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Published in: Neurological Sciences 2/2014

01-02-2014 | Healthcare Organization

Guidelines on the clinical use for the detection of neutralizing antibodies (NAbs) to IFN beta in multiple sclerosis therapy: report from the Italian Multiple Sclerosis Study group

Authors: Antonio Bertolotto, Marco Capobianco, Maria Pia Amato, Elisabetta Capello, Ruggero Capra, Diego Centonze, Maria Di Ioia, Antonio Gallo, Luigi Grimaldi, Luisa Imberti, Alessandra Lugaresi, Chiara Mancinelli, Maria Giovanna Marrosu, Lucia Moiola, Enrico Montanari, Silvia Romano, Luigina Musu, Damiano Paolicelli, Francesco Patti, Carlo Pozzilli, Silvia Rossi, Marco Salvetti, Gioachino Tedeschi, Maria Rosaria Tola, Maria Troiano, Mauro Zaffaroni, Simona Malucchi

Published in: Neurological Sciences | Issue 2/2014

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Abstract

Interferon beta (IFNβ) was the first specific disease-modifying treatment licensed for relapsing-remitting multiple sclerosis, and is still one of the most commonly prescribed treatments. A strong body of evidence supports the effectiveness of IFNβ preparations in reducing the annual relapse rate, magnetic resonance (MRI) disease activity and disease progression. However, the development of binding/neutralizing antibodies (BAbs/NAbs) during treatment negatively affects clinical and MRI outcomes. Therefore, guidelines for the clinical use for the detection of NAbs in MS may result in better treatment of these patients. In October 2012, a panel of Italian neurologists from 17 MS clinics convened in Milan to review and discuss data on NAbs and their clinical relevance in the treatment of MS. In this paper, we report the panel’s recommendations for the use of IFNβ Nabs detection in the early identification of IFNβ non-responsiveness and the management of patients on IFNβ treatment in Italy, according to a model of therapeutically appropriate care.
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Metadata
Title
Guidelines on the clinical use for the detection of neutralizing antibodies (NAbs) to IFN beta in multiple sclerosis therapy: report from the Italian Multiple Sclerosis Study group
Authors
Antonio Bertolotto
Marco Capobianco
Maria Pia Amato
Elisabetta Capello
Ruggero Capra
Diego Centonze
Maria Di Ioia
Antonio Gallo
Luigi Grimaldi
Luisa Imberti
Alessandra Lugaresi
Chiara Mancinelli
Maria Giovanna Marrosu
Lucia Moiola
Enrico Montanari
Silvia Romano
Luigina Musu
Damiano Paolicelli
Francesco Patti
Carlo Pozzilli
Silvia Rossi
Marco Salvetti
Gioachino Tedeschi
Maria Rosaria Tola
Maria Troiano
Mauro Zaffaroni
Simona Malucchi
Publication date
01-02-2014
Publisher
Springer Milan
Published in
Neurological Sciences / Issue 2/2014
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-013-1616-1

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