About: Interferon, azathioprine and corticosteroids in multiple sclerosis: 6-year follow-up of the ASA cohort     Goto   Sponge   NotDistinct   Permalink

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  • Objective: To evaluate long-term effects of 2-year treatment with interferon beta combined with low-dose azathioprine and prednisone in multiple sclerosis. Methods: In the original 2-year ASA study, 181 patients with early relapsing-remitting multiple sclerosis were randomised into 3 treatment arms: those treated with interferon beta (n = 60), with interferon beta and low-dose azathioprine (n =58), and interferon beta, azathioprine and low-dose prednisone (n = 63). Of these, 172 were included in this 4-year non-study extension. Three monthly clinical controls and annual MRI scans were carried out. The primary endpoint was annual relapse activity. The secondary endpoints were disability and quantitative MRI parameters. Results: Nine patients were lost to follow-up and 172 were included in the analyses. None of relapse activity, disability accumulation or MRI parameters differed significantly between the groups over 6 years. Only 5.5% and 0.6% of patients were free from disease activity at year 2 and year 6 of the treatment initiation. Conclusion: The tested combined therapeutic regimen does not improve long-term outcomes in patients with multiple sclerosis. Furthermore, interferon is not able to completely abolish disease activity.
  • Objective: To evaluate long-term effects of 2-year treatment with interferon beta combined with low-dose azathioprine and prednisone in multiple sclerosis. Methods: In the original 2-year ASA study, 181 patients with early relapsing-remitting multiple sclerosis were randomised into 3 treatment arms: those treated with interferon beta (n = 60), with interferon beta and low-dose azathioprine (n =58), and interferon beta, azathioprine and low-dose prednisone (n = 63). Of these, 172 were included in this 4-year non-study extension. Three monthly clinical controls and annual MRI scans were carried out. The primary endpoint was annual relapse activity. The secondary endpoints were disability and quantitative MRI parameters. Results: Nine patients were lost to follow-up and 172 were included in the analyses. None of relapse activity, disability accumulation or MRI parameters differed significantly between the groups over 6 years. Only 5.5% and 0.6% of patients were free from disease activity at year 2 and year 6 of the treatment initiation. Conclusion: The tested combined therapeutic regimen does not improve long-term outcomes in patients with multiple sclerosis. Furthermore, interferon is not able to completely abolish disease activity. (en)
Title
  • Interferon, azathioprine and corticosteroids in multiple sclerosis: 6-year follow-up of the ASA cohort
  • Interferon, azathioprine and corticosteroids in multiple sclerosis: 6-year follow-up of the ASA cohort (en)
skos:prefLabel
  • Interferon, azathioprine and corticosteroids in multiple sclerosis: 6-year follow-up of the ASA cohort
  • Interferon, azathioprine and corticosteroids in multiple sclerosis: 6-year follow-up of the ASA cohort (en)
skos:notation
  • RIV/00064165:_____/12:11753!RIV13-MZ0-00064165
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • Z(MSM0021620849), Z(MZ0VFN2005)
http://linked.open...iv/cisloPeriodika
  • 7
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 142376
http://linked.open...ai/riv/idVysledku
  • RIV/00064165:_____/12:11753
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Disease-modifying drugs; Immunosuppressants; Relapse; Disability; MRI; Clinical trial; Randomised; relapsing-remitting ms; combination therapy; disease-activity; brain atrophy; methylprednisolone; trial; beta; efficacy; safety (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • NL - Nizozemsko
http://linked.open...ontrolniKodProRIV
  • [98683F5551D1]
http://linked.open...i/riv/nazevZdroje
  • Clinical Neurology and Neurosurgery
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 114
http://linked.open...iv/tvurceVysledku
  • Havrdová, Eva
  • Seidl, Zdeněk
  • Vaněčková, Manuela
  • Horáková, Dana
  • Krásenský, Jan
  • Doležal, Ondřej
  • Kalinčík, Tomáš
http://linked.open...ain/vavai/riv/wos
  • 000307855800020
http://linked.open...n/vavai/riv/zamer
issn
  • 0303-8467
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