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Alemtuzumab, a monoclonal antibody against CD52, is a licensed treatment for relapsing-remitting multiple sclerosis (MS). The phase III CARE-MS II study, was a randomized, rater-blinded, head-to-head, partially manufacturer-sponsored trial comparing alemtuzumab, dosed at 12 mg per day intravenously for 5 days and redosed 1 year later for 3 days, to subcutaneous interferon-beta-1a (SC INF-beta-1a) 44 µg three times weekly (NEJM JW Neurol Jan 2013 and Lancet 2012; 380:1829). Now, a secondary analysis of CARE-MS II examines prespecified and posthoc disability outcomes.
The new finding is that at 2 years, alemtuzumab-treated patients were more likely than interferon-treated patients to show improvement on the Expanded Disability Status Scale (ED…