Source:http://linkedlifedata.com/resource/pubmed/id/20236661
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1-2
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pubmed:dateCreated |
2010-3-29
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pubmed:abstractText |
The SENTINEL study showed that the addition of natalizumab improved outcomes for patients with relapsing multiple sclerosis (MS) who had experienced disease activity while receiving interferon beta-1a (IFNbeta-1a) alone. Previously unreported secondary and tertiary magnetic resonance imaging (MRI) measures are presented here. Patients received natalizumab 300 mg (n=589) or placebo (n=582) intravenously every 4 weeks plus IFNbeta-1a 30 microg intramuscularly once weekly. Annual MRI scans allowed comparison of a range of MRI end points versus baseline. Over 2 years, 67% of patients receiving natalizumab plus IFNbeta-1a remained free of new or enlarging T2-lesions compared with 30% of patients receiving IFNbeta-1a alone. The mean change from baseline in T2 lesion volume over 2 years decreased in patients receiving natalizumab plus IFNbeta-1a and increased in those receiving IFNbeta-1a alone (-277.5mm(3) versus 525.6mm(3); p<0.001). Compared with IFNbeta-1a alone, add-on natalizumab therapy resulted in a smaller increase in mean T1-hypointense lesion volume after 2 years (1821.3mm(3) versus 2210.5mm(3); p<0.001), a smaller mean number of new T1-hypointense lesions over 2 years (2.3 versus 4.1; p<0.001), and a slower rate of brain atrophy during the second year of therapy (-0.31% versus -0.40%; p=0.020). Natalizumab add-on therapy reduced gadolinium-enhancing, T1-hypointense, and T2 MRI lesion activity and slowed brain atrophy progression in patients with relapsing MS who experienced disease activity despite treatment with IFNbeta-1a alone.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antibodies, Monoclonal,
http://linkedlifedata.com/resource/pubmed/chemical/Antibodies, Monoclonal, Humanized,
http://linkedlifedata.com/resource/pubmed/chemical/Immunologic Factors,
http://linkedlifedata.com/resource/pubmed/chemical/Interferon-beta,
http://linkedlifedata.com/resource/pubmed/chemical/natalizumab
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
1878-5883
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pubmed:author |
pubmed-author:CalabresiPeter APA,
pubmed-author:ConfavreuxChristianC,
pubmed-author:FisherElizabethE,
pubmed-author:GalettaSteven LSL,
pubmed-author:LublinFred DFD,
pubmed-author:LynnFrancesF,
pubmed-author:PanzaraMichael AMA,
pubmed-author:PapadopoulouAthinaA,
pubmed-author:RadueErnst-WilhelmEW,
pubmed-author:RudickRichard ARA,
pubmed-author:SENTINEL Investigators,
pubmed-author:SandrockAlfred WAW,
pubmed-author:Weinstock-GuttmanBiancaB,
pubmed-author:WynnDaniel RDR,
pubmed-author:el-ZeinRR
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pubmed:copyrightInfo |
Copyright 2010 Elsevier B.V. All rights reserved.
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pubmed:issnType |
Electronic
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pubmed:day |
15
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pubmed:volume |
292
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
28-35
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:20236661-Adolescent,
pubmed-meshheading:20236661-Adult,
pubmed-meshheading:20236661-Antibodies, Monoclonal,
pubmed-meshheading:20236661-Antibodies, Monoclonal, Humanized,
pubmed-meshheading:20236661-Brain,
pubmed-meshheading:20236661-Drug Therapy, Combination,
pubmed-meshheading:20236661-Female,
pubmed-meshheading:20236661-Humans,
pubmed-meshheading:20236661-Immunologic Factors,
pubmed-meshheading:20236661-Interferon-beta,
pubmed-meshheading:20236661-Magnetic Resonance Imaging,
pubmed-meshheading:20236661-Male,
pubmed-meshheading:20236661-Middle Aged,
pubmed-meshheading:20236661-Multiple Sclerosis, Relapsing-Remitting,
pubmed-meshheading:20236661-Patient Selection,
pubmed-meshheading:20236661-Treatment Outcome
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pubmed:year |
2010
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pubmed:articleTitle |
Natalizumab plus interferon beta-1a reduces lesion formation in relapsing multiple sclerosis.
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pubmed:affiliation |
Medical Image Analysis Center, University Hospital Basel, Schanzenstrasse 55, 1st Floor, CH 4031, Basel, Switzerland. eradue@uhbs.ch
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pubmed:publicationType |
Journal Article,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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