS): a multicentre, randomised, single …

JR Corboy, RJ Fox, I Kister, GR Cutter… - The Lancet …, 2023 - thelancet.com
Background Multiple sclerosis typically has onset in young adults and new disease activity
diminishes with age. Most clinical trials of disease-modifying therapies for multiple sclerosis …

Impact of aging on treatment considerations for multiple sclerosis patients

G Macaron, C Larochelle, N Arbour, M Galmard… - Frontiers in …, 2023 - frontiersin.org
With a rapidly aging global population and improvement of outcomes with newer multiple
sclerosis (MS)-specific disease-modifying therapies (DMTs), the epidemiology of MS has …

Stopping disease-modifying treatments in multiple sclerosis: a systematic review and meta-analysis of real-world studies

L Prosperini, S Haggiag, S Ruggieri, C Tortorella… - CNS drugs, 2023 - Springer
Background The question of whether multiple sclerosis requires life-long disease-modifying
treatments (DMTs) remains unanswered. Some studies suggest that older patients with …

Paramagnetic rim lesions lead to pronounced diffuse periplaque white matter damage in multiple sclerosis

N Krajnc, V Schmidbauer, J Leinkauf… - Multiple Sclerosis …, 2023 - journals.sagepub.com
Background: Paramagnetic rim lesions (PRLs) are an imaging biomarker in multiple
sclerosis (MS), associated with a more severe disease. Objectives: To determine …

[HTML][HTML] Discontinuation of first-line disease-modifying therapy in relapse onset multiple sclerosis

EME Coerver, A Bourass, MHJ Wessels… - Multiple Sclerosis and …, 2023 - Elsevier
Background It is not known if and when first-line disease modifying therapy (DMT) can safely
be discontinued in relapse onset multiple sclerosis (MS) patients. Objectives To investigate …

Evolution of disease modifying therapy benefits and risks: an argument for de-escalation as a treatment paradigm for patients with multiple sclerosis

BL Vollmer, AB Wolf, S Sillau, JR Corboy… - Frontiers in …, 2022 - frontiersin.org
Background Strategies for sequencing disease modifying therapies (DMTs) in multiple
sclerosis (MS) patients include escalation, high efficacy early, induction, and de-escalation …

Discontinuation of disease modifying therapies is associated with disability progression regardless of prior stable disease and age

D Jakimovski, KS Kavak, CB Vaughn… - Multiple Sclerosis and …, 2022 - Elsevier
Background Multiple sclerosis (MS) patients with stable disease course might view
continued treatment as unnecessary. However, guidelines regarding treatment …

Association of disease-modifying treatment with outcome in patients with relapsing multiple sclerosis and isolated MRI activity

G Bsteh, ML Aicher, JF Walde, N Krajnc, L Haider… - Neurology, 2024 - neurology.org
Background and Objectives Isolated value of MRI metrics in relapsing multiple sclerosis
(RMS) as a surrogate marker of response to disease-modifying treatment (DMT) and, thus …

MS treatment de-escalation: review and commentary

K Selmaj, HP Hartung, MP Mycko, I Selmaj… - Journal of Neurology, 2024 - Springer
Almost all currently licensed disease-modifying therapies (DMTs) for MS treatment require
prolonged if not lifelong administration. Yet, as people age, the immune system has …

De-escalation and discontinuation of disease-modifying therapies in multiple sclerosis

RH Gross, J Corboy - Current Neurology and Neuroscience Reports, 2024 - Springer
Abstract Purpose of Review Long-term use of multiple sclerosis (MS) disease-modifying
therapies (DMTs) is standard practice to prevent accumulation of disability …