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Blood-brain barrier permeability changes in multiple sclerosis during alemtuzumab treatment
Maria Højberg Knudsen1,2, Helle Juhl Simonsen1, Jette Lautrup Battistini Frederiksen2,3, Ulrich Lindberg1, Mark Bitsch Vestergaard1, Henrik Bo Wiberg Larsson1,2, and Stig Præstekjær Cramer1
1Dept. Clinical Physiology, Rigshospitalet, Glostrup, Denmark, 2Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark, 3Dept. of Neurology, Rigshospitalet, Glostrup, Denmark
The treatment associated change in the patlak derived influx constant in grey matter of relapsing-remitting multiple sclerosis patients undergoing alemtuzumab treatment predicted disease activity within two years and may be used as a biomarker of treatment efficacy.
Change in grey matter BBB permeability from baseline to six months for subjects with and without (NEDA) disease activity within two years. Mean difference –0.038 ml/100g/min, 95% confidence interval -0.073;-0.004, p = 0.03.
Change in grey matter BBB permeability from baseline after treatment as measured by Ki for subjects with and without (NEDA) disease activity within two years. Dashed lines = individual trajectories, solid line = group means, error bars = means ± standard error of the mean.