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The Multiple Sclerosis Performance Test MSPT: An iPad-Based Disability Assessment Tool
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[Primary Progressive Multiple Sclerosis].

Kenji Kufukihara1, Jin Nakahara

  • 1Department of Neurology, Keio University School of Medicine.

Brain and Nerve = Shinkei Kenkyu No Shinpo
|May 19, 2021
PubMed
Summary
This summary is machine-generated.

Primary progressive multiple sclerosis (PPMS) is a CNS inflammatory disease causing disability. While no drugs are approved in Japan, ocrelizumab shows promise for PPMS treatment.

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Area of Science:

  • Neuroimmunology
  • Neurodegenerative Diseases

Background:

  • Primary progressive multiple sclerosis (PPMS) is a chronic central nervous system inflammatory condition.
  • It is characterized by progressive demyelination, neurodegeneration, and accumulating disability from onset.
  • Pathological mechanisms include inflammation, axonal degeneration, microglial activation, mitochondrial injury, and excitotoxicity.

Purpose of the Study:

  • To review the current landscape of PPMS treatment.
  • To highlight the status of disease-modifying therapies for PPMS.

Main Methods:

  • Literature review of PPMS pathology and treatment options.
  • Analysis of approved therapies and clinical trial outcomes.

Main Results:

  • Ocrelizumab, an anti-CD20 monoclonal antibody, is FDA-approved for PPMS.
  • Several disease-modifying drugs have shown efficacy in PPMS clinical trials.
  • No disease-modifying drugs are currently approved for PPMS in Japan.

Conclusions:

  • Effective treatment options for PPMS are emerging.
  • Further research and regulatory approvals are needed, particularly in Japan.
  • Ocrelizumab represents a significant advancement in PPMS management.