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首页> 外文期刊>Journal of neurology >BG-12 reduces evolution of new enhancing lesions to T1-hypointense lesions in patients with multiple sclerosis.
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BG-12 reduces evolution of new enhancing lesions to T1-hypointense lesions in patients with multiple sclerosis.

机译:在多发性硬化症患者中,BG-12可以将新的增强型病变向T1型低水平病变的发展减少。

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摘要

BG-12, an immunomodulatory agent, reduces frequency of new gadolinium-enhancing (Gd+) lesions in relapsing multiple sclerosis (MS). This study reports the effect of 240 mg BG-12 orally three times daily (tid) for 24 weeks on the evolution of new Gd+ lesions to T1-hypointense lesions. Brain magnetic resonance imaging (MRI) scans from patients in placebo and 240 mg BG-12 tid arms of a phase 2b study were examined retrospectively. Included patients had at least one new Gd+ lesion from weeks 4 to 12. Week 24 scans were analyzed for number and proportion of new Gd+ lesions that evolved to T1-hypointense lesions. Eighteen patients receiving BG-12 and 38 patients receiving placebo were included in the analysis. The analysis tracked 147 new Gd+ lesions in patients from the BG-12 group and 221 Gd+ lesions in patients from the placebo group. The percentage of Gd+ lesions that evolved to T1-hypointense lesions was 34% lower with BG-12 treatment versus placebo (29%, BG-12; 44%, placebo; odds ratio 0.51; 95% confidence interval 0.43, 0.61; p < 0.0001). In addition to reducing frequency of new Gd+ lesions, BG-12 significantly reduced probability of their evolution to T1-hypointense lesions in patients with MS compared with placebo.
机译:BG-12是一种免疫调节剂,可降低复发性多发性硬化症(MS)中新的增强ado(Gd +)病变的频率。这项研究报告了240 mg BG-12口服,每天3次(每日两次),持续24周,对新的Gd +病变向T1低点病变的演变产生影响。回顾性研究了一项2b期研究的安慰剂和240 mg BG-12 tid臂患者的脑磁共振成像(MRI)扫描。纳入的患者从第4周到第12周至少有一个新的Gd +病变。分析了第24周的扫描,分析了新的Gd +病变演变为T1低点性病变的数量和比例。分析包括18例接受BG-12的患者和38例接受安慰剂的患者。该分析追踪了BG-12组患者的147个新Gd +病变和安慰剂组患者的221个Gd +病变。与安慰剂相比,BG-12治疗使Gd +病变演变为T1低点性病变的百分比降低了34%(29%,BG-12; 44%,安慰剂;比值比为0.51; 95%置信区间为0.43,0.61; p < 0.0001)。与安慰剂相比,除了减少新的Gd +病变的发生频率外,BG-12还显着降低了MS患者演变为T1低氧性病变的可能性。

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