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The prevalence of unruptured intracranial aneurysms (IAs) is approximately 3% of the population, with incidence on the rise due to the increased utilization of neuro-imaging for diverse objectives.1,2 The average risk of rupture for unruptured IA is estimated to vary from 0.3% to exceeding 15% per 5 years.3 Ruptured IA is the primary aetiology of […]

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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