Children with multiple sclerosis have better outcomes if treated early and with high-efficacy therapies

NewsGuard 100/100 Score

A ground-breaking study – the largest of its kind globally – has found children with multiple sclerosis (MS) have better outcomes if treated early and with the same high-efficacy therapies as adults.

There are a limited number of therapies approved for children with MS, with only one considered to be of high-efficacy – meaning highly effective.

However, a Royal Melbourne Hospital (RMH) observational study has determined that pediatric patients should be treated with the same high-efficacy treatments offered to adults as early in their diagnosis as possible to avoid the onset of significant disability.

We found that patients who were treated with high-efficacy disease-modifying therapies during the initial phases of their disease benefitted the most compared to patients who were not treated.

Based on our findings we recommend that patients with pediatric-onset multiple sclerosis should be treated early in the disease course, when the disability is still minimal, to preserve neurological capacity before it's damaged."

Dr. Sifat Sharmin, Research Fellow at the Royal Melbourne Hospital's Neuroimmunology Centre, and the University of Melbourne's Department of Medicine

The observational study analyzed global data of more than 5000 people diagnosed with MS during childhood over the last 30 years – including from MSBase, a large international registry encompassing 41 countries, and a national registry in Italy, where the disease is highly prevalent.

It compared the strength of treatment with the severity of the disease later in life, and concluded patients treated with the most effective treatments early on in their diagnosis were less likely to experience disability worsening. These disease-modifying therapies include highly effective antibodies that change the way in which an individual's immune system behaves.

The findings were published in the prestigious journal the Lancet Child and Adolescent Health this week.

The research also confirmed that any treatment – including low-efficacy treatments – was better than no treatment

Dr Sharmin, who led the study, said because paediatric-onset MS was a rare disease – about four to eight per cent of MS patients are diagnosed before age 18 – it wasn't as well investigated.

"This is the largest study of its kind for pediatric MS," she said.

"We hope this may have some policy implications so children with MS can access the most effective therapies as early as possible."

MS is a chronic condition that occurs when the immune system attacks the brain and spinal cord. There is currently no cure for the condition.

Source:
Journal reference:

Sharmin, S., et al. (2024) Disease-modifying therapies in managing disability worsening in paediatric-onset multiple sclerosis: a longitudinal analysis of global and national registries. The Lancet Child & Adolescent Health. doi.org/10.1016/S2352-4642(24)00047-6.

Comments

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
Post a new comment
Post

While we only use edited and approved content for Azthena answers, it may on occasions provide incorrect responses. Please confirm any data provided with the related suppliers or authors. We do not provide medical advice, if you search for medical information you must always consult a medical professional before acting on any information provided.

Your questions, but not your email details will be shared with OpenAI and retained for 30 days in accordance with their privacy principles.

Please do not ask questions that use sensitive or confidential information.

Read the full Terms & Conditions.

You might also like...
Exclusionary practices in schools exacerbate challenging student behaviors