在患有晚发多发性硬化症的患者中使用改变疾病的疗法
Camille Robin1,2, Fabien Rollot3,4,5,6, Mathilde Lefort2
1Neurology Department, Rennes University Hospital, France.
Neurology
|July 16, 2025
概括
疾病修饰疗法 (DMT) 在晚发多发性硬化症 (LOMS) 中显著延迟复发和MRI活性. 然而,DMT对LOMS患者的残疾进展没有显著影响.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 临床研究 临床研究
背景情况:
- 晚期多发性硬化症 (LOMS) 的治疗策略需要进一步定义.
- 了解LOMS治疗效应对于优化患者护理至关重要.
研究的目的:
- 为了比较治疗和未治疗复发性缓解性LOMS患者的临床和MRI结果.
- 在LOMS中评估疾病修饰疗法 (DMT) 的疗效.
主要方法:
- 复发性复发性多发性硬化症患者的回顾性分析,疾病发病后55年.
- 倾向性比分匹配以比较DMT治疗和未治疗的LOMS队列.
- 主要结局:第一次复发的时间;次要结局:残疾进展,MRI活动和感染率.
主要成果:
- 接受DMT治疗的LOMS患者的第一次复发和第一次MRI活动的时间显着更长.
- 在确认残疾进展 (CDP),不依赖复发活动的进展 (PIRA) 或二次渐进性MS (SPMS) 的时间内没有观察到显著差异.
- 在接受治疗的组中,严重感染发病率没有增加.
结论:
- 在LOMS中,DMTs对疾病活动标志物产生有益影响.
- 在LOMS中,DMT并没有显著改变残疾进展的过程.
- 局限性包括数据收集挑战和基线组不平衡.
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