Alemtuzumab vs. interferon beta-1a in early multiple sclerosis.

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DOI: 10.1056/NEJMOA0802670

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摘要: fidence interval [CI], 0.16 to 0.54; P<0.001) and the annualized rate of relapse (0.10 vs. 0.36; hazard ratio, 0.26; 95% CI, 0.41; P<0.001). The mean disability score on a 10-point scale improved by 0.39 point in alemtuzumab group worsened 0.38 interferon beta-1a (P<0.001). In group, lesion burden (as seen T 2 -weighted magnetic resonance imaging) was reduced, as compared with that (P = 0.005). From month 12 36, brain volume 1 increased but decreased beta1a 0.02). Adverse events included autoimmunity (thyroid disorders [23% 3%] immune thrombocytopenic purpura [3% 1%]) infections (66% 47%). There were no significant differences outcomes between 12-mg dose 24-mg alemtuzumab. Conclusions patients early, relapsing–remitting multiple sclerosis, more effective than associated autoimmunity, most seriously manifesting purpura. study not powered identify uncommon adverse events. (ClinicalTrials.gov number, NCT00050778.)

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