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Amyotrophic lateral sclerosis (ALS) is characterized by the degeneration of both upper and lower motor neurons, which ultimately leads to muscle weakness, atrophy, spasticity and contractures.1 ALS typically manifests in the 50–60 years age range, although familial cases may present in late adolescence or early adulthood.2 The time from the first symptom to diagnosis is approximately 10–16 […]

Mark Freedman, AAN 2018 – Treatment biomarkers in multiple sclerosis

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Published Online: May 2nd 2018

Mark Freedman (Ottawa Hospital and Ottawa Hospital Research Institute), a recent welcome addition to our editorial board for US Neurology, considers treatment biomarkers in multiple sclerosis including discussion around his presentation on neurofilament light chain (NF-L) levels before and after bone marrow transplant (abstract available here), and the clinical relevance of NEDA (no evidence of disease activity).

Questions

1. You have a presentation on neurofilament light chain (NF-L) levels before and after bone marrow transplant. What did this study reveal about the use of serum NF-L as a potential biomarker for response to therapy? (0:11)
2. Is NEDA (no evidence of disease activity) the new target for treatment in multiple sclerosis (MS)? (1:35)
3. On the basis of current evidence, what do you consider to be the optimal treatment regimen for MS? (3:23)

Speaker disclosures: Mark Freedman has received honoraria or consultation fees from Bayer Healthcare, Biogen-Idec, Chugai, EMD Canada, Genzyme, Novartis, Sanofi-Aventis and Teva Canada Innovation. He is a member of the following company advisory boards, board of directors or other similar group for Bayer Healthcare, Biogen-Idec, Hoffman La-Roche, Merck Serono, Novartis, Opexa and Sanofi-Aventis. He is a participant in Genzyme’s company-sponsored speaker’s bureau.

Filmed at the American Academy of Neurology (AAN) Annual Meeting 2018, Los Angeles, CA, US, April 2018.

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