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The Road Ahead for BTK Inhibitors in Multiple Sclerosis 

NeurologyLive
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Multiple sclerosis (MS) is an autoimmune central nervous system disease involving B-lymphocytes and myeloid cells such as macrophages and microglia. There is currently still a high demand for highly effective and well-tolerated treatments at all stages of MS despite the number of effective therapies already available to manage relapsing forms of the disease. In recent years, Bruton's tyrosine kinase (BTKs) inhibitors have become the newest potential approach to treat MS since they target the pathogenesis of the disease and have the ability to pass through the blood-brain barrier.
At the 2023 Consortium of Multiple Sclerosis Centers (CMSC) Annual Meeting, held May 31 to June 3, in Aurora, Colorado, Amit Bar-Or, MD, FRCPC, FAAN, FANA, Melissa and Paul Anderson President’s Distinguished Professor, Perelman School of Medicine, University of Pennsylvania, presented on BTKs as a novel treatment approach for managing MS. In the symposium, he and his colleagues talked about the current knowns of BTKs so far and also what clinicians can expect for these therapies.
At the meeting, Bar-Or sat down in an interview with NeurologyLive® to discuss how BTK inhibitors address the challenge of targeting both relapsing and progressive biology in MS. He also spoke about the role that hepatic injury plays in BTK inhibitor trials, and how is it being addressed in ongoing research. In addition, Bar-Or shared his thoughts on the potential advantages that BTK inhibitors offer over other treatment approaches in terms of long-term safety and modulation of immune cells.
(www.neurologylive.com/view/ro...)
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14 сен 2023

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Комментарии : 34   
@McCoyGerard
@McCoyGerard 4 месяца назад
Very informative. Looking forward to future BTKI trial results. Here's hoping. Thank you.
@colleensmith3374
@colleensmith3374 9 месяцев назад
Thank you Dr & neurology live! Much appreciated from Colo
@user-kt4yb5gb7o
@user-kt4yb5gb7o 9 месяцев назад
Very interested
@BernardAsagai
@BernardAsagai 10 месяцев назад
Thank You for this One clarification: 52 Vegan Never Smoked African American RRMS Diagnosed by Neologist I'm 2021 Not on DMT
@BernardAsagai
@BernardAsagai 10 месяцев назад
Is there a Study
@BernardAsagai
@BernardAsagai 10 месяцев назад
Looking for a MS.
@mballer
@mballer 10 месяцев назад
Is this drug compared to high vitamin d, lots of sunshine (UV and infrared light) and exercise and a clean diet?
@mballer
@mballer 10 месяцев назад
Let me answer that since it's unlikely anybody else will. No, we don't look at diet and lifestyle because we're more interested in the drug rather than the health of a person. There's no money to be made off of a heathy person. We need to create that patentable drug, the Holy Grail, a treasure chest of wealth. If the patient gets too healthy through other means, it won't show how great our drug is. That would only lead to failure. Failure of the drug, not failure for the patient of course. We must keep the patient at the perfect level of unhealthy to show the benefit of our drug. Life is interesting.
@Durace11Bunny
@Durace11Bunny 10 месяцев назад
​@@mballerlol fair play
@mary-vy3mo
@mary-vy3mo 10 месяцев назад
Vitamin D is useless once you are diagnosed...
@mary-vy3mo
@mary-vy3mo 10 месяцев назад
see "Biogen bails on btk"
@RonaldBeirouti
@RonaldBeirouti 10 месяцев назад
It is hard to compare to lifestyle changes for new medications because it is hard to quantify and how the patients in the comparative group of lifestyle or diet changes observe their regimen. It's easy to say that a person took on or two pills a day, but it's hard to say if one has spent so many hours in the sun or ate so many nutrients, etc. So those meds are compared with other medications that have a certain efficacy. Often times Aubagio is used in the comparative (placebo) group because it's a simple pill with no immediate side effects therefore it's easy to hide to the patient and to the reaserchers who is getting the comparator and who is getting the studied drug. There has been many studies that studied the effect of vitamin D, exercise and diet in MS. As for vitamin D, the results are not always conclusive with regards to vitamin D suppementation and reduction of MS progression or activity. But vitamin D has been shown to lower the risks of MS onset. As for diet, there has been some studies. But as mentionned above, studies on the effect of some diets are difficult to complete because not all people adhere properly to a diet or report adequately what they eat, not because they are lying but because we often think we're eating healthier than we actually do. There has been many studies with regards to exercise and MS and several studies showing the benefit of exercise in multiple facets of MS. Lately, there has been a study showing how aerobic exercise helps with activity and progression of MS. Studies that cover vitamin D, lifestyle and other non lucrative means to help with MS are obviously smaller scale because they are unfortunately not as funded as studies on drugs that have a potential of generating hundreds of millions of dollars. My take and what I do, I do all the above: take the most or one of the most effective medications, exercise regularly, adhere to a very healthy diet, take vitamin D supplements. One is not a substitute to another, you have to hit MS from all angles.
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