Clinical predictors of response to immunomodulators for multiple sclerosis

OBJECTIVES: To determine, based on clinical criteria, the proportion of multiple sclerosis (MS) patients responsive to immunomodulators (RI) and nonresponsive to immunomodulators (NRI), and to ascertain whether clinical and epidemiological data differs between RI and NRI patient groups. METHODS: Pat...

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Main Authors: Guilherme Sciascia do Olival, Leonardo Ciciarelli Pereira Lima, Gabriel Paiva Silva Lima, Charles Peter Tilbery
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO) 2012-01-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000100004&lng=en&tlng=en
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author Guilherme Sciascia do Olival
Leonardo Ciciarelli Pereira Lima
Gabriel Paiva Silva Lima
Charles Peter Tilbery
author_facet Guilherme Sciascia do Olival
Leonardo Ciciarelli Pereira Lima
Gabriel Paiva Silva Lima
Charles Peter Tilbery
author_sort Guilherme Sciascia do Olival
collection DOAJ
description OBJECTIVES: To determine, based on clinical criteria, the proportion of multiple sclerosis (MS) patients responsive to immunomodulators (RI) and nonresponsive to immunomodulators (NRI), and to ascertain whether clinical and epidemiological data differs between RI and NRI patient groups. METHODS: Patients were assessed on rate of exarcerbations per year, for the period before and after commencement of treatment. The RI and NRI groups were compared for several clinical and epidemiological characteristics. DISCUSSION AND CONCLUSION: A total of 31.4% of the patients were nonresponders to the immunomodulatory treatment. The main predictors of immunomodulatory response were early diagnostic and commencement of therapy and high rate of annual exacerbations prior to treatment. Given the arsenal of medication options available for MS management, screening potential candidates for different therapeutic approaches are critical to optimize evolution of patients with the disease.
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spelling doaj.art-c5c02c8841fd464a8151683f9ec35d692022-12-21T19:40:04ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272012-01-01701121610.1590/S0004-282X2012000100004S0004-282X2012000100004Clinical predictors of response to immunomodulators for multiple sclerosisGuilherme Sciascia do Olival0Leonardo Ciciarelli Pereira Lima1Gabriel Paiva Silva Lima2Charles Peter Tilbery3Santa Casa de Misericórdia de São PauloSanta Casa de Misericórdia de São PauloSanta Casa de Misericórdia de São PauloSanta Casa de Misericórdia de São PauloOBJECTIVES: To determine, based on clinical criteria, the proportion of multiple sclerosis (MS) patients responsive to immunomodulators (RI) and nonresponsive to immunomodulators (NRI), and to ascertain whether clinical and epidemiological data differs between RI and NRI patient groups. METHODS: Patients were assessed on rate of exarcerbations per year, for the period before and after commencement of treatment. The RI and NRI groups were compared for several clinical and epidemiological characteristics. DISCUSSION AND CONCLUSION: A total of 31.4% of the patients were nonresponders to the immunomodulatory treatment. The main predictors of immunomodulatory response were early diagnostic and commencement of therapy and high rate of annual exacerbations prior to treatment. Given the arsenal of medication options available for MS management, screening potential candidates for different therapeutic approaches are critical to optimize evolution of patients with the disease.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000100004&lng=en&tlng=enesclerose múltiplaimunomoduladorespreditores
spellingShingle Guilherme Sciascia do Olival
Leonardo Ciciarelli Pereira Lima
Gabriel Paiva Silva Lima
Charles Peter Tilbery
Clinical predictors of response to immunomodulators for multiple sclerosis
Arquivos de Neuro-Psiquiatria
esclerose múltipla
imunomoduladores
preditores
title Clinical predictors of response to immunomodulators for multiple sclerosis
title_full Clinical predictors of response to immunomodulators for multiple sclerosis
title_fullStr Clinical predictors of response to immunomodulators for multiple sclerosis
title_full_unstemmed Clinical predictors of response to immunomodulators for multiple sclerosis
title_short Clinical predictors of response to immunomodulators for multiple sclerosis
title_sort clinical predictors of response to immunomodulators for multiple sclerosis
topic esclerose múltipla
imunomoduladores
preditores
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000100004&lng=en&tlng=en
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