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Breakthrough disease during interferon-[beta] therapy in MS: No signs of impaired biologic response
Hesse D, Krakauer M, Lund H, Søndergaard HB, Langkilde A, Ryder LP, Sørensen PS and Sellebjerg F2010
ccccDisease activity is highly variable in patients with multiple sclerosis (MS), both untreated and during interferon (IFN)-beta therapy. Breakthrough disease is often regarded as treatment failure; however, apart from neutralizing antibodies (NAbs), no blood biomarkers have been established as reliable indicators of treatment response, despite substantial, biologically measurable effects. We studied the biologic response to treatment in a cohort of NAb-negative patients to test whether difference in responsiveness could segregate patients with and without breakthrough disease during therapy.