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Natalizumab efficacy on cognitive impairment in MS
F Mattioli1, C Stampatori, F Bellomi
1Neuropsychology Unit, Spedali Civili of Brescia, Via Nikolajewka, 13, 25123, Brescia, Italy. flaviacaterina.mattioli@gmail.com
Natalizumab therapy significantly reduced relapse rates and improved cognitive functions, including memory and executive functions, in multiple sclerosis patients over two years.
Area of Science:
- Neuroscience
- Immunology
- Neurology
Background:
- Multiple sclerosis (MS) is a chronic autoimmune disease affecting the central nervous system.
- Neuropsychological impairment is a common and debilitating symptom in MS patients.
- Current therapies aim to reduce disease activity and manage symptoms.
Purpose of the Study:
- To evaluate the long-term efficacy of natalizumab therapy on neuropsychological impairment in Italian MS patients.
- To assess the impact of natalizumab on relapse rates and cognitive functions over one and two years.
Main Methods:
- Follow-up study on a cohort of 39 MS patients at 1 year and 11 patients at 2 years.
- Neuropsychological tests were administered to assess cognitive functions.
- Relapse rates were monitored.
Main Results:
- Significant reduction in MS relapse rates observed at 1 year.
- Marked improvement in the number of impaired neuropsychological tests and executive function/reasoning scores at 1 year.
- Cognitive improvements persisted at 2 years, with additional gains in memory and processing speed.
Conclusions:
- Natalalizumab therapy demonstrates sustained efficacy in managing MS.
- The treatment effectively addresses cognitive deterioration across multiple domains in MS patients.
- These findings support natalizumab as a valuable therapeutic option for comprehensive MS management.
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