Multiple sclerosis therapy:: An update on recently finished trials

被引:7
作者
Kleinschnitz, Christoph
Meuth, Sven G.
Stueve, Olaf
Kieseier, Bernd
Wiendl, Heinz
机构
[1] Univ Wurzburg, Dept Neurol, D-97080 Wurzburg, Germany
[2] Univ Dusseldorf, Dept Neurol, D-4000 Dusseldorf, Germany
关键词
multiple sclerosis; therapy; disease modifying drugs; trials; natalizumab;
D O I
10.1007/s00415-007-0684-7
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Six pharmacological agents are currently approved for the treatment of multiple sclerosis (MS). However, all established substances are only partially effective in reducing disease progression or relapse rates. In addition, they have potentially serious side effects. Thus, significant efforts are being made to develop new agents or to optimize current therapies. The latter includes modifications of dose, route of administration or the time point of treatment initiation. In this review, we provide an update on the most important clinical phase II/III trials on approved and novel immunotherapeutic strategies in MS reported during the last two years. Pharmacotherapies include agents that target chemoattraction, cell migration, chemotherapies, and antigen-based therapies.
引用
收藏
页码:1473 / 1490
页数:18
相关论文
共 165 条
[1]   Intravenous immunoglobulin treatment following the first demyelinating event suggestive of multiple sclerosis - A randomized, double-blind, placebo-controlled trial [J].
Achiron, A ;
Kishner, T ;
Sarova-Pinhas, I ;
Raz, H ;
Faibel, M ;
Stern, Y ;
Lavie, M ;
Gurevich, M ;
Dolev, M ;
Magalashvili, D ;
Barak, Y .
ARCHIVES OF NEUROLOGY, 2004, 61 (10) :1515-1520
[2]   T cell vaccination in multiple sclerosis relapsing-remitting nonresponders patients [J].
Achiron, A ;
Lavie, G ;
Kishner, I ;
Stern, Y ;
Sarova-Pinhas, I ;
Ben-Aharon, T ;
Barak, Y ;
Raz, H ;
Lavie, M ;
Barliya, T ;
Faibel, M ;
Cohen, IR ;
Mandel, M .
CLINICAL IMMUNOLOGY, 2004, 113 (02) :155-160
[3]   Intravenous immunoglobulin treatment in multiple sclerosis - Effect on relapses [J].
Achiron, A ;
Gabbay, U ;
Gilad, R ;
Hassin-Baer, S ;
Barak, Y ;
Gornish, M ;
Elizur, A ;
Goldhammer, Y ;
Sarova-Pinhas, I .
NEUROLOGY, 1998, 50 (02) :398-402
[4]   Treatment of relapsing paralysis in experimental encephalomyelitis by targeting Th1 cells through atorvastatin [J].
Aktas, O ;
Waiczies, S ;
Smorodchenko, A ;
Dörr, J ;
Seeger, B ;
Prozorovski, T ;
Sallach, S ;
Endres, M ;
Brocke, S ;
Nitsch, R ;
Zipp, F .
JOURNAL OF EXPERIMENTAL MEDICINE, 2003, 197 (06) :725-733
[5]   Chemokines and leukocyte traffic [J].
Baggiolini, M .
NATURE, 1998, 392 (6676) :565-568
[6]  
Bar-Or A, 2006, NEUROLOGY, V66, pA62
[7]   Every-other-clay interferon beta-1b versus once-weekly interferon beta-1a for multiple sclerosis (INCOMIN Trial) II: analysis of MRI responses to treatment and correlation with NAb [J].
Barbero, P ;
Bergui, M ;
Versino, E ;
Ricci, A ;
Zhong, JJ ;
Ferrero, B ;
Clerico, M ;
Pipieri, A ;
Verdun, E ;
Giordano, L ;
Durelli, L .
MULTIPLE SCLEROSIS JOURNAL, 2006, 12 (01) :72-76
[8]   A randomized, double-blind, placebo-controlled study of oral hydrolytic enzymes in relapsing multiple sclerosis [J].
Baumhackl, U ;
Kappos, L ;
Radue, EW ;
Freitag, P ;
Guseo, A ;
Daumer, M ;
Mertin, J .
MULTIPLE SCLEROSIS JOURNAL, 2005, 11 (02) :166-168
[9]  
BAUMHACKL U, 1990, ALLGEMEINMEDIZIN, V19, P169
[10]   VACCINATION AGAINST AUTOIMMUNE ENCEPHALOMYELITIS (EAE) - ATTENUATED AUTOIMMUNE LYMPHOCYTES-T CONFER RESISTANCE TO INDUCTION OF ACTIVE EAE BUT NOT TO EAE MEDIATED BY THE INTACT LYMPHOCYTE-T LINE [J].
BENNUN, A ;
COHEN, IR .
EUROPEAN JOURNAL OF IMMUNOLOGY, 1981, 11 (11) :949-952