The treatment of chronic progressive multiple sclerosis with cladribine.

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Cladribine in the treatment of multiple sclerosis

ISSN 2041-6792 10.4155/CLI.10.32 © 2011 Future Science Ltd Treatment with cladribine leads to a preferential and sustained reduction in lymphocytes and monocytes, resulting in long-lasting depletion of CD4+ and CD8+ T cells. In the Phase III placebo-controlled trial in relapsing–remitting multiple sclerosis (the CLARITY study), oral cladribine at 96 weeks significantly reduced annual relapse ra...

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Cladribine tablets for the treatment of relapsing-remitting multiple sclerosis.

INTRODUCTION Multiple sclerosis (MS) is a chronic immune-mediated disorder of the central nervous system leading to progressive neurodegeneration and disability. Until 2010, all approved disease-modifying drugs for MS required parenteral administration, which is associated with suboptimal adherence. It was anticipated that new approaches to treatment, including oral agents such as cladribine ta...

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Cladribine in aggressive forms of multiple sclerosis.

Cladribine (2-chlorodeoxyadenosine) is an immunosuppressant drug previously evaluated in multiple sclerosis (MS) with variable results. We report six patients with aggressive relapsing MS who despite a poor response to other therapies had a favourable clinical evolution after cladribine. Four women and two men with a rapid increase in the number and severity of relapses leading to increasing di...

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Chemokines in chronic progressive neurological multiple sclerosis

Chemokines are 8 ± 12 kd chemoattractant cytokines characterized by a four cysteine motif (Luster, 1998; Ransohoff et al, 1996; Schall, 1994; Taub, 1996). The presence or absence of an intervening amino acid(s) (X) between the N terminal cysteines de®nes the CXC/CX3C and CC families, respectively. A third family, C chemokines, lacks an N terminal cysteine but is otherwise homologous. It was ori...

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Population Pharmacokinetics of Cladribine in Patients with Multiple Sclerosis

PURPOSE The aims of this study were to characterize the concentration-time course of cladribine (CdA) and its main metabolite 2-chloroadenine (CAde), estimate interindividual variability in pharmacokinetics (PK), and identify covariates explaining variability in the PK of CdA. METHODS This population PK analysis was based on the combined dataset from four clinical studies in patients with mul...

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ژورنال

عنوان ژورنال: Proceedings of the National Academy of Sciences

سال: 1996

ISSN: 0027-8424,1091-6490

DOI: 10.1073/pnas.93.4.1716