Journal article

Association of Inflammation and Disability Accrual in Patients With Progressive-Onset Multiple Sclerosis

Jordana Hughes, Vilija Jokubaitis, Alessandra Lugaresi, Raymond Hupperts, Guillermo Izquierdo, Alexandre Prat, Marc Girard, Pierre Duquette, Francois Grand'Maison, Pierre Grammond, Patrizia Sola, Diana Ferraro, Cristina Ramo-Tello, Maria Trojan, Mark Slee, Vahid Shaygannejad, Cavit Boz, Jeanette Lechner-Scott, Vincent Van Pesch, Eugenio Pucci Show all



Importance: The role of inflammatory disease activity as a determinant of disability in progressive-onset multiple sclerosis (MS) remains contested. Objective: To examine the association of superimposed relapses in progressive-onset MS on disease outcomes. Design, Setting, and Participants: Observational cohort study from MSBase, a prospectively collected, international database. Data were collected between January 1995 and February 2017. Analyses began in February 2017. From 44 449 patients at time of extraction, 1419 eligible patients (31.9%) were identified for analysis. Inclusion criteria consisted of primary progressive MS (PPMS) or progressive-relapsing MS (PRMS), adult-onset disease, ..

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Funding Acknowledgements

Dr Jokubaitis received conference travel support from Teva Pharmaceutical Industries, Novartis, and Biogen and speaker honoraria from Biogen and Novartis. Dr Lugaresi is an advisory board member at Bayer, Biogen, Genzyme, and Merck & Co; received travel grants and honoraria from Bayer, Biogen, Merck & Co, Novartis, Sanofi, Teva Pharmaceutical Industries, and Fondazione Italiana Sclerosi Multipla; and her institution received research grants from Bayer, Biogen, Merck & Co, Novartis, Sanofi, Teva Pharmaceutical Industries, and Fondazione Italiana Sclerosi Multipla. Dr Hupperts received honoraria as a consultant on scientific advisory boards from Merck & Co, Biogen, Sanofi Genzyme, and Teva Pharmaceutical Industries; research funding from Merck & Co and Biogen; and speaker honoraria from Sanofi Genzyme and Novartis. Dr Izquierdo received speaking honoraria from Biogen, Novartis, Sanofi, Merck & Co, and Teva Pharmaceutical Industries. Dr Girard received consulting fees from Teva Pharmaceutical Industries-Canada Innovation, Biogen, Novartis, and Sanofi Genzyme; lecture payments from Teva Pharmaceutical Industries-Canada Innovation, Novartis, and EMD; and has received a research grant from Canadian Institutes of Health Research. Dr Duquette served on editorial boards and has been supported to attend meetings by EMD, Biogen, Novartis, Genzyme, and Teva Medical Cente, Beer Yaakov, Israel: Shlomo Flechter, MD; Mater Dei Hospital, Balzan, Malta: Norbert Vella, MD; University ofWestern Australia, Perth, Australia: Allan Kermode, PhD, Marzena Fabis-Pedrini, MSc; Austin Health, Melbourne, Australia: Richard Macdonell, PhD; Universitary Hospital Ghent, Ghent, Belgium: Guy Laureys, MD; MS Clinic, Hopital Tenon, Paris, France: Etienne Roullet, MD; University of Debrecen, Debrecen, Hungary: Tunde Csepany, MD; Bombay Hospital Institute of Medical Sciences, Mumbai, India: Bhim Singhal, MD; PGIMER, Chandigarh, India: Dheeraj Khurana, MD; Hospital Kuala Lumpur, Kuala Lumpur, Malaysia: Joyce Pauline Joseph, MD; Royal Hospital, Muscat, Oman: Jabir Alkhaboori, MD; Central Military Emergency University Hospital, Bucharest, Romania: Carmen-Adella Sirbu, MD (data acquisition); and MSBase Administrations: Charlotte Sartori, Sabah Quddus, and Eloise Hinson (administrative and technical support).