Immunosuppressive therapy is more effective than interferon in neuromyelitis optica

Author:

Papeix C1,Vidal J-S2,Seze J De3,Pierrot-Deseilligny C1,Tourbah A14,Stankoff B15,Lebrun C6,Moreau T7,Vermersch P3,Fontaine B1,Lyon-Caen O1,Gout O8

Affiliation:

1. Department of Neurology, Hôpital de la Salpêtrière, Paris, France

2. Institut National de la Santé et de la Recherche Médicale Unité 708, Hôpital de la Salpêtrière, Paris, France

3. Department of Neurology, CHU de Lille, Lille, France

4. Department of Internal Medicine, CHNO XV/XX, Paris, France

5. Centre d'Investigation Clinique, Hôpital de la Salpêtrière, Paris, France

6. Department of Neurology, CHU de Nice, Nice, France

7. Department of Neurology, CHU de Dijon, Dijon, France

8. Department of Neurology, Fondation Ophtalmologique A. de Rothschild, Paris, France

Abstract

To determine long-term treatment (LTT) of neuromyelitis optica (NMO), we retrospectively reviewed therapies of 26 patients with NMO followed in five French neurological departments. To assess LTT efficacy, the probability of relapse free after LTT was analysed. Patients were divided into two groups according to the first treatment receiving interferon beta (IFN Group, seven patients) or immunosuppressants (IS Group, 19 patients). The probability of relapse was significantly lower in the IS Group (P = 0.0007). From our results, interferon beta is not recommended, and one of the best current therapeutic options for NMO appears to be immunosuppressants. Multiple Sclerosis 2007; 13: 256–259. http://msj.sagepub.com

Publisher

SAGE Publications

Subject

Neurology (clinical),Neurology

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