Interferon-α2a reduces MRI disease activity in relapsing-remitting multiple sclerosis

作者: K. M. Myhr , T. Riise , F. E. G. Lilleas , T. G. Beiske , E. G. Celius

DOI: 10.1212/WNL.52.5.1049

关键词:

摘要: Objective: To evaluate the efficacy and safety of interferon-α2a (IFN-α2a) in relapsing-remitting MS (RRMS). Background: Several immune-modulating therapy regimens IFN-α have shown varying results MS. A recent pilot study suggested benefits from IFN-α2a. Methods: Ninety-seven patients were randomized to receive subcutaneous injections placebo (33 patients) or 4.5 million international units (mIU) (32 9.0 mIU IFN-α2a three times weekly for 6 months, with a further months follow-up. Monthly gadodiamide-enhanced MRI was primary method evaluating efficacy. Results: treatment resulted fewer new lesions during period ( p 2.5 higher than = 0.0004), but difference disappeared The total number (mean) increased by 4.78 placebo, 0.86 IFN-α2a, 0.28 0.030). No effect on exacerbation rate, progression disability, quality life detected. Nine discontinued treatment, five because adverse events. Conclusions: significantly reduced disease activity as measured MRI, within after discontinuation treatment. long-term more using disability outcome measure is needed clinical impact.

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